• Transitions of Care - RN , 100% Virtual,…

    Elevance Health (FL)
    …with IDD and patients with special needs is preferred. + Home Health, Utilization Management or Case Management experience strongly preferred. + Previous ... **Transitions of Care - RN , 100% Virtual, CareBridge** Location: This role enables...agencies and appropriate provider/network. + Refers member to catastrophic case management. **Minimum Requirements:** Requires AS in nursing and… more
    Elevance Health (10/01/25)
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  • Medical Claim Review Nurse ( RN )

    Molina Healthcare (Tampa, 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 (09/06/25)
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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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  • Manager Care Management

    Cleveland Clinic (Port Saint Lucie, FL)
    …Education. + **For Registered Nurses:** Current and valid license to practice as a Registered Nurse ( RN ) in state of employment. + 3 years of experience ... either the Nursing or Social Work education requirements.** + ** Registered Nurse :** Bachelor of Science in Nursing...nursing or related field. + Professional certification as a Case Manager (CCM). + **For Social Workers:**… more
    Cleveland Clinic (09/03/25)
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  • Manager , Healthcare Services

    Molina Healthcare (St. Petersburg, FL)
    …identifying opportunities for improvement. **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 (09/27/25)
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  • Manager Care Management

    AdventHealth (Daytona Beach, FL)
    …in an acute care setting. + State specific RN license if a nurse . **Preferred qualification:** + Registered Nurse : BSN Masters in related field. ... experience you'll need to succeed:** **Minimum qualifications** : + Registered Nurse : BSN + or Social Worker:...+ Social Worker: MSW LCSW. + 2 years of supervisory/lead/ manager level of responsibility experience. + RN -BC… more
    AdventHealth (10/02/25)
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  • Regional Orthopedic Navigator RN

    AdventHealth (Orange City, FL)
    …key hospital departments including surgery, rehabilitation and occupational therapy, nursing, case management, marketing, home health and others involved in the care ... included but not limited to 1:1 teaching, preoperative classes, developing and utilization of Division teaching materials and implementing and monitoring the family… more
    AdventHealth (08/11/25)
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  • Manager Care Management East

    AdventHealth (Orlando, FL)
    …potential **The expertise and experiences you'll need to succeed:** **Minimum qualifications** : Registered Nurse : BSN or Social Worker: BSW Masters in related ... Utilization Management experience in an acute care setting **Preferred qualifications:** Registered Nurse : BSN Masters in related field Social Worker: MSW… more
    AdventHealth (09/13/25)
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  • Manager Care Management

    AdventHealth (Tampa, FL)
    …Patient Choice, etc.) Qualifications **The expertise and experiences you'll need to succeed:** Registered Nurse : BSN or Social Worker: BSW Masters in related ... Stroke Center. **The role you'll contribute:** The Care Management Manager is under the general leadership of the Care...Management experience in an acute care setting. State specific RN license if a nurse . This facility… more
    AdventHealth (09/11/25)
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  • Care Management Manager

    AdventHealth (Tampa, FL)
    …sharing amongst staff. Qualifications **The expertise and experiences you'll need to succeed:** Registered Nurse : BSN or Social Worker: BSW Masters in related ... life balance **The role you'll contribute:** The Care Management Manager is under the general leadership of the Care...Management experience in an acute care setting. State specific RN license if a nurse . This facility… more
    AdventHealth (09/06/25)
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