• Behavioral Health Care Manager I (3rd Shift…

    Elevance Health (Tampa, FL)
    …supervision. **Preferred Skills, Capabilities and Experiences:** + Previous experience in case management / utilization management with a broad range of ... **Behavioral Health Care Manager I (3rd Shift - After Hours)** **Virtual:**...offers superior clinical mental health and substance use disorder management , a comprehensive employee assistance program, work/life support, specialty… more
    Elevance Health (01/09/26)
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  • Nurse Director Cardiac Med Surg

    HCA Healthcare (Gainesville, FL)
    …to achieve savings. **What qualifications you will need:** + Basic Life Support (BLS) + ( RN ) Registered Nurse + Bachelors Degree HCA Florida North Florida ... labor management , including position control, scheduling excellence, productivity management , and premium pay utilization . Maintains staffing to ensure… more
    HCA Healthcare (01/18/26)
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  • Med Surg Director Third Floor

    HCA Healthcare (Lake City, FL)
    …Cardiac Life Support must be obtained within 30 days of employment start date + ( RN ) Registered Nurse + Bachelors Degree HCA Florida Lake City Hospital ... labor management , including position control, scheduling excellence, productivity management , and premium pay utilization . Maintains staffing to ensure… more
    HCA Healthcare (01/11/26)
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  • Denial Prevention Specialist

    AdventHealth (Maitland, FL)
    …Professional in Healthcare Risk Management (CPHRM) - EV Accredited Issuing Body, Registered Nurse ( RN ) - EV Accredited Issuing Body **Pay Range:** ... least 7 days pre-operatively. + Collaborates with Pre-Access, IP auth teams, Utilization Management , Physician Advisors, Nursing, Physicians, Care Management more
    AdventHealth (01/16/26)
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  • Director Cardiac Cath Lab

    HCA Healthcare (Gainesville, FL)
    …recognizes physicians as important customers. What qualifications you will need: + State Registered Radiologic Technician, or Registered Nurse + Associate ... HCA Florida North Florida Hospital, you can be a manager in an organization that is devoted to giving!...and administrative activities including fiscal, material and human resource management .? + Maintains and monitors utilization of… more
    HCA Healthcare (11/10/25)
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  • VP of Quality and Patient Safety

    HCA Healthcare (Hudson, FL)
    …Healthcare related field required; Master's Degree preferred .Current Florida licensure as a Registered Nurse preferred _**If serving as facility's primary Risk ... Responsibilities: .You will facilitate and direct organizational wide risk management program to ensure compliance with statutory mandates, regulatory requirements… more
    HCA Healthcare (12/30/25)
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  • OPO - Resource Triage Coordinator

    University of Miami (Miami, FL)
    …health field, ie, EMT/P or Respiratory Therapist. Certification and Licensing: + FL Registered Nurse license or certification as a Physician Assistant, or allied ... of onsite staff for organ donors and referral activity. Conducts initial risk management assessment. + Provides effective feedback to staff during the course of a… more
    University of Miami (12/20/25)
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  • VP of Quality and Patient Safety

    HCA Healthcare (Trinity, FL)
    …Healthcare related field required; Master's Degree preferred .Current Florida licensure as a Registered Nurse preferred _**If serving as facility's primary Risk ... Responsibilities: .You will facilitate and direct organizational wide risk management program to ensure compliance with statutory mandates, regulatory requirements… more
    HCA Healthcare (11/14/25)
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  • Transplant Care Nurse (Remote)

    Highmark Health (Tallahassee, FL)
    …Nursing **EXPERIENCE** **Required** + 7 years in any combination of clinical, case/ utilization management and/or disease/condition management experience, or ... and federal law standards and are within the care manager 's professional discipline. + For assigned case load, create...first 6 months of employment. **Preferred** + Certification in utilization management or a related field +… more
    Highmark Health (01/10/26)
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  • Nurse Reviewer I

    Elevance Health (FL)
    …in an ambulatory or hospital setting or minimum of 1 year of prior utilization management , medical management and/or quality management , and/or ... ** Nurse Reviewer I** **Location:** This role enables associates...required. **Preferred Experience, Skills, and Capabilities:** + Familiarity with Utilization Management Guidelines, ICD-9 and CPT-4 coding,… more
    Elevance Health (01/13/26)
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