- Actalent (Sunrise, FL)
- Actalent is hiring a Utilization Management Nurse ! Job Description The Utilization Management Nurse (UMN) collaborates closely with the interdisciplinary team to ... in complex cases, develops internal processes, and educates physicians on utilization review issues. The role involves managing continuity of care, ensuring smooth… more
- Actalent (Sunrise, FL)
- Utilization Management Nurse !Job Description The Utilization Management Nurse (UMN) plays a crucial role in reviewing service authorization requests to ensure ... staff to direct utilization and capture data effectively. Responsibilities + Review prior authorization requests for medical necessity and appropriateness, utilizing… more
- Centene Corporation (Tallahassee, FL)
- …Reside in Florida!** **Centene is Hiring!** **We're looking for a Remote Concurrent Review Nurse to support our Medicaid team.** **Ideal Candidate:** + **Has ... acute care bedside nursing experience** + **Brings a background in Utilization Management/ Review ** + **Holds an active nursing license** + **Is available to work… more
- Centene Corporation (Tallahassee, FL)
- …benefit coverage. Provides recommendations to the appropriate medical team to promote quality and cost effectiveness of medical care. + Performs medical necessity ... criteria + Works with healthcare providers and authorization team to ensure timely review of services and/or requests to ensure members receive authorized care +… more
- Molina Healthcare (Tampa, FL)
- …HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of ... meetings. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse (RN). **Required Experience** 1-3 years of hospital or medical… more
- Vighter Medical Group (Jacksonville, FL)
- Flight Registered Nurse (RN), Jacksonville, FL Job Details Job Location Jacksonville, FL - Jacksonville, FL Position Type Full Time Education Level Registered ... Nurse (RN) Salary Range $47.00 Hourly Travel Percentage Up...growth. Vighter's Mission is to provide efficient, fast, high quality healthcare staffing to our clients. Our Culture's 5… more
- University of Miami (Miami, FL)
- …work at the UHealth Medical campus in Miami, Fl CORE JOB SUMMARYThe Clinical Research Nurse 2 ensures the integrity and quality of clinical research studies are ... faculty or staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The University of… more
- MyFlorida (Macclenny, FL)
- …and in good repair. + Participate in, or designate a registered nurse representative to participate in, quality assurance activities, including infection ... SENIOR REGISTERED NURSE SUPV - 60009855 Date: Jul 23, 2025...be knowledgeable of and utilize the principles of Total Quality Management. The incumbent of this position must be… more
- University of Miami (Miami, FL)
- …of Miami Gordon Center, as well as our community clinical partners, to ensure high quality clinical outcomes. The Simulation Nurse Educator is part of the Gordon ... faculty or staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The University of… more
- MyFlorida (Orlando, FL)
- SENIOR REGISTERED NURSE SUPV 1 Date: Jul 22, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... No: 857206 Agency: Veterans Affairs Working Title: SENIOR REGISTERED NURSE SUPV 1 Pay Plan: Career Service Position Number:...and tolls, increase flexibility during the week, have more quality time with family and a great work-life balance!… more
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