- Sedgwick (Tallahassee, FL)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Nurse Allocator Medicare **PRIMARY PURPOSE OF THE ROLE:** To perform provider ... are driven to deliver great work. + Apply your nursing or rehabilitation knowledge and experience to assist in...to the next round, recruiter will be in touch. \# nurse # medicare #medicaresetaside _As required by law,… more
- Humana (Tallahassee, FL)
- …a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are varied...need it. These efforts are leading to a better quality of life for people with Medicare ,… more
- Cleveland Clinic (Stuart, FL)
- …to helping patients stay on track with their health goals. As an Assistant Nurse Manager in Care Management , you will assist with day-to-day operations, utilize ... clinical expertise and understanding of care management and Medicare regulations, contribute to the...nursing . * Current state FL licensure as Registered Nurse (RN). * Professional certification as a Case Manager… more
- CenterWell (Jacksonville, FL)
- …/Medicaid provider numbers or ability to obtain DEA license and/or Medicaid and Medicare numbers + Familiarity with HEDIS quality indicators and Medicare ... part of our caring community and help us put health first** The Nurse Practitioner applies advanced education and clinical competencies to achieve optimal patient… more
- Humana (Tallahassee, FL)
- …of our caring community and help us put health first** The Compliance Nurse 2 reviews utilization management activities and documentation to ensure adherence ... Medicare /Medicaid experience a plus + Certification in Case Management a plus (CCM) + Experience with National Committee...need it. These efforts are leading to a better quality of life for people with Medicare ,… more
- AdventHealth (Altamonte Springs, FL)
- … + Current valid State of Florida or multistate license as a Registered Nurse + 2 years of medical/ hospital nursing experience **Preferred qualifications:** + ... and Degrees without out-of-pocket tuition expense) *For eligible positions* + Nursing Clinical Ladder Program*For eligible positions* + Whole Person Well-being and… more
- Humana (Tallahassee, FL)
- …a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are varied...need it. These efforts are leading to a better quality of life for people with Medicare ,… more
- Evolent (Tallahassee, FL)
- …Reviewer, Nurse , you will routinely interact with leadership and management staff, other CR's (Clinical Reviewers), providers, office staff and Field Medical ... you will be a key member of the utilization management team. We can offer you a meaningful way...**Qualifications:** + Current, unrestricted state licensure as a Registered Nurse + Associate or Bachelors in Nursing … more
- Evolent (Tallahassee, FL)
- …Reviewer, Nurse , you will routinely interact with leadership and management staff, other CR's (Clinical Reviewers), providers, office staff and Field Medical ... you will be a key member of the utilization management team. We can offer you a meaningful way...**Qualifications:** + Current, unrestricted state licensure as a Registered Nurse + Associate or Bachelors in Nursing … more
- MyFlorida (Bonita Springs, FL)
- 68064627 - REGISTERED NURSE SPECIALIST Date: Aug 16, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... Agency for Health Care Administration Working Title: 68064627 - REGISTERED NURSE SPECIALIST Pay Plan: Career Service Position Number: 68064627 Salary: $1,915.08… more