• RN Case Manager

    HCA Healthcare (Ocala, FL)
    …RN experience required + 4 year Bachelor Degree preferred. + Certification in Case Management or Utilization Review preferred HCA Florida Ocala Hospital is ... supporting a balance of optimal care and appropriate resource utilization . + Provides case management services for...assigned **What qualifications you will need:** + (RN) Registered Nurse + Associate Degree + 2 years acute hospital… more
    HCA Healthcare (12/30/25)
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  • Payment Integrity Clinician

    Highmark Health (Tallahassee, FL)
    …and education or if necessary involve Special Investigation Unit or the Utilization Management area. **ESSENTIAL RESPONSIBILITIES** + Implement the pre-payment ... and the proper action to complete the retrospective claim review with the goal of proper and timely payment...data to assure appropriate level of payment and resource utilization . It is also used to identify issues which… more
    Highmark Health (11/14/25)
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  • RN Case Manager PRN

    HCA Healthcare (Orange Park, FL)
    … Management experience is required for this PRN role. + Certification in Case Management or Utilization Review is preferred. + InterQual experience is ... you have the PRN career opportunities as a **Registered Nurse (RN) Case Manager** you want with your current...stay, managing the length of stay, ensuring appropriate resource management , while developing a safe appropriate discharge plan. +… more
    HCA Healthcare (12/03/25)
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  • Home Care Supervisor, RN

    BayCare Health System (Bradenton, FL)
    …bodies within the area of responsibility. + Ensure quality assurance program and utilization review is followed in accordance with Home Care protocol. + ... Oversees and investigates patient and physician concerns, risk management concerns and implements changes and training where necessary....Participates with Case Manager on initial Plan of Care review with a focus on quality, utilization … more
    BayCare Health System (11/20/25)
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  • Home Care Supervisor, RN

    BayCare Health System (Dunedin, FL)
    …regulatory bodies within the area of responsibility + Ensure quality assurance program and utilization review is followed in accordance with Home Care protocol + ... Oversees and investigates patient and physician concerns, risk management concerns and implements changes and training where necessary...Participates with Case Manager on initial Plan of Care review with a focus on quality, utilization … more
    BayCare Health System (10/10/25)
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  • Manager, Nursing (H)

    University of Miami (Miami, FL)
    …apply for a faculty or staff position, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The University ... The Manager, Nursing promotes and restores patients' health by developing day-to-day management and long-term planning of the patient care area, directing and… more
    University of Miami (12/20/25)
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  • Healthcare Clinical Documentation Specialist

    Deloitte (Tampa, FL)
    …nurse , physician, physician assistant, case manager, clinical documentation specialist, utilization review , informatics RN, Quality, DRG Validation and health ... to collaborate with clinicians, physicians, NP/PAs, ancillary departments, Quality, Case Management , Finance, Revenue Cycle, and Coders + Other skills include the… more
    Deloitte (11/21/25)
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  • Manager, Nursing - Periop, Full Time

    University of Miami (Miami, FL)
    …apply for a faculty or staff position, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . Sign-on Bonus ... $20,000 Work Location: Sylvester Cancer Center (Purpose and Function): The Periop Nurse Manager will be responsible for:* Daily clinical operations of the assigned… more
    University of Miami (12/20/25)
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  • Case Manager RN

    HCA Healthcare (Port Charlotte, FL)
    …and satisfaction. + You will promote cost effectiveness through the integration of case management , utilization review management and discharge planning. ... **Job Summary and Qualifications** We are seeking a Registered Nurse Case Manager. You will provide clinical expertise to...center. We have an orthopedic and spine center, wound management and hyperbaric medicine. We have inpatient, outpatient and… more
    HCA Healthcare (11/06/25)
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  • Clinical Rehab Specialist PRN

    HCA Healthcare (Largo, FL)
    …clinical screenings and assessments in collaboration with both hospital Case Management and the Rehab Medical Director. The Clinical Rehabilitation Specialist works ... closely with hospital case management to ensure a responsive and smooth flowing referral...commitments to referral sources. Develops a call-plan to prioritize utilization of time. + Completes face-to-face, in-service educational contacts… more
    HCA Healthcare (12/04/25)
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