• Utilization Management Nurse

    CenterWell (Tallahassee, FL)
    …and the healthcare industry as a whole. Conviva Care Solutions is seeking a RN who will collaborate with other health care givers in reviewing actual and proposed ... San Antonio, TX **Use your skills to make an impact** **Role Essentials** + Active RN license + Possession of or ability to obtain Compact Nursing License + A… more
    CenterWell (08/02/25)
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  • Director Of Nursing

    MTC (Quincy, FL)
    …professional nursing experience with one (1) year supervisory experience. Must be a licensed registered nurse in the state of Florida or compact state. Must ... and military leave + Opportunities for job advancement Impact lives with Management & Training Corporation (MTC)! At the **Gadsden Correctional Facility** **in… more
    MTC (08/08/25)
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  • VP Quality AdventHealth Central Florida Division…

    AdventHealth (Altamonte Springs, FL)
    …+ Current valid State of Florida or multi state license as a Registered Nurse . **_Licensure, Certification, or Registration Preferred_** _:_ Certification in a ... sponsor with responsibility for developing and executing a comprehensive quality management program that drives high-value care to achieve clinical excellence. In… more
    AdventHealth (08/07/25)
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  • Lead Counselor-Ycp

    MyFlorida (Starke, FL)
    …experience, certified instructors from the Clay County School District system, a registered nurse , counselors and recruitment and placement personnel. OUR ... the Florida Department of Military Affairs is to provide management oversight of the Florida National Guard and provide...be eligible for hire or promotion unless they are registered with the Selective Services System (SSS) before their… more
    MyFlorida (08/22/25)
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  • Case Manager/Discharge Planner - Per Diem

    Select Medical (Jacksonville, FL)
    …+ Current Licensure in a clinical discipline per state guidelines required. ( Registered Nurse or Social Work (SW) preferred) **Preferred Qualifications** + ... frame; assuring payments of hospital-based services meeting patient-related utilization management criteria, and implementation of safe and appropriate discharge… more
    Select Medical (08/02/25)
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  • Remote LPN Care Manager

    Actalent (Maitland, FL)
    …under the supervision of a medical director. Essential Skills + Licensed Practical Nurse (LPN) certification + Registered Nurse experience + Proficiency ... LPN Care Manager, you will be responsible for providing day-to-day care management activities, including member assessments, care plans, and assisting with member… more
    Actalent (08/22/25)
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  • Ops Medical Case Manager

    MyFlorida (Daytona Beach, FL)
    …Estimator Tool (https://compcalculator.myflorida.com/) AGENCY FOR PERSONS WITH DISABILITIES POSITION: Registered Nurse Specialist - Other Personal Services (OPS) ... dynamics. This position with APD will serve staff and management across the Agency. Your work will impact the...and willing to travel. + Minimum 2 years of Registered Nursing experience. Knowledge, Skills, And Abilities Knowledge of:… more
    MyFlorida (08/08/25)
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  • Sr. Manager, Risk Management (H)

    University of Miami (Miami, FL)
    …sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The department of Risk Management has an exciting opportunity for a ... full-time Sr. Manager, Risk Management to work on the UHealth campus. The Sr....experience required + Medical/Legal background is a plus + RN Training and licensure is a plus + Certified… more
    University of Miami (06/24/25)
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  • Senior Policy Governance Professional

    Humana (Tallahassee, FL)
    …CMS program audit. **Use your skills to make an impact** **Required Qualifications** + Registered Nurse + 2+ years + experience working with CMS Compliance ... gaps. They will work closely with established functions inside utilization management (Medical Director, clinician decision making teams, quality audits, prior… more
    Humana (08/27/25)
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  • Quality Practice Transformation Advisor

    CVS Health (Tallahassee, FL)
    …products and VPN. **Preferred Qualifications:** + Licensed Allied Health Professional or Licensed Registered Nurse + Coding or Sales background + Certified Six ... internal teams, including clinical and operational leadership, value-based care, quality management teams and provider relations teams to align provider performance… more
    CVS Health (08/23/25)
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