• Behavioral Health Care Manager I

    Elevance Health (Tampa, FL)
    …I** The Behavioral Health Care Manager I is responsible for conducting utilization management reviews for mental health and substance use disorder inpatient ... provide an equivalent background. + Current active unrestricted license, such as ** RN LCSW** **LMSW LMHC** **LPC** (as allowed by applicable state laws) **LMFT**… more
    Elevance Health (11/08/25)
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  • RN Case Manager Hematology

    HCA Healthcare (Gainesville, FL)
    …**Are you passionate about delivering patient-centered care?** Submit your application for RN Case Manager Hematology position and spend more time at ... Florida North Florida Hospital! **Job Summary and Qualifications** The RN Hematology Case Manager is responsible for...and/or cellular therapy is required. + Certification in case management , nursing, or utilization review desired. +… more
    HCA Healthcare (11/10/25)
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  • RN Case Manager

    HCA Healthcare (Fort Walton Beach, FL)
    …with physicians, patients, families, hospital staff, and outside agencies + Performs utilization management reviews and communicates information to third party ... **Introduction** Do you have the career opportunities as an RN Case Manager you want with your...preferred + BSN is preferred + Certification in Case Management , Nursing or Utilization Review is preferred… more
    HCA Healthcare (11/10/25)
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  • RN Case Manager

    HCA Healthcare (Gainesville, FL)
    …with physicians, patients, families, hospital staff, and outside agencies + Performs utilization management reviews and communicates information to third party ... We care like family! Jump-start your career as an RN Case Manager today with HCA Florida...preferred + BSN is preferred + Certification in Case Management , Nursing or Utilization Review is preferred… more
    HCA Healthcare (11/10/25)
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  • Hospice RN Executive Director

    Gentiva (Winter Garden, FL)
    …Executive Director to join our leadership team. This role is ideal for a licensed Registered Nurse ( RN ) with strong leadership experience in hospice care, ... while driving branch revenue growth through census development, referral management , and efficient resource utilization + Maintain...+ We maintain a drug-free workplace Related Job Titles RN Branch Director, RN Branch Manager more
    Gentiva (11/13/25)
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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...area of responsibility. + Ensure quality assurance program and utilization review is followed in accordance with Home Care… more
    BayCare Health System (10/17/25)
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  • Home Care Supervisor, RN

    BayCare Health System (Dunedin, FL)
    …with 1 year Home Health RN visit experience. **Required Credentials:** + RN ( Registered Nurse ) License + Diploma, Associate's or Bachelor's Nursing ... dignity, respect, responsibility and clinical excellence. **Home Care Supervisor, RN position details:** + **Location:** BayCare HomeCare Dunedin + **Status:**… more
    BayCare Health System (10/10/25)
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  • RN UM Clinical Appeals Nurse Remote

    Molina Healthcare (Orlando, FL)
    …health, pharmacy, etc.), or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... **JOB DESCRIPTION** **Job Summary** The Clinical Appeals Nurse ( RN ) provides support for internal...officer on denial decisions. * Resolves escalated complaints regarding utilization management and long-term services and supports… more
    Molina Healthcare (11/14/25)
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  • RN Unit Manager

    NHS Management, LLC (West Melbourne, FL)
    …- Exceptional LOW cost gold medical plan! We are in search of a qualified RN Unit Manager : + Assists in maintaining resident care standards by supervising ... of subordinate nurses engaged in quality assurance, infection control, and utilization review activities. + Receives physicians' instructions regarding resident care… more
    NHS Management, LLC (10/16/25)
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  • Manager Care Management

    AdventHealth (Palm Coast, FL)
    …in an acute care setting. + State specific RN license if a nurse . **Preferred qualification:** + Registered Nurse : BSN Masters in related field. ... experiences you'll need to succeed:** **Minimum qualifications** : + Registered Nurse : BSN or + Social Worker:...of supervisory/lead/ manager level of responsibility experience. + RN -BC Certification in Care Management . + LCSW.… more
    AdventHealth (10/24/25)
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