• Oncology Prior Authorization Case

    University of Miami (Miami, FL)
    … Manager RN - Full Time The University of Miami is currently seeking a Prior Authorization Nurse Case Manager. The incumbent purose is to conduct initial chart ... reviews for medical necessity and identify the need for authorization. The...Adhere and perform timely prospective reviews for services requiring prior authorization + Follows the authorization process using established… more
    University of Miami (08/23/25)
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  • Oncology Prior Authorization Case

    University of Miami (Miami, FL)
    …Business Operations has an exciting opportunity for a full time Utilization Review Case Manager to work to work remote. The incumbent conducts initial, concurrent ... chart reviews for clinical utilization and authorization. The Utilization Review Case Manager coordinates with the healthcare team for optimal and efficient… more
    University of Miami (08/21/25)
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  • Contract Workers Compensation Field Case

    Rising Medical Solutions (Orlando, FL)
    …join a group of dedicated professionals committed to elevating the standards of medical case management for workplace injuries and find a collaborative ... your skills are essential to our mission. At Rising Medical Solutions, your prior expertise will be...Requirements + Candidates will have a strong background in medical case management and workers' compensation +… more
    Rising Medical Solutions (07/04/25)
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  • RN Case Manager PRN

    HCA Healthcare (Kissimmee, FL)
    …(RN) Registered Nurse + Associate Degree + Bachelor's in Nursing + 1+ year of prior case management experience + Registered Nurse - Currently licensed as a ... psychosocial and medical needs of assigned patients. + ​Develops a case management plan of care to include identified clinical, psychosocial, discharge needs,… more
    HCA Healthcare (08/28/25)
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  • RN Case Manager PRN

    HCA Healthcare (Pensacola, FL)
    …(RN) Registered Nurse + Associate Degree + Bachelor's in Nursing + 1+ year of prior case management experience + Registered Nurse - Currently licensed as a ... you have the PRN career opportunities as an RN Case Manager PRN you want with your current employer?...medical needs of assigned patients. + ​Develops a case management plan of care to include identified clinical,… more
    HCA Healthcare (08/24/25)
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  • Bilingual Case Management Analyst - Field…

    CVS Health (Aventura, FL)
    …and coordinating all case management activities with members to evaluate the medical needs of the member to facilitate the member's overall wellness. Case ... we do it all with heart, each and every day. **Position Summary** The Case Management Analyst position is with Aetna's Long-Term Services and Supports (LTSS) team… more
    CVS Health (08/16/25)
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  • Bilingual Analyst Case Management - Field…

    CVS Health (Tampa, FL)
    …and coordinating all case management activities with members to evaluate the medical needs of the member to facilitate the member's overall wellness. Case ... all with heart, each and every day. **Position Summary** This Bilingual Case Management Coordinator position is with Aetna's Long-Term Services and Supports (LTSS)… more
    CVS Health (08/01/25)
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  • RN Case Manager PRN

    HCA Healthcare (Orange Park, FL)
    …RN license. + 1-3 years of clinical, hospital nursing experience is required. + ** Prior experience in Case Management is required for this PRN role.** + ... the PRN career opportunities as a **Registered Nurse (RN) Case Manager** you want with your current employer? We...colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no… more
    HCA Healthcare (06/24/25)
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  • RN Case Manager PRN

    HCA Healthcare (Jacksonville, FL)
    …RN license. + 1-3 years of clinical, hospital nursing experience is required. + Prior experience in Case Management is required for this PRN role. + ... the PRN career opportunities as a **Registered Nurse (RN) Case Manager** you want with your current employer? We...colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no… more
    HCA Healthcare (08/20/25)
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  • Bilingual Analyst, Case Management - Field…

    CVS Health (North Miami, FL)
    …and coordinating all case management activities with members to evaluate the medical needs of the member to facilitate the member's overall wellness. Case ... **This position offers a $3,000 New Hire Bonus!** This Bilingual Analyst, Case Management position is with Aetna's Long-Term Services and Supports (LTSS) team… more
    CVS Health (08/28/25)
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