• Case Manager, Registered Nurse…

    CVS Health (Tallahassee, FL)
    …+ Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year of experience in a hospital ... setting. + A Registered Nurse that holds an active, unrestricted...lower levels of care. + 1+ years' experience in Utilization Review . + CCM and/or other URAC… more
    CVS Health (08/15/25)
    - Related Jobs

  • 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 ... ensure interaction between the company and members are optimized. The Telephonic Behavioral Health Care Manager Internship provides transitioning service members… more
    Humana (07/15/25)
    - Related Jobs

  • Acute Care Manager, Complex Care…

    ChenMed (Pembroke Pines, FL)
    …engagement with patient and family. + Facilitate patient/family conferences to review treatment goals, optimize resource utilization , provide family education ... we need great people to join our team. The Nurse Case Manager I position is responsible for achieving...achieving desired clinical outcomes within specific timeframe. + Conducts review for appropriate utilization of services from… more
    ChenMed (08/16/25)
    - Related Jobs

  • Telephonic Nurse Case Manager II

    Elevance Health (Miami, FL)
    ** Telephonic Nurse Case Manager II** **Location: This role enables associates to work virtually full-time, with the exception of required in-person training ... complete the assessment within 48 hours of receipt and meet the criteria._** The ** Telephonic Nurse Case Manager II** is responsible for care management within… more
    Elevance Health (08/23/25)
    - Related Jobs

  • Case Manager RN

    CVS Health (Tallahassee, FL)
    …heart, each and every day. **Position Responsibilities:** . Responsible for telephonic and/or face to face assessing, planning, implementing, and coordinating all ... overall wellness through integration. . Using clinical tools and information/data review , conducts comprehensive assessments of member's needs and recommends an… more
    CVS Health (08/28/25)
    - Related Jobs

  • Disease Management Nurse - Remote

    Sharecare (Tallahassee, FL)
    …to enable individuals with disabilities to perform the essential functions. + Current Registered Nurse multi-state compact license in the state in which they ... utilization and desired clinical outcomes. The Disease Management Nurse is also responsible during their interactions with participants for identification… more
    Sharecare (08/13/25)
    - Related Jobs