• RN Care Manager

    AdventHealth (Deland, FL)
    …safe transitions, patient satisfaction, patient safety, readmission prevention and length of stay management . The RN Care Manager communicates daily with the ... competencies of this role. The RN Care Manager facilitates the collaborative management of patient...physicians and the interdisciplinary team on issues related to utilization of resources, medical necessity, CMS CoP for Discharge… more
    AdventHealth (07/09/25)
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  • Assistant Nurse Manager RN…

    AdventHealth (Daytona Beach, FL)
    …Beach, FL 32117 **The role you'll contribute:** The ANM is a registered professional nurse who supports the Nurse Manager in overall operations of their ... performance of the staff and report's findings to the nurse manager or takes corrective action for...in Nursing from an accredited school + Current Florida Registered Nurse license + Current Basic Life… more
    AdventHealth (07/25/25)
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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 ... join an organization that invests in you as a(an) RN Case Manager Evenings? At HCA Florida...preferred + BSN is preferred + Certification in Case Management , Nursing or Utilization Review is preferred… more
    HCA Healthcare (06/21/25)
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  • Assistant Nurse Manager RN…

    AdventHealth (Tavares, FL)
    …Tavares, FL 32778 **The role youll contribute:** The ANM is a registered professional nurse who supports the Nurse Manager in overall operations of their ... performance of the staff and reports findings to the nurse manager or takes corrective action for...in Nursing from an accredited school + Current Florida Registered Nurse license + Current Basic Life… more
    AdventHealth (07/26/25)
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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 ... benefits may vary by location._** We are seeking an RN Case Manager for our team to...preferred + BSN is preferred + Certification in Case Management , Nursing or Utilization Review is preferred… more
    HCA Healthcare (07/19/25)
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  • RN Case Manager PRN

    HCA Healthcare (Pensacola, FL)
    **Description** **Introduction** Do you have the PRN career opportunities as a(an) RN Case Manager PRN you want with your current employer? We have an exciting ... of colleagues. Do you want to work as a(an) RN Case Manager PRN where your passion...required. Bachelor's in Nursing preferred. + 1 year case management experience preferred. + Certified case manager … more
    HCA Healthcare (06/21/25)
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  • Clinical Appeals Nurse ( RN )

    Molina Healthcare (FL)
    **JOB DESCRIPTION** _For this position we are seeking a ( RN ) Registered Nurse who must be licensed for the state of UTAH or have a compact license._ _This ... Chief Medical Officer on denial decisions. + Resolves escalated complaints regarding Utilization Management and Long-Term Services & Supports issues. +… more
    Molina Healthcare (07/20/25)
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  • Home Care Supervisor, RN

    BayCare Health System (Lakeland, 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 (07/24/25)
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  • Case Manager RN PRN

    HCA Healthcare (Tamarac, FL)
    …HCA Florida Woodmont Hospital have the opportunity to make a real impact. As a(an) Case Manager RN PRN you can be a part of change. **Benefits** HCA Florida ... positive outcomes for your patients as a (an) Case Manager RN PRN. We want your knowledge...years of critical care experience + Certification in case management or utilization review preferred + InterQual… more
    HCA Healthcare (07/14/25)
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  • Care Manager RN - (Remote)

    Highmark Health (Tallahassee, FL)
    …Health **Job Description :** **JOB SUMMARY** This job implements effective utilization management strategies including: review of appropriateness of health ... depending on where clinical care is being provided. **Preferred** + Certification in utilization management or a related field **SKILLS** + Working knowledge of… more
    Highmark Health (07/12/25)
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