• Program Administrator - SES - 1

    MyFlorida (Largo, FL)
    …and drug test.‎ PREFERENCES + Four (4) or more years of experience as a Licensed Registered Nurse in Long-Term Care facility. + Experience as a Director of ... and personal day. Retirement package. REQUIREMENTS + Unencumbered Florida Registered Nurse License. + Must be willing...Nursing or Nurse Manager in a Skilled Nursing Facility,… more
    MyFlorida (07/31/25)
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  • Human Services Program Consultant II

    MyFlorida (Orlando, FL)
    …with at least 6 months of direct case management experience or a Florida Licensed Registered Nurse ( RN ) with 1-year of direct case management experience or ... $1,920.00 Biweekly Location: 1743 Park Center Drive - Sunshine Care Center Orlando, FL 32835 **DOH - Orange is...Orange County. The incumbent serves as the Intensive Case Manager for clients accessing services directly at the SCC… more
    MyFlorida (07/08/25)
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  • Medical Management Clinician Associate

    Elevance Health (Tampa, FL)
    …following standard procedures that do not require the training or skill of a registered nurse . **How you will make an impact** Primary duties may include ... in multiple states. **Preferred Skills, Capabilities and Experience:** + Experience in Utilization Management and/or Long Term Care Services Strongly Preferred.… more
    Elevance Health (08/08/25)
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  • Quality Management, Nurse Consultant

    CVS Health (Tallahassee, FL)
    …clinical judgement as well as knowledge of internal systems. **Required Qualifications** - Registered Nurse ( RN ) with current unrestricted compact license ... needed. This position reports to the Potential Quality of Care (PQOC) nurse investigator team manager...- Experience working Grievance cases - Case Management or Utilization Management experience - Managed care experience… more
    CVS Health (08/08/25)
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  • Hybrid Clinical Review Nurse

    Actalent (Sunrise, FL)
    Utilization Management Nurse !Job Description The Utilization Management Nurse (UMN) plays a crucial role in reviewing service authorization requests to ... work processes and policy guidelines. + Promote safe and appropriate coordination of care and optimal utilization of resources. + Identify and participate in… more
    Actalent (08/09/25)
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  • Clinical Coding and OASIS Review

    BAYADA Home Health Care (Orlando, FL)
    …to be considered, there is no flexibility around this requirement.** BAYADA Home Health Care has an immediate opening for a **Full Time,** OASIS and Coding Review ... with OASIS and Coding certification to work remotely. RN , PT, OT, and SLP's with certifications will be...that our clients and their families deserve home health care delivered with compassion, excellence, and reliability. Apply your… more
    BAYADA Home Health Care (07/01/25)
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  • Director MCU

    HCA Healthcare (Fort Walton Beach, FL)
    …Cardiac Life Support must be obtained within 30 days of employment start date + Registered Nurse + ONS Chemo / Biotherapy Fundamentals Provider must be obtained ... HCA Florida Fort Walton-Destin Hospital, you can be a manager in an organization that is devoted to giving!...and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. +… more
    HCA Healthcare (06/21/25)
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  • Director Cardiac Cath Lab

    HCA Healthcare (Gainesville, FL)
    …recognizes physicians as important customers. What qualifications you will need: + State Registered Radiologic Technician, or Registered Nurse + Associate ... HCA Florida North Florida Hospital, you can be a manager in an organization that is devoted to giving!...and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. +… more
    HCA Healthcare (06/21/25)
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  • Physician Lead

    CenterWell (Daytona Beach, FL)
    …the strategic intent + Overseeing other clinicians which includes Physicians, Advanced Registered Nurse Practitioners (ARNP), and Physicians Assistants (PA) + ... put health first** The Physician Lead serves as a health- care professional and capable of handling a variety of...+ Identifying trends and areas of opportunity in pharmacy utilization (pharmacy management) to impact Part D per Member… more
    CenterWell (07/10/25)
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  • VP of Quality and Patient Safety

    HCA Healthcare (Sun City Center, FL)
    …required in Nursing or Healthcare related field . Current Florida licensure as a Registered Nurse preferred _**If serving as facility's primary Risk Manager , ... of over 180 hospitals and about 2,000 sites of care in 21 states and the United Kingdom. We...CHCQM (Diplomate in American Board of Quality Assurance and Utilization Review Physicians) _Individuals without CPHQ or ABQUARP will… more
    HCA Healthcare (07/24/25)
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