• Supervisor ED Utilization Management

    AdventHealth (Tampa, FL)
    …and customer experience. **The value you'll bring to the team:** Assists Utilization Management Manager to successfully implement practice changes. ... Utilization Management RN Supervisor reports directly to the Divisional Utilization Management RN Manager and assists in monitoring and performing the… more
    AdventHealth (08/08/25)
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  • Case Manager - UM II -100%

    Healthfirst (FL)
    The Case Manager , Utilization Management coordinates the care plan for assigned members and conducts pre-certification, concurrent review, discharge ... planning, and case management as assigned. The Case Manager , Utilization Management is also responsible for efficient utilization of health services… more
    Healthfirst (08/08/25)
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  • Utilization Management Nurse

    CenterWell (Tallahassee, FL)
    …RN experience; + Prior clinical experience, managed care experience, **OR** utilization management experience + Demonstrates Emotional Maturity + Ability ... Therapy, DME, Cardiac or Orthopedic procedures + Previous experience in utilization management within Insurance industry + Previous Medicare Advantage/Medicare… more
    CenterWell (08/08/25)
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  • Utilization Management Nurse

    CenterWell (Tallahassee, FL)
    …+ Prior clinical experience, managed care experience, DME, Florida Medicaid **OR** utilization management experience + Demonstrates Emotional Maturity + Ability ... Orthopedic procedures + Compact License preferred + Previous experience in utilization management within Insurance industry + Previous Medicare… more
    CenterWell (08/02/25)
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  • Observation Utilization Review RN

    Trinity Health (Fort Lauderdale, FL)
    …acute hospital clinical experience is required.** Recent experience in case management , utilization review, discharge planning, ongoing monitoring and evaluation ... Plans to ensure authorization for hospital stay. Hybrid Position **_Position Purpose:_** ** Utilization Review (UR) Nurses play a vital role in healthcare by making… more
    Trinity Health (08/02/25)
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  • Clinical Health Services Associate Manager

    CVS Health (Tallahassee, FL)
    …level. The Associate Manager is also responsible for oversight of utilization management nurses including the organization and development of high performing ... some rotational on-call holiday coverage as needed. The Associate Manager is accountable to support the day to day...compliance and privacy practices. + Oversees the implementation of utilization management services for assigned area +… more
    CVS Health (08/08/25)
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  • Case Manager / PRN ( RN / RT / SW / LPN )

    Select Medical (Pensacola, FL)
    …by doing what is right. The Case Manager is responsible for utilization reviews and resource management , discharge planning, treatment plan management ... **Overview** **Critical Illness Recovery Hospital** **Case Manager (PRN)** _Requires a current licensure in a...the plan of care. + Demonstrates compliance with facility-wide Utilization Management policies and procedures. + Coordinates… more
    Select Medical (08/02/25)
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  • Case Manager ( RN / RT / SW / LPN )

    Select Medical (Orlando, FL)
    …by doing what is right. The Case Manager is responsible for utilization reviews and resource management , discharge planning, treatment plan management ... **Overview** **Critical Illness Recovery Hospital** **Case Manager ** _Requires a current licensure in a clinical...the plan of care. + Demonstrates compliance with facility-wide Utilization Management policies and procedures. + Coordinates… more
    Select Medical (07/19/25)
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  • RN Registered Nurse Care Management PRN

    AdventHealth (Land O' Lakes, FL)
    …a specific group of patients.The Case Manager is responsible for utilization reviews and resource management , discharge planning, treatment plan ... TWCE as Nice The role you'll contribute: The Case Manager is accountable for the organization, sequence of services...management and financial management , while also completing medical… more
    AdventHealth (08/07/25)
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  • RN Quality Review Nurse Home Health

    AdventHealth (Orlando, FL)
    …you'll contribute:** The Population Health Case Manager (PHCM) ensures effective utilization and case management oversight activities as defined by inter ... **Population Health Case Manager (RN) AdventHealth Home Health** **All the benefits...best practices, agency policies/processes. Ensures clear and appropriate visit utilization using evidence-based and best practice guidelines to achieve… more
    AdventHealth (08/07/25)
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