• RN Utilization Management

    Humana (Tallahassee, FL)
    …and treatment. **Use your skills to make an impact** **Required Qualifications** + Active Registered Nurse ( RN ) license in FL with no disciplinary action. ... and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the...+ Bilingual is a plus + Certified Case Manager (CCM) + Ability to work… more
    Humana (08/18/25)
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  • Hybrid Bilingual Manager , Care…

    CenterWell (Tampa, FL)
    **Become a part of our caring community and help us put health first** The Manager Care/ Case Management in **Tampa area (** **_this is not a remote position_** ... to make an impact** **Required Qualifications** + A current unrestricted Florida RN license or Social Work degree/license + ** Bilingual in English/Spanish**… more
    CenterWell (08/09/25)
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  • Intensive Community Manager , Complex Care…

    ChenMed (Jacksonville, FL)
    …bachelor's degree in home in a related clinical field preferred + A valid, active Registered Nurse ( RN ) license in State of employment required. Compact ... has completed their episode of care management the register nurse ( RN ) will review patient chart for... case management experience highly desired + Certified Case Manager certification is preferred. Certification through… more
    ChenMed (07/29/25)
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  • RN Care Manager Remote with field…

    Molina Healthcare (Miami, FL)
    …Experience with Medicare/Medicaid, MS 365 and familiarity with claims is highly preferred. The Case Manager must be able to work in a high-volume environment. ... travel required. + RNs provide consultation, recommendations and education as appropriate to non- RN case managers. + RNs are assigned cases with members who… more
    Molina Healthcare (08/08/25)
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  • Quality Improvement RN

    CenterWell (Tampa, FL)
    …excellence **Use your skills to make an impact** **Required Qualifications** + Licensed Registered Nurse ( RN ) without restriction in applicable state + ... us put health first** The Stars Improvement, Clinical Professional ( RN ) is responsible for the development, implementation and management...years of managed care experience + 3+ years of case management experience + Bilingual ; English and… more
    CenterWell (08/13/25)
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  • RN Lead, HCS (Clinical) Remote with field…

    Molina Healthcare (St. Petersburg, FL)
    …Care Plan compliance. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Licensed Registered Nurse ( RN ), Licensed Vocational Nurse ... business in Massachusetts. We are looking for a candidate with a MA RN licensure and previous SCO/One Care experience. Bilingual candidates are encouraged… more
    Molina Healthcare (08/15/25)
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  • PRN NP, Virtual Care

    ChenMed (Miami, FL)
    …in area of specialty required; Master's degree in Nursing required. + Valid, active Registered Nurse license required + For NPs: Board certification by AANP or ... a plan of care that may include health education, physician referrals, case management referrals and patient/family counseling. + Evaluates need for immediate… more
    ChenMed (08/20/25)
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