• Materials Management Coordinator

    HCA Healthcare (Brandon, FL)
    …billing to invoices, coding and processing in conjunction with the business office manager . + Confers with physicians and nursing staff on special products ... volunteering in our communities. As a Coordinator of Materials Management with Brandon Surgery Center you can be a...this role: ** + Works with the Regional Materials Manager or Market Materials Manager assigned to… more
    HCA Healthcare (09/12/25)
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  • Cost Containment Analyst

    ICW Group (Orlando, FL)
    … management and utilization review. + Works closely with Case Management Manager and Director to perform quarterly reporting on program impact/results. + ... AND SKILLS** Understanding of Workers' Compensation, Workers' Compensation Managed Care processes, Utilization Review, Telephonic Nurse Case Management , and… more
    ICW Group (09/22/25)
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  • Director, Clinical Systems

    Molina Healthcare (Jacksonville, FL)
    …including design, development, implementation, and oversight of technology that drives core utilization management , care management , long-term services and ... clinical systems experience, preferably as a product owner / manager within a managed care, nursing informatics...experience in a clinical leadership, clinical systems and/or informatics, utilization management , or care management … more
    Molina Healthcare (10/01/25)
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  • Home Care Supervisor, RN

    BayCare Health System (Bradenton, FL)
    …bodies within the area of responsibility. + Ensure quality assurance program and utilization review is followed in accordance with Home Care protocol. + Oversees and ... investigates patient and physician concerns, risk management concerns and implements changes and training where necessary....for office and agency staff. + Participates with Case Manager on initial Plan of Care review with a… more
    BayCare Health System (08/22/25)
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  • Case Mgr RN PRN

    HCA Healthcare (Miami, FL)
    …Experience or 2 years of critical care experience + Certification in case management or utilization review preferred + InterQual experience preferred HCA Florida ... location._** It is an exciting time to be a nurse at HCA Healthcare! Come unlock your career potential...and professional goals. Help to advance the practice of nursing and improve positive outcomes for your patients as… more
    HCA Healthcare (07/25/25)
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  • Medical Director - Medical Oncology

    Elevance Health (FL)
    **Clinical Operations Medical Director** **Medical Oncology** **Carelon Medical Benefit Management ** **Virtual** : This role enables associates to work virtually ... proud member of the Elevance Health family of companies, Carelon Medical Benefits Management , formerly AIM Specialty Health, is a benefit- management leader in… more
    Elevance Health (09/27/25)
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  • Associate Development Editor - Health

    Wolters Kluwer (Tallahassee, FL)
    …applications, in particular MS Excel, Word, PowerPoint, and Outlook + Project management skills (including time/resource utilization , as well as budgeting and ... a big place, find your place here. (https://youtu.be/OZ2kSzAaXK4?si=sDgZ7DZUbMnBddMq)** **Lippincott Nursing Education:** Lippincott Nursing Education | Wolters… more
    Wolters Kluwer (09/23/25)
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  • Administrative Director Surgical Services

    HCA Healthcare (Tampa, FL)
    …capital equipment requests + You will be responsible for the fiscal management of department; assure proper utilization of organization's financial resources ... What qualifications you will need: + Bachelor's degree in nursing required + Master's degree in Nursing ,...and/or experience + Currently licensed as a registered professional nurse in the state in which he or she… more
    HCA Healthcare (09/11/25)
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  • Licensed Physician Reviewer - Ortho (remote)

    ChenMed (Miami, FL)
    …our team. The Physician Reviewer is the primary physician reviewer for Utilization Management /Clinical Appropriateness review cases in our organization. Other ... Process and Quality improvement in our developing area of Delegated Utilization Management . **ESSENTIAL JOB DUTIES/RESPONSIBILITIES:** + Provides Delegated… more
    ChenMed (09/04/25)
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  • Cancer Institute Scheduler

    AdventHealth (Apopka, FL)
    …requiring unique training to ensure treatments are accurate. Under general or direct management by Manager , the Cancer Institute Site Scheduler is part of ... and Radiation Oncology leaders or charge nurses to schedule and maximize utilization of nursing /Technician's time, productivity and resources Performs this task… more
    AdventHealth (10/03/25)
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