• RN, Manager , Utilization…

    Humana (Tallahassee, FL)
    **Become a part of our caring community and help us put health first** The Manager , Utilization Management Nursing (LTSS Utilization Management ... and communication of medical services and/or benefit administration determinations. The Manager , Utilization Management Nursing works within specific… more
    Humana (09/28/25)
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  • Associate Manager , Clinical Health…

    CVS Health (FL)
    …**Position Summary** The Associate Manager is responsible for oversight of Utilization Management staff. This position is responsible for the development and ... team maintains compliance and privacy practices. + Oversees the implementation of utilization management services for assigned area + Implements clinical… more
    CVS Health (10/02/25)
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  • Clinical Learning Facilitator - Utilization…

    Molina Healthcare (St. Petersburg, FL)
    …unrestricted State RN or Clinical Social Worker/Counseling License. + Certified Case Manager (CCM), Utilization Management Certification (CPHM), Certified ... licensing mandate. + At least 2 years in case, disease or utilization management ; managed care; or medical/behavioral health settings. + One year of training… more
    Molina Healthcare (09/17/25)
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  • Behavioral Health Utilization Review Nurse

    Actalent (Sunrise, FL)
    Job Title: Behavioral Health Utilization Review NurseJob Description The Utilization Management Nurse (UMN) plays a crucial role in reviewing requests for ... reports on department activities as assigned. Essential Skills + Experience in utilization management , behavioral health, and mental health. + Proficiency in… more
    Actalent (10/02/25)
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  • Pharmacist, Utilization Management…

    Molina Healthcare (Orlando, FL)
    … (such as, reviewing prior authorization requirements, reviewing drug/provider utilization patterns and pharmacy costs management ), clinical pharmacy ... **JOB DESCRIPTION** **Job Summary** Molina Pharmacy Services/ Management staff work to ensure that Molina members...initiatives under the direction of leadership. + Monitors drug utilization and assists leadership team in understanding quality and… more
    Molina Healthcare (09/25/25)
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  • Utilization Management…

    Elevance Health (Miami, FL)
    ** Utilization Management Representative I** **Virtual:** This role enables associates to work virtually full-time, with the exception of required in-person ... an accommodation is granted as required by law._ The ** Utilization Management Representative I** will be responsible...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
    Elevance Health (10/01/25)
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  • Case Manager / PRN ( RN / RT / SW / LPN )

    Select Medical (Tallahassee, 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 (10/01/25)
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  • Case Manager ( RN / RT / SW / LPN )

    Select Medical (Fort Myers, 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 (09/13/25)
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  • Warehouse Supervisor, Cooler/Freezer (Nights)

    Performance Food Group (Tampa, FL)
    …Coordinates pick planning in conjunction with the Warehouse Manager . + Utilization of Company's warehouse management system and other technologies available ... candidate should possess:** + Strong knowledge of warehouse procedures, inventory management , and material handling equipment. + Experience with inventory … more
    Performance Food Group (09/29/25)
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  • RN - 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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