• Care Manager RN

    Community Health Systems (Crestview, FL)
    …management skills to prioritize tasks in a dynamic environment. **Licenses and Certifications** + RN - Registered Nurse - State Licensure and/or Compact ... **Job Summary** The Care Manager - RN is responsible for coordinating and overseeing discharge...assess the appropriateness of admission, continued hospital stay, and utilization of diagnostic services. + Collaborates with interdisciplinary teams… more
    Community Health Systems (09/25/25)
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  • Care Review Clinician, Inpatient Review…

    Molina Healthcare (St. Petersburg, FL)
    …authorization, managed care, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... with multidisciplinary teams to promote the Molina care model. * Adheres to utilization management (UM) policies and procedures. Required Qualifications * At least 2… more
    Molina Healthcare (09/25/25)
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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. ... . 3 years in direct Care Management/ Utilization Management experience in an acute care setting. . State specific RN license if a nurse . . Licensed Social… more
    AdventHealth (08/16/25)
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  • Clinical Documentation Specialist RN

    Houston Methodist (FL)
    …Coding and utilization review experience preferred **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure -- Compact ... Licensure - Must obtain permanent Texas license within 60 days (if establishing Texas residency) **LICENSES AND CERTIFICATIONS - PREFERRED** + CCDS - Clinical Documentation Specialists (ACDIS) **OR** + CDIP - Certified Documentation Integrity Practitioner… more
    Houston Methodist (08/13/25)
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  • RN Case Manager PRN

    HCA Healthcare (Gainesville, FL)
    **Description** **Introduction** Do you have the career opportunities as a(an) RN Case Manager PRN you want with your current employer? We have an exciting ... of colleagues. Do you want to work as a(an) RN Case Manager PRN where your passion for creating...supporting a balance of optimal care and appropriate resource utilization . You would be part of a phenomenal team… more
    HCA Healthcare (09/19/25)
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  • RN Case Manager

    HCA Healthcare (Sanford, FL)
    …HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As an RN Case Manager with HCA Florida Lake Monroe Hospital you can be a part ... in our organization. We are looking for an enthusiastic RN Case Manager to help us reach our goals....supporting a balance of optimal care and appropriate resource utilization . You would be part of a phenomenal team… more
    HCA Healthcare (09/12/25)
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  • RN Case Manager PRN

    HCA Healthcare (Sanford, FL)
    …**Introduction** Do you want to join an organization that invests in you as an RN Case Manager PRN? At HCA Florida Lake Monroe Hospital, you come first. HCA ... make a difference. We are looking for a dedicated RN Case Manager PRN like you to be a...supporting a balance of optimal care and appropriate resource utilization . You would be part of a phenomenal team… more
    HCA Healthcare (07/19/25)
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  • Dementia Care Navigator, RN

    Bluestone Physician Services (Tampa, FL)
    …with providers to identify high risk patients Qualifications : Education/Certification/Experience + Registered Nurse or Degree in Social Work, Licensed Social ... primary care teams to ensure high quality team-based care + Use utilization management tools to facilitate appropriate transitional care management + Collaborate… more
    Bluestone Physician Services (09/18/25)
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  • Home Health Wound Ostomy Care RN

    Humana (Miramar, FL)
    …and help us put health first** The Home Health Wound Ostomy Care RN is a specialized nursing position primarily focused on assessing documentation from field ... practices in wound care but also aim at controlling utilization to improve patient outcomes. The expertise of a...outcomes. The expertise of a Home Health Wound Care RN is crucial in effectively addressing everything from acute… more
    Humana (09/25/25)
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  • Acute Care Manager - RN

    Trinity Health (Fort Lauderdale, FL)
    …with a sense of urgency and a drive** **Licensure** Current license as a Registered Nurse in the State of Florida.** BLS Required; ACLS Preferred** **_Position ... with medical staff regarding status, placement, payer requirements, and utilization of resources.** Assures appropriate sequencing of care/interventions for optimal… more
    Trinity Health (08/23/25)
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