• Manager of Interventional Services

    BayCare Health System (New Port Richey, FL)
    …Nursing **Credential equivalent experience:** + ACLS required + ARRT (Radiologic Technologists) or RN ( Registered Nurse State of FL) or RCIS (Cardiovascular) ... functions. Coordinates services with related departments. + Responsible for appropriate utilization of team resources to effectively and efficiently provide clinical… more
    BayCare Health System (07/26/25)
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  • Physician (Psychiatry) Mental Health Program…

    Veterans Affairs, Veterans Health Administration (The Villages, FL)
    …and treatment; coordination of medical care with the Psychiatrists, Physician Assistant, Nurse Practitioner, Social Worker, Registered Nurse , Licensed ... Service, will oversee many aspects of mental health resource utilization , such as use of psychotropic medications and mental...supervision of medical staff; collaboration with the Mental Health Nurse Manager to ensure patient care is… more
    Veterans Affairs, Veterans Health Administration (07/21/25)
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  • Nursing Professional Development Manager…

    AdventHealth (Palm Coast, FL)
    …of Science in Nursing + Current State of Florida or Multistate license as a Registered Nurse + Two (2) or more years in a Nursing Professional Development ... partnerships, research/ evidence-based practice/ quality/performance improvement, onboarding/orientation, and competency management . The NPD Manager functions as a… more
    AdventHealth (06/06/25)
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  • Disease Management Nurse - Remote

    Sharecare (Tallahassee, FL)
    …appropriate resource utilization and desired clinical outcomes. The Disease Management Nurse is also responsible during their interactions with participants ... program intervention guidelines. A Disease Management Nurse is supervised by an Operations Manager ...with disabilities to perform the essential functions. + Current Registered Nurse multi-state compact license in the… more
    Sharecare (07/12/25)
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  • Manager I Medical Management (Prior…

    Elevance Health (Tampa, FL)
    …unrestricted RN license is strongly preferred. + 5+ years of utilization management experience strongly desired. + Exposure to Overpayment Claim Adjustments ... ** Manager I Medical Management (Prior Authorizations) - Florida Medicare** **Office Locations:** This role is based in Florida at either our Tampa or Miami… more
    Elevance Health (07/25/25)
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  • LTSS Service Coordinator-LPN Case Manager…

    Elevance Health (Lakeland, FL)
    …**LTSS Service Coordinator - Clinician** works under the direction/supervision of an RN , with overall responsibility for the member's case, as required by applicable ... 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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  • Infusion Referral Nurse - REMOTE

    Prime Therapeutics (Tallahassee, FL)
    …Patient Programs. **Education & Experience** + Associates - Nursing + Bachelors - Nursing + RN - Registered Nurse , State and/or Compact State Licensure - ... for work visa or residency sponsorship. **Additional Qualifications** + Registered Nurse ( RN ). + 5...experience. + Experience in managed care, specialty drugs, care management and utilization review. + Meets Credentialing… more
    Prime Therapeutics (07/24/25)
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  • Behavioral Health Care Coordinator

    Actalent (Sunrise, FL)
    …work (MSW) or Nursing (Preferred) + Psychiatric/Mental Health Nursing Certification (Preferred) + Registered Nurse licensure in the state of Florida, or State ... Mental Health Nursing Certification (A Plus) + Certified Addictions Registered Nurse (CARN) (A Plus) + 3-5...care, health plan, or insurance setting + Experience with Utilization Management and Care Coordination + Knowledge… more
    Actalent (07/24/25)
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  • Social Work Care Manager PRN

    AdventHealth (Apopka, FL)
    …care escalations. The Social Worker is under the general supervision of the Care Management Supervisor or Manager and is responsible for patient evaluations of ... transitions, patient satisfaction, patient safety, readmission prevention and length of stay management . The Social Work Care Manager communicates daily with the… more
    AdventHealth (07/25/25)
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  • Social Work Care Manager PRN

    AdventHealth (Celebration, FL)
    …care escalations. The Social Worker is under the general supervision of the Care Management Supervisor or Manager and is responsible for patient evaluations of ... transitions, patient satisfaction, patient safety, readmission prevention and length of stay management . The Social Work Care Manager communicates daily with the… more
    AdventHealth (06/11/25)
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