• Home Health Director

    BAYADA Home Health Care (Jacksonville, FL)
    …experienced and compassionate **Director** to manage operations at our **Jacksonville, FL Medicare -certified Home Health office** . The ideal candidate will have a ... strong background in healthcare administration, regulatory compliance ( Medicare Conditions of Participation), clinical coordination, and business operations. This… more
    BAYADA Home Health Care (08/09/25)
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  • Utilization Management Nurse - Front End…

    Humana (Tallahassee, FL)
    …+ Must reside in the state of Florida + Bachelor's degree or higher + Licensed Registered Nurse ( RN ) in the state of Florida with no disciplinary action. ... and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the...to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities… more
    Humana (08/27/25)
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  • Clinical Document Specialist- North Pinellas

    AdventHealth (Tampa, FL)
    Medicare . Qualifications **The expertise and experiences you'll need to succeed:** Bachelor's Registered Nurse ( RN ) 5 years acute care nursing experience ... inpatients, sending/presenting opportunities for improved documentation compliance to physicians, nurse practitioners and other clinical team members. Transcribes documentation… more
    AdventHealth (08/22/25)
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  • Licensed Practical Nurse LPN Home Health

    AdventHealth (Deland, FL)
    …schedule in a timely manner. . Plans patient care in consultation with Registered nurse . . Assists with patient/caregiver teaching. . Demonstrates flexibility in ... **Licensed Practical Nurse Offsite - AdventHealth Home Health** **All the...Provides vocational nursing services under the supervision of an RN , to patients in their homes. **The value you'll… more
    AdventHealth (08/22/25)
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  • Central Florida Division Director of Clinical…

    AdventHealth (Orlando, FL)
    …care entity. . Experience in the clinical setting related to area(s) of specialty . RN - Registered Nurse - State Licensure and/or Compact State Licensure ... **The role you'll contribute:** The Director of Clinical Outcomes is a registered professional nurse with comprehensive responsibility for the assessment,… more
    AdventHealth (08/07/25)
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  • Director Care Management

    AdventHealth (Tampa, FL)
    …procedures, and standards Qualifications **The expertise and experiences you'll need to succeed:** . Registered Nurse : BSN . Social Worker: MSW or BSW Masters in ... but not limited to: Coordination of Care, Centers for Medicare & Medicaid Services (CMS) Conditions of Participation, Discharge...experience in Care Management/Social Work leadership . State Specific RN license if a nurse This facility… more
    AdventHealth (08/07/25)
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  • Program Manager, HCS

    Molina Healthcare (Jacksonville, FL)
    …materials and other related documentations. **JOB QUALIFICATIONS** **Required Education** + Registered Nurse or equivalent combination of Licensed Vocational ... Nurse (LVN) or Licensed Practical Nurse (LPN) with experience in lieu of ...years supervisory/management experience in a managed healthcare environment. + Medicaid/ Medicare Population experience with increasing responsibility. + 3+ years… more
    Molina Healthcare (08/02/25)
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  • Administrator in Charge, Nursing Support Services…

    University of Miami (Miami, FL)
    …degree in relevant field Master's Degree (Preferred) + Certification and Licensing: Registered Nurse Licensing ( RN ) Basic Life Support Certification ... gaps and enhancing nursing leadership. The (AIC) is a registered professional nurse who is responsible for...healthcare regulations including those set by the Centers for Medicare and Medicaid Services (CMS), Joint Commission and other… more
    University of Miami (07/18/25)
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  • Telephonic Behavior Health Care Manager

    Humana (Hallandale Beach, FL)
    …+ Bachelor's degree in social work or behavioral health-related field + Active licensed Registered Nurse , RN in the state of Florida without disciplinary ... efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. ​… more
    Humana (07/15/25)
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  • Assistant Nurse Manager - Case Management

    Cleveland Clinic (Stuart, FL)
    …BSN from an accredited school of professional nursing. * Current state FL licensure as Registered Nurse ( RN ). * Professional certification as a Case Manager ... on track with their health goals. As an Assistant Nurse Manager in Care Management, you will assist with...utilize clinical expertise and understanding of care management and Medicare regulations, contribute to the goals of cost containment… more
    Cleveland Clinic (07/10/25)
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