• RN Utilization Management

    Humana (Tallahassee, FL)
    …and treatment. **Use your skills to make an impact** **Required Qualifications** + Active Registered Nurse ( RN ) license in FL with no disciplinary action. ... and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the...BSN or Bachelor's degree in a related field + Medicare /Medicaid health plan experience + MCG experience + Bilingual… more
    Humana (08/18/25)
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  • Transition of Care Coach ( RN )

    Molina Healthcare (FL)
    **JOB DESCRIPTION** _For this position we are seeking a ( RN ) Registered Nurse who must Compact RN Licensure._ _Case Manager RN will work in remote ... ICT collaboration. + RNs provide consultation, recommendations, and education as appropriate to non- RN case managers. + RNs are assigned cases with members who… more
    Molina Healthcare (08/17/25)
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  • RN Lead, HCS (Clinical) Remote with field…

    Molina Healthcare (St. Petersburg, FL)
    …Care Plan compliance. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Licensed Registered Nurse ( RN ), Licensed Vocational Nurse ... care management experience. **Preferred License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing. To all… more
    Molina Healthcare (08/15/25)
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  • Home Health RN Clinical Manager

    Aveanna Healthcare (Stuart, FL)
    …to provide staff orientation and ensure competence as a Preceptor and or ensure RN Case Manager/Preceptor resources are in place. Ensures that services are ... Home Health RN Clinical Manager ApplyRefer a FriendBack Job Details...+ PTO, Sick Time, and Paid Holidays Requirements: + Registered Nurse licensure in the state of… more
    Aveanna Healthcare (06/17/25)
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  • RN Clinical Director

    Aveanna Healthcare (Tampa, FL)
    …+ Location:Tampa, FL 33607 This leadership role requires a compassionate and skilled Registered Nurse ( RN ) with strong managerial and administrative ... RN Clinical Director ApplyRefer a FriendBack Job Details...to provide safe and high-quality care. + Oversee internal case management, nursing talent evaluation, and professional development. +… more
    Aveanna Healthcare (06/13/25)
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  • Home Health Clinical Manager RN Full Time

    Aveanna Healthcare (Bradenton, FL)
    …is an Aveanna Core Value + Tuition discounts and reimbursement Requirements: + Registered Nurse licensure in the state of practice or Physical Therapist ... Home Health Clinical Manager RN Full Time ApplyRefer a FriendBack Job Details...evaluations for all clinical staff. + Responsible for overseeing case management to ensure services that are financially sound.… more
    Aveanna Healthcare (08/16/25)
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  • RN Manager Care Management

    AdventHealth (Sebring, FL)
    …amongst staff Qualifications **The expertise and experiences you'll need to succeed:** . Registered Nurse : BSN or Social Worker: BSW Masters in related field. ... but not limited to: Coordination of Care, Centers for Medicare & Medicaid Services (CMS) Conditions of Participation, Social...experience in an acute care setting. . State specific RN license if a nurse . . Licensed… more
    AdventHealth (08/16/25)
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  • Director Care Management Polk - RN Acute…

    AdventHealth (Davenport, FL)
    …Care Management Qualifications **The expertise and experiences you'll need to succeed:** . Registered Nurse : BSN . Social Worker: MSW or BSW Masters in ... but not limited to: Coordination of Care, Centers for Medicare & Medicaid Services (CMS) Conditions of Participation, Discharge...experience in Care Management/Social Work leadership . State Specific RN license if a nurse This facility… more
    AdventHealth (08/07/25)
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  • Lead Case Manager

    HCA Healthcare (Ocala, FL)
    …after relocation. + BLS-AHA Provider issued card required within 30 days of start + Registered Nurse Diploma + Associates Degree in Nursing or Diploma in Nursing ... and integrity. We care like family! Jump-start your career as a(an) Lead Case Manager today with HCA Florida Ocala Hospital. **Benefits** HCA Florida Ocala Hospital,… more
    HCA Healthcare (07/13/25)
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  • Pediatric Field Care Manager Nurse

    Humana (Pinellas Park, FL)
    …support / enabling services. **Use your skills to make an impact** **Required Qualifications** + Registered Nurse ( RN ) in the state of Florida with no ... Horizons in Florida as a Pediatric Field Care Manager Nurse and make a meaningful impact in the lives...regulations, NCQA and Medicaid guidelines. + Managed care and/or case management experience. + Certified Case Manager… more
    Humana (08/08/25)
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