• Telephonic Nurse Case Manager…

    Elevance Health (Miami, FL)
    **Telephonic Nurse Case Manager II** **Location: This role enables associates to work virtually full-time, with the exception of required in-person training ... hours of receipt and meet the criteria._** The **Telephonic 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 (07/16/25)
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  • Medical Claim Review Nurse ( RN )

    Molina Healthcare (Orlando, FL)
    …ASSOCIATION:** Certified Clinical Coder, Certified Medical Audit Specialists, Certified Case Manager , Certified Professional Healthcare Management, Certified ... state/federal regulations **REQUIRED LICENSE, CERTIFICATION, ASSOCIATION:** Active, unrestricted State Registered Nursing ( RN ) license in good standing.… more
    Molina Healthcare (07/12/25)
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  • Senior Manager Care Management

    AdventHealth (Minneola, FL)
    …years of Manager level (or above) experience in Care Management Leadership + For RN - Registered Nurse - State Licensure and/or Compact State Licensure ... community. **The role you'll contribute:** The Care Management Senior Manager is under the general leadership of the Care...staff as needed **Minimum qualifications** **:** + Bachelor's Degree Registered Nurse : BSN - Required _or_ Social… more
    AdventHealth (05/28/25)
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  • Case Mgr IR PRN

    HCA Healthcare (Aventura, FL)
    …We want your knowledge and expertise! **Job Summary and Qualifications** The Case Manager (CM) ensures high-quality, patient-centered care by managing ... the Rehabilitation team. **What qualifications you will need:** + RN with current state licensure; BSN preferred + Three...2 years of critical care experience + Certification in case management or utilization review preferred +… more
    HCA Healthcare (07/14/25)
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  • Nurse Case Mgr II (US)

    Elevance Health (Tampa, FL)
    **Telephonic Nurse Case Manager II** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and ... members in different states; therefore Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager II** is responsible for care management… more
    Elevance Health (07/12/25)
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  • Clinical Manager , Home Health

    CenterWell (Deland, FL)
    …+ Graduate of an accredited School of Nursing. + Current state license as a Registered Nurse . + Proof of current CPR. + Valid driver's license, auto insurance ... position comes with a $10K sign-on bonus.** The **Clinical Manager ** coordinates and oversees all direct care patient services...and reliable transportation. + Two years as a Registered Nurse with at least one-year of… more
    CenterWell (07/11/25)
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  • Program Manager , HCS Remote in Georgia

    Molina Healthcare (FL)
    …materials and other related documentations. **JOB QUALIFICATIONS** **Required Education** + Registered Nurse or equivalent combination of Licensed Vocational ... Nurse (LVN) or Licensed Practical Nurse (LPN) with experience in lieu of ...**Preferred License, Certification, Association** Any of the following: Certified Case Manager (CCM), Certified Professional in Healthcare… more
    Molina Healthcare (07/13/25)
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  • Manager Care Management

    AdventHealth (Sebring, FL)
    …amongst staff Qualifications **The expertise and experiences you'll need to succeed:** . Registered Nurse : BSN or Social Worker: BSW Masters in related field. ... hiking trails **The role you'll contribute:** The Care Management Manager is under the general leadership of the Care...experience in an acute care setting. . State specific RN license if a nurse . . Licensed… more
    AdventHealth (06/23/25)
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  • Telephonic Behavior Health Care Manager

    Humana (Hallandale Beach, FL)
    …+ Bachelor's degree in social work or behavioral health-related field + Active licensed Registered Nurse , RN in the state of Florida without disciplinary ... company and members are optimized. The Telephonic Behavioral Health Care Manager Internship provides transitioning service members that are eligible to participate… more
    Humana (07/15/25)
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  • Supervisor Care Management

    AdventHealth (Orlando, FL)
    …of experience in direct Care Management + State specific RN license if a nurse **Preferred qualifications:** + Registered Nurse : BSN + Social Worker: MSW ... is under the general leadership of the Care Management Manager or Facility Director and assists in monitoring and...youll need to succeed** **:** **Minimum qualifications** : + Registered Nurse : Associates Degree Nursing OR Social… more
    AdventHealth (07/15/25)
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