• Clinical Appeals Nurse ( RN )

    Molina Healthcare (Tampa, FL)
    …outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse ( RN ) performs clinical/medical reviews of previously denied ... these guidelines. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing. **Preferred… more
    Molina Healthcare (08/15/25)
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  • RN Home Health

    HCA Healthcare (Sarasota, FL)
    …apply for our RN Home Health opening. Our team will promptly review your application. Highly qualified candidates will be contacted for interviews. **Unlock the ... at Home we support our colleagues in their positions. Join our Team as a(an) RN Home Health and access programs to assist with every stage of your career.… more
    HCA Healthcare (08/28/25)
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  • PACU RN

    Insight Global (Sarasota, FL)
    …necessary equipment. Conduct initial assessments, monitor vital signs, and review history/medications. Utilizing your PACU experience, you manage post-procedure ... adjust treatments based on patient feedback, and maintain detailed patient records . Your role requires empathy, attention to detail, and strong communication… more
    Insight Global (08/23/25)
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  • Case Manager RN

    CVS Health (Tallahassee, FL)
    …overall wellness through integration. . Using clinical tools and information/data review , conducts comprehensive assessments of member's needs and recommends an ... Manager, Clinical Health Services **Required Qualifications:** . Active current unrestricted RN licensure in the state of Florida with hospital discharge planning… more
    CVS Health (08/28/25)
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  • PRN RN

    HCA Healthcare (Sarasota, FL)
    …your next step in your career path, we encourage you to apply for our PRN RN opening. We review all applications. Qualified candidates will be contacted by a ... Do you have the career opportunities as a(an) PRN RN you want in your current role? We invest...psychosocial and environmental needs as evidenced by documentation, clinical records , case conferences, team reports, call-in logs and on-site… more
    HCA Healthcare (06/21/25)
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  • RN Medicare Compliance Sr

    Sedgwick (Tallahassee, FL)
    …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance RN Medicare Compliance Sr **PRIMARY PURPOSE OF THE ROLE:** To perform provider ... outreach, specialized document review , and analysis and interpretation of interventions for the...of response, financial, and client satisfaction. + Maintains accurate record of management including costs savings. + Articulates and… more
    Sedgwick (08/29/25)
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  • Oncology Prior Authorization Case Manager…

    University of Miami (Miami, FL)
    review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . Utilization Review Case Manager RN - Full Time The ... University of Miami is currently seeking a Prior Authorization Nurse Case Manager. The incumbent purose is to conduct...forth by the payer or clinical guidelines + Accurate review of coverage benefits and payer policy limitations to… more
    University of Miami (08/23/25)
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  • RN Supervisor Pediatrics at

    AdventHealth (Tavares, FL)
    ** RN Supervisor AdventHealth Medical Group - AHMG Pediatrics at Tavares** **All the benefits and perks you need for you and your family:** + Benfits from Day One + ... identifying problems and recommending solutions. Skill in preparing and maintaining records , writing reports, and responding to correspondence. Skill in developing… more
    AdventHealth (08/23/25)
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  • Special Investigation Unit (SIU) Coding…

    CVS Health (Tallahassee, FL)
    …Excellent analytical skills and the ability to mentor and develop team members. + Registered Nurse ( RN ). + Previous experience with Behavioral Health ... in determining correct coding and appropriate documentation during the review of medical records . This role requires...+ Ensure staff provide detailed written summaries of medical record review findings and ensure the team… more
    CVS Health (08/08/25)
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  • RN /Licensed Practical Nurse (LPN)…

    CONCIERGE CARE (Land O' Lakes, FL)
    …authorize Concierge Care and its designated representatives to conduct a comprehensive review of your background for contracting purposes. By applying you understand ... of the report may include civil and criminal history records from any criminal justice agency in any or...in any or all federal, state, county jurisdictions; driving records , birth records , and any other public… more
    CONCIERGE CARE (08/02/25)
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