• Clinical Appeals Nurse (RN)

    Molina Healthcare (Tampa, FL)
    …unrestricted Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager + Certified Professional Healthcare Management + Certified ... outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse (RN) performs clinical/medical reviews of previously denied cases… more
    Molina Healthcare (08/15/25)
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  • RN Clinic Geriatric Primary Care The village PRN

    HCA Healthcare (Gainesville, FL)
    …care to seniors. Through our dynamic interdisciplinary team of physicians, nurses, case manager , pharmacist, lab technician, and support staff Senior Healthcare ... work-in acute issue management, hospitalization follow up, lab draw, nursing follow up care, etc. Our Registered Nurse...EKG, bladder scan, ear lavage, consult with pharmacist or case manager ) . Documentation within electronic health… more
    HCA Healthcare (08/21/25)
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  • Regional Nurse Consultant (M-F)

    NHS Management, LLC (Tallahassee, FL)
    …provided to the residents at all times. PRIMARY FUNCTIONS 1. Work with Regional Case Manager regarding coverage and services to meet resident's needs. 2. ... way. We are in search of a qualified Regional Nurse Consultant: The Regional Nurse Consultant will...advancement! General Responsibilities To consult the assigned facilities on nursing functions of the facility in accordance with current… more
    NHS Management, LLC (06/09/25)
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  • Patient Services Coordinator-LPN, Home Health

    CenterWell (Panama City, FL)
    …for normality, fax a copy of lab to doctor, make a copy for the Case Manager , and route to Medical Records Department. Initiate Employee / Patient Infection ... including receiving calls from the field staff and assisting with weekly case conferences. Refers clinical questions to Branch Director as necessary. + Maintains… more
    CenterWell (09/02/25)
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  • Utilization Review Specialist Sr.

    BayCare Health System (Tampa, FL)
    Nurse ) + Preferred ACM ( Case Management) + Preferred CCM ( Case Manager ) **Education:** + Required Associates in Nursing or + Required Bachelors in ... 2 years in Case Management or + Required 3 years Registered Nurse + Preferred experience in Critical Care or Emergency Service **Benefits:** + Benefits (Health,… more
    BayCare Health System (08/26/25)
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  • Utilization Review Spec Sr

    BayCare Health System (Clearwater, FL)
    Nurse ) + Preferred ACM ( Case Management) + Preferred CCM ( Case Manager ) **Education:** + Required Associates in Nursing or + Required Bachelors in ... 2 years in Case Management or + Required 3 years Registered Nurse + Preferred experience in Critical Care or Emergency Service **Benefits:** + Benefits (Health,… more
    BayCare Health System (08/22/25)
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  • Onsite Health Coach

    Elevance Health (FL)
    …knowledge, skills, and behavioral needs. + Coordinates specific health coaching as directed by nurse case manager to address objectives and goals as ... barriers and develop ways to overcome those barriers. + Coordinates with the nurse case manager to provide feedback on member goal attainment and clinical… more
    Elevance Health (08/27/25)
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  • LPN, Home Health

    Humana (Belle Glade, FL)
    …RN/ Case Manager .forward and of moderate complexity. The Licensed Practical Nurse participates in the nursing process by providing input to the client's ... and help us put health first** The Licensed Practical Nurse is responsible and accountable for making decisions that...that are based on the individual's educational preparation and nursing experience, and for providing nursing services… more
    Humana (08/22/25)
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  • RN Clinical Supervisor - Hybrid Schedule

    Aveanna Healthcare (West Palm Beach, FL)
    …$67,000.00 - $70,000.00 per year Position Details Position: Clinical Supervisor (RN) Clinical Case Manager Join a Company That Puts People First! Aveanna ... Healthcare is one of the largest private-duty nursing companies in the nation, with a growing presence and an award-winning culture. We're committed to fostering… more
    Aveanna Healthcare (08/21/25)
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  • Transition of Care Coach (RN)

    Molina Healthcare (FL)
    …Association** Active, unrestricted Transitions of Care Sub-Specialty Certification and/or Certified Case Manager (CCM) To all current Molina employees: If ... continues through transitions from the acute setting to other settings, including nursing facility placement and private home, with the goal of reduced readmissions.… more
    Molina Healthcare (08/13/25)
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