• 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)
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  • Acute Care Manager, Complex Care…

    ChenMed (Opa Locka, FL)
    …We're rapidly expanding and we need great people to join our team. The Nurse Case Manager 1 ( RN ) is responsible for achieving positive patient outcomes ... post-acute facilities, as well as, their home environments. The Nurse Case Manager 1 ( RN ) role also...with patient and family. + Facilitates patient/family conferences to review treatment goals and optimize resource utilization ;… more
    ChenMed (08/16/25)
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  • 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)
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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 ... 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)
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  • Case Manager Registered Nurse

    CVS Health (Tallahassee, FL)
    …status which has resulted in an inpatient admission. The Transition of Care (TOC) RN ensures the member experiences a seamless transition to their next care setting. ... **Position Responsibilities:** . Responsible for telephonic and/or face to face assessing, planning, implementing, and coordinating all care management activities… more
    CVS Health (07/31/25)
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  • 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 ... members in different states; therefore, Multi-State Licensure will be required.** The ** Telephonic Nurse Case Manager II** is responsible for care management… more
    Elevance Health (08/14/25)
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  • 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)
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