• RN Registered Nurse Care Manager PRN

    AdventHealth (Tampa, FL)
    …education to nurses, physicians and the interdisciplinary team on issues related to utilization of resources, medical necessity, CMS CoP for Discharge Planning ... (as permitted by the patient) as well as a review of the current and past inpatient and outpatient...Nurse (RN) License. .Two (2 ) years of medical /hospital Registered Nurse experience This facility is… more
    AdventHealth (08/07/25)
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  • Registered Nurse (On Call)

    MTC (Graceville, FL)
    … medical records; observe applicable HIPAA rules. + Accurately and promptly chart medical care. Review medical files to determine all provided services ... a variety of nursing skills all in one package!** The **Graceville Correctional** medical staff are dedicated to providing quality medical and dental services… more
    MTC (08/14/25)
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  • Registered Nurse (On call)

    MTC (Panama City, FL)
    … medical records; observe applicable HIPAA rules. + Accurately and promptly chart medical care. Review medical files to determine all provided services ... Panama City, FL. is **now hiring a part-time Registered Nurse (RN)** to join our team. **Primary duties:** +...room as required by their condition and document in medical record or other forms as appropriate. + Practice… more
    MTC (08/08/25)
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  • Registered Nurse Care Manager

    AdventHealth (Wesley Chapel, FL)
    …education to nurses, physicians and the interdisciplinary team on issues related to utilization of resources, medical necessity, CMS CoP for Discharge Planning ... discharge planning, transitions of care planning and understanding of medical necessity are core competencies of this role. The...(as permitted by the patient) as well as a review of the current and past inpatient and outpatient… more
    AdventHealth (08/26/25)
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  • Registered Nurse Care Manager

    AdventHealth (Ocala, FL)
    …education to nurses, physicians and the interdisciplinary team on issues related to utilization of resources, medical necessity, CMS CoP for Discharge Planning ... (as permitted by the patient) as well as a review of the current and past inpatient and outpatient...succeed:** Associates Degree Nursing or RN Diploma degree Registered Nurse (RN) Two (2) years of medical /hospital… more
    AdventHealth (08/23/25)
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  • Registered Nurse Care Manager PRN

    AdventHealth (Zephyrhills, FL)
    …education to nurses, physicians and the interdisciplinary team on issues related to utilization of resources, medical necessity, CMS CoP for Discharge Planning ... (as permitted by the patient) as well as a review of the current and past inpatient and outpatient...succeed:** Associates Degree Nursing or RN Diploma degree Registered Nurse (RN) Two (2) years of medical /hospital… more
    AdventHealth (08/16/25)
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  • RN Registered Nurse Care Management

    AdventHealth (Port Charlotte, FL)
    …education to nurses, physicians and the interdisciplinary team on issues related to utilization of resources, medical necessity, CMS CoP for Discharge Planning ... (as permitted by the patient) as well as a review of the current and past inpatient and outpatient...Associate's degree Nursing or RN Diploma degree . Registered Nurse (RN) . Two (2) years of medical… more
    AdventHealth (08/07/25)
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  • Registered Nurse

    MTC (Quincy, FL)
    … medical records; observe applicable HIPAA rules. + Accurately and promptly chart medical care. Review medical files to determine all provided services ... room as required by their condition and document in medical record or other forms as appropriate. + Practice...forms as appropriate. + Practice basic cost containment and utilization management for inmate care and facility operations. +… more
    MTC (08/23/25)
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  • Care Review Clinician, PA (RN) Transplants

    Molina Healthcare (Miami, FL)
    …Experience Previous experience in Hospital Acute Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual ... within required timelines. + Refers appropriate prior authorization requests to Medical Directors. + Requests additional information from members or providers in… more
    Molina Healthcare (08/23/25)
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  • Medical Director (Marketplace)

    Molina Healthcare (St. Petersburg, FL)
    …practice, capitation, HMO regulations, managed healthcare systems, quality improvement, medical utilization management, risk management, risk adjustment, disease ... productivity standards. Educates and interacts with network and group providers and medical managers regarding utilization practices, guideline usage, pharmacy … more
    Molina Healthcare (08/28/25)
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