• Utilization Management Nurse

    Actalent (Sunrise, FL)
    …UMN assists in complex cases, develops internal processes, and educates physicians on utilization review issues. The role involves managing continuity of care, ... Actalent is hiring a Utilization Management Nurse ! Job Description The...on department activities as assigned. Essential Skills + Clinical review + Utilization review +… more
    Actalent (07/29/25)
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  • Utilization Review - Registered…

    Community Health Systems (Naples, FL)
    **Job Summary** Under the direction of the UR Director /Manager the UR Nurse reviews all admissions for medical necessity, correct orders based on medical ... improvement programs + Addresses facility and departmental communication through daily review of all correspondence, including incoming email messages. + Performs… more
    Community Health Systems (07/12/25)
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  • HybridClinical Nurse

    Actalent (Sunrise, FL)
    Utilization Management Nurse !Job Description The ...on department activities as assigned. Essential Skills + Clinical review + Utilization review + ... utilization . Working under the general supervision of the Director and/or Manager/Supervisor of Medical Management, and in collaboration...or LPN License. + Minimum of one year of utilization review experience and discharge planning in… more
    Actalent (08/08/25)
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  • Acute Care Case Manager , Registered Nurse…

    ChenMed (North Miami Beach, FL)
    …assess and record patients' progress and adjust and plan accordingly. + Understanding utilization review and how to leverage with inpatient staff for possible ... great people to join our team. The Acute Care Nurse (RN) is responsible for achieving positive patient outcomes...experience required. + A minimum of 1 year of utilization review and/or case management, home health,… more
    ChenMed (05/28/25)
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  • Medical Director (Marketplace)

    Molina Healthcare (FL)
    …the Chief Medical Officer. + Evaluates authorization requests in timely support of nurse reviewers; reviews cases requiring concurrent review , and manages the ... and interacts with network and group providers and medical managers regarding utilization practices, guideline usage, pharmacy utilization and effective resource… more
    Molina Healthcare (08/08/25)
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  • Director Case Management

    HCA Healthcare (Kissimmee, FL)
    …and external agencies to ensure continuity of care and optimal clinical resource utilization . The Director has oversight for all aspects of daily hospital ... through actively engaging interdisciplinary teams and external stakeholders. The Director is a registered nurse with responsibility...personal growth, we encourage you to apply for our Director Case Management opening. We promptly review … more
    HCA Healthcare (06/21/25)
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  • Director of Case Management ( RN / RT / MSW…

    Select Medical (Gainesville, FL)
    …and professional growth of the department, including, but not limited to: Utilization Review (UR) and resource management, discharge planning, treatment plan ... **Overview** **Critical Illness Recovery Hospital** ** Director of Case Management** **$10,000 Sign On Bonus**...**$10,000 Sign On Bonus** **_Clinical license as a registered nurse or respiratory therapist or master's in social work… more
    Select Medical (08/02/25)
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  • Chief Nurse - Acute Care

    Veterans Affairs, Veterans Health Administration (Miami, FL)
    …Associate Director for Patient Care Services (ADPCS.) The Chief Nurse Acute Care provides leadership in projects related to the coordination, design/redesign, ... VA medical center is looking to recruit for The Nurse is seeking a dynamic, highly motivated Service Chief...for respective clinical areas as directed by the Associate Director for Patient Care Services (ADPCS). They are a… more
    Veterans Affairs, Veterans Health Administration (08/03/25)
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  • Care Management Director

    AdventHealth (Orlando, FL)
    …Under minimal supervision and reporting to the Chief Nursing Officer the Director Care Management Women and Childrens develops and coordinates implementation of ... management, involving physicians and multiple hospital departments, to assure appropriate utilization of hospital resources, appropriate level of care for patients,… more
    AdventHealth (08/07/25)
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  • Site Medical Director

    YesCare Corp (Tallahassee, FL)
    …measures including sentinel event review + Actively participant of the Utilization Review process and follow proper procedures. + Follows standard ... or nurse practitioners as required. + Notifies Regional Medical Director and Site Health Services Administrator of schedule changes. Assists in arrangement… more
    YesCare Corp (05/23/25)
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