• 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 ... documentation and communication of medical services and/or benefit administration determinations. The Manager , Utilization Management Nursing works… more
    Humana (09/28/25)
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  • Behavioral Health Utilization Review…

    Actalent (Sunrise, FL)
    Job Title: Behavioral Health Utilization Review NurseJob Description The Utilization Management Nurse (UMN) plays a crucial role in reviewing requests ... reports on department activities as assigned. Essential Skills + Experience in utilization management , behavioral health, and mental health. + Proficiency in… more
    Actalent (10/04/25)
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  • Utilization Management RN PRN

    AdventHealth (Altamonte Springs, FL)
    …avoidance strategies including concurrent payer communications to resolve status disputes. The Utilization Management Nurse is accountable for a designated ... **The role you will contribute:** The role of the Utilization Management (UM) Registered Nurse ...to practice (ADN or BSN) 3 acute care clinical nursing experience 2 Utilization Management … more
    AdventHealth (10/06/25)
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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...requests. + Refers cases requiring clinical review to a Nurse reviewer. + Responsible for the identification and data… more
    Elevance Health (10/05/25)
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  • Registered Nurse Care Manager

    AdventHealth (Orlando, FL)
    …documents avoidable days, and facilitates progression of care. Collaborates with Utilization Management staff for collaboration on patient status changes ... the general supervision of the Care Managment Supervisor or Manager or Director of Nursing and is...+ Health-related masters degree or MSN + Prior Care Management / Utilization Management experience +… more
    AdventHealth (10/06/25)
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  • Registered Nurse Care Manager PRN

    AdventHealth (Palm Coast, FL)
    … is under the general supervision of the Care Management Supervisor or Manager or Director of Nursing and is responsible for patient evaluations of ... need to succeed:** **Minimum qualifications** : + Associate's degree Nursing or RN Diploma degree. + Registered Nurse...+ Health-related Master's degree or MSN. + Prior Care Management / Utilization Management experience. + ACM/CCM… more
    AdventHealth (08/27/25)
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  • Registered Nurse RN Care Manager

    AdventHealth (Ormond Beach, FL)
    **Registered Nurse RN Care Manager ** **-** **AdventHealth Hospice** **All the benefits and perks you need for you and your family:** + Up to $5,000 Sign on Bonus ... Edgewater) **The role you'll contribute:** The Home Health Registered Nurse (RN) Care Manager is a professional...care based on individual patient needs. The RN Care Manager is responsible for independent management of… more
    AdventHealth (10/05/25)
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  • Assistant Nurse Manager RN Emergency…

    AdventHealth (Daytona Beach, FL)
    …Daytona Beach, FL 32117 **The role you'll contribute:** The ANM is a registered professional nurse who supports the Nurse Manager in overall operations of ... Off from Day One + Paid Parental Leave + Nursing Clinical Ladder Program + Whole Person Well-being and...performance of the staff and report's findings to the nurse manager or takes corrective action for… more
    AdventHealth (08/07/25)
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  • Registered Nurse Care Manager

    AdventHealth (Palm Coast, FL)
    …: + BSN + Health-related Master's degree or MSN + Prior Care Management / Utilization Management experience + ACM/CCM Certification This facility is ... the general supervision of the Care Managment Supervisor or Manager or Director of Nursing and is...satisfaction, patient safety, readmission prevention and length of stay management . The RN Care Manager communicates daily… more
    AdventHealth (10/02/25)
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  • RN Nurse Manager Critical Care

    HCA Healthcare (Margate, FL)
    …1 year of experience as a full time Charge Nurse / Coordinator, Nursing Administrative Supervisor, or Nursing Management HCA Florida Northwest Hospital ... the United Kingdom. We are looking for a RN Nurse Manager Critical Care for our HCA...Critical Care role today!** **Job Summary and Qualifications** Coordinates nursing services and accepts organizational accountability for services provided… more
    HCA Healthcare (07/14/25)
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