• Float NP/PA

    CenterWell (Daytona Beach, FL)
    …part of our caring community and help us put health first** The Nurse Practitioner applies advanced education and clinical competencies to achieve optimal patient ... outcomes. The Nurse Practitioner works on problems of diverse scope and...**Preferred Qualifications** + Active and unrestricted DEA license + Medicare Provider Number/ Medicaid Provider Number + Experience managing… more
    CenterWell (05/24/25)
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  • Clinical Program Manager- Payment Integrity…

    Molina Healthcare (Miami, FL)
    **Job Summary** **_For this position we are seeking a (RN) Registered Nurse who must be licensed for the state of KENTUCKY or have a compact license._** Provides ... achieve operational goals and executes tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and State regulatory requirements are met for… more
    Molina Healthcare (08/14/25)
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  • Patient Care Technician - PCT

    Fresenius Medical Center (Lakeland, FL)
    …effective dialysis therapy for patients under the direct supervision of a licensed nurse in accordance with FMCNA policies procedures and training and in compliance ... well-being since their last treatment. Report any complaints or observations to the nurse supervisor. + Evaluate vascular access for patency and report any unusual… more
    Fresenius Medical Center (08/12/25)
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  • Senior Clinical Policy Research Professional

    Humana (Tallahassee, FL)
    …verbal and written summation of research to medical directors and leadership during Medicare and Medicaid LOB - Medicare Clinical Criteria Review (MCCR), ... or Bachelor's degree in any field or equivalent experience + Active unrestricted Registered Nurse (RN) license + 5 years or more of prior clinical experience +… more
    Humana (08/15/25)
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  • SNF Utilization Management RN - Compact Rqd

    Humana (Tallahassee, FL)
    …community and help us put health first** The Utilization Management Registered Nurse 2 utilizes clinical nursing skills to support the coordination, documentation ... medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are varied and frequently require interpretation… more
    Humana (08/09/25)
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  • National Float Pool Patient Care Technician - PCT

    Fresenius Medical Center (Boynton Beach, FL)
    …dialysis therapy for patients under the direct supervision of a licensed nurse in accordance with organization policies, procedures, and training and in compliance ... significant information and/or change in patient condition directly to the registered nurse or supervisor. + Observe patient and conduct machine safety checks… more
    Fresenius Medical Center (08/19/25)
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  • Medical Director (Marketplace)

    Molina Healthcare (FL)
    …medical director, and quality improvement staff. + Facilitates conformance to Medicare , Medicaid, NCQA and other regulatory requirements. + Reviews quality referred ... Chief Medical Officer. + Evaluates authorization requests in timely support of nurse reviewers; reviews cases requiring concurrent review, and manages the denial… more
    Molina Healthcare (08/08/25)
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  • Clinical Manager Home Health

    HCA Healthcare (The Villages, FL)
    …you will need:** + Two years of experience within a licensed and certified ( Medicare ) home health agency required + Competent in Federal ( Medicare ) and Local ... + Certifications, Licenses, and other Special Requirements + Current/Active Registered Nurse (RN) License within practice state required + Reliable transportation… more
    HCA Healthcare (08/08/25)
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  • Clinical Manager Home Health

    HCA Healthcare (Davie, FL)
    …you will need:** + Two years of experience within a licensed and certified ( Medicare ) home health agency required + Competent in Federal ( Medicare ) and Local ... + Certifications, Licenses, and other Special Requirements + Current/Active Registered Nurse (RN) License within practice state required + Reliable transportation… more
    HCA Healthcare (07/03/25)
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  • Home Health Sr Clinical Manager

    HCA Healthcare (Port St. Lucie, FL)
    …you will need:** + Two years of experience within a licensed and certified ( Medicare ) home health agency required + Competent in Federal ( Medicare ) and Local ... + Certifications, Licenses, and other Special Requirements + Current/Active Registered Nurse (RN) License within practice state required + Reliable transportation… more
    HCA Healthcare (06/21/25)
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