• Medical Management Nurse

    Elevance Health (Miami, FL)
    **Medical Management Nurse ** **Location:** Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training ... 6pm EST and will include weekends. The **Medical Management Nurse ** will be responsible for review of the most...skills and nursing judgment and experience. + Collaborates with case management nurses on discharge planning, ensuring patient has… more
    Elevance Health (08/23/25)
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  • Senior Community Health Nurse

    MyFlorida (Bradenton, FL)
    …administration, special procedures, etc. according to state and local guidelines; acts as case manager for students with special acute and chronic conditions, ... SENIOR COMMUNITY HEALTH NURSE - 64080249 Date: Aug 8, 2025 The...is in session. The incumbent must possess a current RN license in the State of Florida. School Health… more
    MyFlorida (08/09/25)
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  • Clinical Manager , Home Health

    CenterWell (Clearwater, FL)
    …+ Graduate of an accredited School of Nursing. + Current state license as a Registered Nurse . + Proof of current CPR. + Valid driver's license, auto insurance ... community and help us put health first** + The ** RN Clinical Manager ** coordinates and oversees all...and reliable transportation. + Two years as a Registered Nurse in home health or hospice,… more
    CenterWell (07/04/25)
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  • Manager Care Management

    AdventHealth (Daytona Beach, 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:...+ Social Worker: MSW LCSW. + 2 years of supervisory/lead/ manager level of responsibility experience. + RN -BC… more
    AdventHealth (08/14/25)
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  • Manager Care Management

    AdventHealth (Orlando, FL)
    …potential **The expertise and experiences you'll need to succeed:** **Minimum qualifications** : Registered Nurse : BSN or Social Worker: BSW Masters in related ... experience in an acute care setting **Preferred qualifications:** + Registered Nurse : BSN Masters in related field...+ Social Worker: MSW LCSW + 2 years of supervisory/lead/ manager level of responsibility experience + RN -BC… more
    AdventHealth (08/07/25)
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  • Utilization Review Nurse

    Actalent (Sunrise, FL)
    Utilization Management Nurse !Job Description The Utilization Management Nurse (UMN) plays a crucial role in reviewing service authorization requests to ensure ... Working under the general supervision of the Director and/or Manager /Supervisor of Medical Management, and in collaboration with an...record Additional Skills & Qualifications + Current unrestricted Florida RN or LPN License. + Minimum of one year… more
    Actalent (08/21/25)
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  • Clinical Documentation Manager

    AdventHealth (Maitland, FL)
    …and 125,000 outpatients each year **The role you'll contribute:** The Clinical Documentation Integrity Manager is a Registered Nurse and/or a Registered ... years of Clinical Documentation Integrity Experience + Nursing Degree ( RN , BS, BSN, or advanced degree) or Foreign Medical...clinical experience + Current valid state license as a Registered Nurse **OR** + Current active State… more
    AdventHealth (08/07/25)
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  • Telephonic Behavior Health Care Manager

    Humana (Hallandale Beach, FL)
    …+ Bachelor's degree in social work or behavioral health-related field + Active licensed Registered Nurse , RN in the state of Florida without disciplinary ... company and members are optimized. The Telephonic Behavioral Health Care Manager Internship provides transitioning service members that are eligible to participate… more
    Humana (07/15/25)
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  • Clinical Manager Home Health

    HCA Healthcare (The Villages, FL)
    …experience preferred + Certifications, Licenses, and other Special Requirements + Current/Active Registered Nurse ( RN ) License within practice state required ... you passionate about delivering patient-centered care?** Submit your application for Clinical Manager Home Health position and spend more time at the bedside with… more
    HCA Healthcare (08/08/25)
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  • Operations Manager , VBCM- Remote

    Sharecare (Tallahassee, FL)
    …of Sharecare with leadership practices. **Qualifications:** + Current licensure as a Registered Nurse is required; Compact state preferred + Bachelor's degree ... experience in Care/ Case Management + NCQA experience preferred + Certified Case Manager preferred + Prior management and supervision of a clinical team is… more
    Sharecare (07/30/25)
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