• Utilization 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 ... of education and experience. + Valid Florida Driver's License. + Knowledge of case management and utilization review concepts, including InterQual and Milliman… more
    Actalent (07/16/25)
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  • Manager Case Management

    HCA Healthcare (Tallahassee, FL)
    **Description** **Introduction** Do you have the career opportunities as a(an) Manager Case Management you want in your current role? We invest in what matters ... and patient families. **What qualifications you will need:** + Registered Nurse , or Advance Practice Registered...career path, we encourage you to apply for our Manager Case Management opening. We review all… more
    HCA Healthcare (07/18/25)
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  • RN Care Manager

    AdventHealth (Deland, FL)
    …caring for: 701 W PLYMOUTH AVE, Deland, 32720 The role you'll contribute: The RN Care Manager in collaboration with the patient/family, social workers, nurses, ... patient-centered care coordination and progression through the continuum of care. The RN Care Manager ensures efficient and cost-effective care through… more
    AdventHealth (07/09/25)
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  • Manager Case Management

    HCA Healthcare (Ocala, FL)
    **Description** **Introduction** Do you have the career opportunities as a(an) Manager Case Management you want with your current employer? We have an exciting ... of colleagues. Do you want to work as a(an) Manager Case Management where your passion for...and patient families. What qualifications you will need: + Registered Nurse + Associate Degree HCA Florida… more
    HCA Healthcare (06/21/25)
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  • Home Care Supervisor, RN

    BayCare Health System (Sarasota, FL)
    …care goals. + Knowledge of regulatory standards appropriate to position **Requirements:** + RN ( Registered Nurse ) License + Driver's License, State of ... Career with BayCare HomeCare as a Home Care Supervisor, RN At BayCare, we are proud to be one...program for office and agency staff. + Participates with Case Manager on initial Plan of Care… more
    BayCare Health System (07/18/25)
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  • Occupational Health Manager - RN

    Pilgrim's (Live Oak, FL)
    **Description** Occupational Health Manger - RN GENERAL SUMMARY: As an RN currently licensed to practice in the state of employment, manages Occupational Health ... and within the scope of practice and regulation of the State Nurse Practice Act. Directs, administers, supervises, and evaluates site Occupational Health service… more
    Pilgrim's (06/14/25)
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  • Care Manager RN - (Remote)

    Highmark Health (Tallahassee, FL)
    …Health **Job Description :** **JOB SUMMARY** This job implements effective utilization management strategies including: review of appropriateness of health care ... services, application of criteria to ensure appropriate resource utilization , identification of opportunities for referral to a Health Coach/ case management, and… more
    Highmark Health (07/12/25)
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  • RN MDS Coordinator

    Palmetto Subacute Care Center (Miami, FL)
    …directed by their supervisor and Administrator RN MDS Director Qualifications: + Registered Nurse with current, active license in state of practice. + ... RN MDS Director Palmetto Subacute Care Center is...that govern the process + Acts as an in-house Case Manager demonstrating detailed knowledge of residents… more
    Palmetto Subacute Care Center (07/11/25)
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  • LTSS Service Coordinator-LPN Case…

    Elevance Health (Lakeland, FL)
    …The **LTSS Service Coordinator - Clinician** works under the direction/supervision of an RN , with overall responsibility for the member's case , as required by ... the scope of licensure including, for example, assisting the responsible RN with telephonic or face-to-face assessments for the identification, evaluation,… more
    Elevance Health (07/16/25)
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  • Nurse Case Manager II

    Elevance Health (Tampa, FL)
    **Title** : Nurse Case Manager II **Location** : 740W Peachtree St NW, Atlanta, GA 30308 **VIRTUAL** : This role enables associates to work virtually ... *Required to work 2 Evening shifts/mth 11:30AM-8:00PM EST The ** Nurse Case Manager II** is...claims or service issues. + Assists with development of utilization /care management policies and procedures. **Minimum Requirements:** + Requires… more
    Elevance Health (07/15/25)
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