• Director, Clinical Systems

    Molina Healthcare (Jacksonville, FL)
    …skills. * Microsoft Office suite/applicable software program(s) proficiency. Preferred Qualifications * Registered Nurse ( RN ). License must be active and ... including design, development, implementation, and oversight of technology that drives core utilization management , care management , long-term services and… more
    Molina Healthcare (10/01/25)
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  • Telephonic Nurse Case Manager Senior

    Elevance Health (Miami, FL)
    …therefore, Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager Senior** . is responsible for care management within the scope ... **Telephonic Nurse Case Manager Senior** **Sign on...claims or service issues. + Assists with development of utilization /care management policies and procedures, chairs and… more
    Elevance Health (09/30/25)
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  • Telephonic Nurse Case Manager II

    Elevance Health (Tampa, FL)
    …48 hours of receipt and meet the criteria._** The **Telephonic Nurse Case Manager II** is responsible for care management within the scope of licensure for ... **Telephonic Nurse Case Manager II** **Location: This...claims or service issues. + Assists with development of utilization /care management policies and procedures. **Minimum Requirements:**… more
    Elevance Health (09/11/25)
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  • Social Work Care Manager

    AdventHealth (Riverview, FL)
    …care escalations.The Social Worker is under the general supervision of the Care Management Supervisor or Manager and is responsible for patient evaluations of ... and womens care. **The role you'll contribute** **:** TheSocial Work Care Manager intervenes with patients who have complex psychosocial needs, require assistance… more
    AdventHealth (09/05/25)
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  • Behavioral Health Care Manager II

    Elevance Health (FL)
    …services only, and there is licensed staff supervision. + Previous experience in case management / utilization management with a broad range of experience with ... **Behavioral Health Care Manager II** A proud member of the Elevance...offers superior clinical mental health and substance use disorder management , a comprehensive employee assistance program, work/life support, specialty… more
    Elevance Health (09/30/25)
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  • LVN Delegation Oversight Nurse Remote

    Molina Healthcare (St. Petersburg, FL)
    …skills. + Microsoft Office suite/applicable software program(s) proficiency. **Preferred Qualifications** + Registered Nurse ( RN ). The license must be active ... reports submitted to the Eastern US Quality Improvement Collaborative (EQIC) and/or utilization management committees. + Participates as needed in joint… more
    Molina Healthcare (09/20/25)
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  • Human Services Program Consultant II

    MyFlorida (Orlando, FL)
    …at least 6 months of direct case management experience or a Florida Licensed Registered Nurse ( RN ) with 1-year of direct case management experience ... Orange County. The incumbent serves as the Intensive Case Manager for clients accessing services directly at the SCC...(CBO's). Incumbent reports directly to the Supervisor of Case Management . Staff will establish and maintain a caseload of… more
    MyFlorida (07/08/25)
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  • Nurse Manager - Radiology - Northern…

    University of Miami (North Miami, FL)
    …. Accountabilities (For Non-exempt Employees Include Percent of Effort): Clinical Management : Responsible for the management of the daily operation ... and applicable certifications and professional practice standards. Responsible for the utilization and maintenance of appropriate nursing care plans and assessment… more
    University of Miami (09/23/25)
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  • Physician Lead

    CenterWell (Daytona Beach, FL)
    …the strategic intent + Overseeing other clinicians which includes Physicians, Advanced Registered Nurse Practitioners (ARNP), and Physicians Assistants (PA) + ... + Identifying trends and areas of opportunity in pharmacy utilization (pharmacy management ) to impact Part D...of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing… more
    CenterWell (07/10/25)
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  • Director Cardiac Cath Lab

    HCA Healthcare (Gainesville, FL)
    …recognizes physicians as important customers. What qualifications you will need: + State Registered Radiologic Technician, or Registered Nurse + Associate ... HCA Florida North Florida Hospital, you can be a manager in an organization that is devoted to giving!...and administrative activities including fiscal, material and human resource management .? + Maintains and monitors utilization of… more
    HCA Healthcare (09/19/25)
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