• RN Case Manager Evenings

    HCA Healthcare (Gainesville, FL)
    …the development and implementation of critical pathways. + Utilizes computer support and physician advisor to determine potential outliers (length of stay and ... of absence) + Employee Health Assistance Fund that offers free employee-only coverage to full- time and part - time colleagues based on income. Learn more about… more
    HCA Healthcare (06/21/25)
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  • Utilization Management RN

    AdventHealth (Orlando, FL)
    …status conflict is indicated, the UM nurse is responsible for escalation to the Physician Advisor or designated leader for additional review as determined by ... **Our promise to you:** Joining AdventHealth is about being part of something bigger. It's about belonging to a...understanding that **together** we are even better. **Schedule:** Full Time Remote, Applicant must live within a 50-mile radius… more
    AdventHealth (08/07/25)
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  • Disability Representative Sr

    Sedgwick (Orlando, FL)
    …and arranges appropriate referral of claims to outside vendors or physician advisor reviews, surveillance, independent medical evaluation, functional capability ... By joining Sedgwick, you'll be part of something truly meaningful. It's what our...+ Reviews and analyzes complex medical information (ie attending physician statements, office notes, operative reports, etc.) to determine… more
    Sedgwick (07/31/25)
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  • RN Supervisor Neurology at Innovation Tower

    AdventHealth (Orlando, FL)
    …Person Wellbeing Resources **Our promise to you:** Joining AdventHealth is about being part of something bigger. Its about belonging to a community that believes in ... understanding that **together** we are even better. **Schedule:** Full Time **Shift** : 7:30am - 4:30pm **Location:** 265 E....areas within the facility at large, and as an advisor to other discipline. + Participates in clinical conferences,… more
    AdventHealth (08/07/25)
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  • Registered Nurse ED Utilization Management Nights

    AdventHealth (Tampa, FL)
    …status conflict is indicated, the UM nurse is responsible for escalation to the Physician Advisor or designated leader for additional review as determined by ... **Our promise to you:** Joining AdventHealth is about being part of something bigger. Its about belonging to a...understanding that **together** we are even better. **Schedule:** Full Time **Shift** : Nights 6:30 pm to 7:00 am… more
    AdventHealth (08/07/25)
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  • Director Performance Improvement OR

    HCA Healthcare (Tampa, FL)
    …of absence) + Employee Health Assistance Fund that offers free employee-only coverage to full- time and part - time colleagues based on income. Learn more about ... certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program (paid time ...Director Performance Improvement OR like you to be a part of our team. **Job Summary and Qualifications** **Job… more
    HCA Healthcare (06/21/25)
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  • Director Quality

    HCA Healthcare (Tallahassee, FL)
    …of absence) + Employee Health Assistance Fund that offers free employee-only coverage to full- time and part - time colleagues based on income. Learn more about ... (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program (paid time off, paid family… more
    HCA Healthcare (07/23/25)
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  • Medical Director-Medicaid (ABH FL)

    CVS Health (Tallahassee, FL)
    …+ Prior UM experience working at Health Plan / Insurer or experience as a Physician Advisor or working for an Independent Review Organization A Plus +. + ... Region (KY, LA and WV). The Medical Director is part of a centralized team that supports the Medical...range represents the base hourly rate or base annual full- time salary for all positions in the job grade… more
    CVS Health (08/08/25)
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  • Registered Nurse Coding Liaison

    AdventHealth (Altamonte Springs, FL)
    …when clinical and coding determinations are in conflict. Works directly with the physician advisor to discuss cases that require additional evaluation and ... One - Career Development **Our promise to you:** Joining AdventHealth is about being part of something bigger. It's about belonging to a community that believes in… more
    AdventHealth (08/07/25)
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  • RN Coding Liaison

    AdventHealth (Orlando, FL)
    …when clinical and coding determinations are in conflict. Works directly with the physician advisor to discuss cases that require additional evaluation and ... Person Wellbeing Resources **Our promise to you:** Joining AdventHealth is about being part of something bigger. Its about belonging to a community that believes in… more
    AdventHealth (08/07/25)
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