• Utilization Review

    Community Health Systems (Naples, FL)
    …meet deadlines. + Effective written and verbal communication skills. **Licenses and Certifications** + RN - Registered Nurse - State Licensure and/or Compact ... **Job Summary** Under the direction of the UR Director/ Manager the UR Nurse reviews all...programs + Addresses facility and departmental communication through daily review of all correspondence, including incoming email messages. +… more
    Community Health Systems (07/12/25)
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  • RN Registered Nurse Care…

    AdventHealth (Tampa, FL)
    …Qualifications The expertise and experiences you'll need to succeed: .Associate Degree Nursing or RN Diploma degree. .Florida Registered Nurse ( RN ) ... well-balanced work life balance The role you'll contribute: The RN Care Manager in collaboration with the....Two (2 ) years of medical/hospital Registered Nurse experience This facility is an equal opportunity employer… more
    AdventHealth (08/07/25)
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  • Registered Nurse RN Care…

    AdventHealth (Orlando, FL)
    …Degree Nursing + Current valid State of Florida or multistate license as a Registered Nurse + 2 years of medical/ hospital nursing experience **Preferred ... 125,000 outpatients each year **The role you'll contribute:** The RN Care Manager in collaboration with the...physicians and the interdisciplinary team on issues related to utilization of resources, medical necessity, CMS CoP for Discharge… more
    AdventHealth (08/07/25)
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  • Registered Nurse RN Case…

    HCA Healthcare (Miami, FL)
    …you to apply for our Registered Nurse RN Case Manager PRN opening. We promptly review all applications. Highly qualified candidates will be contacted ... have the career opportunities as a(an) Registered Nurse RN Case Manager PRN...critical care experience + Certification in case management or utilization review preferred + InterQual experience preferred… more
    HCA Healthcare (07/14/25)
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  • Registered Nurse Case Mgr RN

    HCA Healthcare (Port St. Lucie, FL)
    …our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a(an) Registered Nurse Case Mgr RN with HCA Florida St. Lucie ... in our organization. We are looking for an enthusiastic Registered Nurse Case Mgr RN ...critical care experience + Certification in case management or utilization review preferred + InterQual experience preferred… more
    HCA Healthcare (08/09/25)
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  • Registered Nurse Case Mgr RN

    HCA Healthcare (Aventura, FL)
    …HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a(an) Registered Nurse Case Mgr RN PRN with HCA Florida Aventura ... in our organization. We are looking for an enthusiastic Registered Nurse Case Mgr RN ...critical care experience + Certification in case management or utilization review preferred + InterQual experience preferred… more
    HCA Healthcare (08/09/25)
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  • RN Registered Nurse Care…

    AdventHealth (Port Charlotte, FL)
    …succeed: . 1 years of experience in RN Care Management . Associate's degree Nursing or RN Diploma degree . Registered Nurse ( RN ) . Two (2) years of ... in Charlotte County. **The role you'll contribute** **:** The RN Care Manager in collaboration with the...physicians and the interdisciplinary team on issues related to utilization of resources, medical necessity, CMS CoP for Discharge… more
    AdventHealth (08/07/25)
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  • RN Registered Nurse Care…

    AdventHealth (Land O' Lakes, FL)
    …for one another and respect for each person's unique contributions, provides utilization review care that is non-judgmental and non-discriminatory. .Consider ... time frames on a specific group of patients.The Case Manager is responsible for utilization reviews and...(2) years of hospital nursing experience .Current license of registered nurse in Florida or licensure from… more
    AdventHealth (08/07/25)
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  • Dialysis Clinical Manager Registered

    Fresenius Medical Center (Venice, FL)
    …all FMS manuals. + Accountable for completion of the Annual Standing Order Review and ICD coding. + Checks correspondence whether electronic, paper or voice mail, ... supporting billing and collection activities. + Responsible for efficient utilization of medication, laboratory, inventory, supplies and equipment to achieve… more
    Fresenius Medical Center (07/31/25)
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  • Acute Care Case Manager , Registered

    ChenMed (North Miami Beach, FL)
    RN with bachelor's degree in a related clinical field preferred. + A valid, active Registered Nurse ( RN ) license in State of employment required. + A ... post-acute facilities, as well as, their home environments. The Nurse Case Manager 1 ( RN )...patients' progress and adjust and plan accordingly. + Understanding utilization review and how to leverage with… more
    ChenMed (05/28/25)
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