• Care Review Clinician, Prior Authorization

    Molina Healthcare (St. Petersburg, FL)
    …**JOB QUALIFICATIONS** **Required Education** Any of the following: Completion of an accredited Registered Nurse ( RN ), Licensed Vocational Nurse (LVN) ... medical clinic experience. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ), Licensed Vocational Nurse … more
    Molina Healthcare (09/18/25)
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  • Manager, Healthcare Services

    Molina Healthcare (St. Petersburg, FL)
    …identifying opportunities for improvement. **JOB QUALIFICATIONS** **Required Education** + Registered Nurse or equivalent combination of Licensed Vocational ... performing one or more of the following activities: care review/ utilization management (prior authorizations, inpatient/outpatient medical necessity, etc.), case... Nurse (LVN) or Licensed Practical Nurse (LPN) with experience in lieu of … more
    Molina Healthcare (09/27/25)
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  • Clinical Reviewer, Nurse - Cardiology

    Evolent (Tallahassee, FL)
    …**Qualifications Required and Preferred:** + Current, unrestricted state licensure as a Registered Nurse - **Required** + Associate or Bachelors in Nursing (Must ... , you will be a key member of the utilization management team. We can offer you a meaningful...be a Registered Nurse ) - **Required** + You must...be a Registered Nurse ) - **Required** + You must be able to… more
    Evolent (09/28/25)
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  • APRN Pre Surgery Orlando FT Days

    AdventHealth (Orlando, FL)
    …split among the NP team._ **The role you'll contribute:** The Advanced Registered Nurse Practitioner (APRN) provides comprehensive primary care services, acute ... REQUIRED** **:** + Current, valid State of Florida Board of Nursing Advanced Registered Nurse Practitioner license + ACLS, BLS, and/or NRP, as required… more
    AdventHealth (09/09/25)
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  • Manager Case Management

    HCA Healthcare (Tallahassee, FL)
    …options and costs to patient and patient families. **What qualifications you will need:** + Registered Nurse , or Advance Practice Registered Nurse (APRN) ... planning. + Performs admission certification screening for patients in accordance with Utilization Plan using ISD criteria, and performs concurrent stay reviews at… more
    HCA Healthcare (07/18/25)
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  • Director Case Management

    HCA Healthcare (Panama City, FL)
    …degree in Nursing, Health Administration, or Business Administration, preferred + Either Registered Nurse ( RN ) licensure, Licensed Clinical Social Worker ... actively engaging interdisciplinary teams and external stakeholders. The Director is a registered nurse with responsibility for all operational aspects of the… more
    HCA Healthcare (09/26/25)
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  • Behavioral Health Technician

    Cleveland Clinic (Vero Beach, FL)
    …+ Assist in the examination and treatment of patients under the direction of the Registered Nurse . + Identify patient physical care and comfort needs and perform ... of behavioral health patients under the supervision of an LPN/ RN . + Facilitate groups, monitor and assess the mental...(ECT) preparation and provide care as designated by the Registered Nurse pre-op and post-op. + Perform… more
    Cleveland Clinic (09/24/25)
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  • Director Case Management

    HCA Healthcare (Kissimmee, FL)
    …Master's degree in Nursing, Health Administration, or Business Administration, preferred + Either Registered Nurse ( RN ) licensure , Licensed Clinical Social ... actively engaging interdisciplinary teams and external stakeholders. The Director is a registered nurse with responsibility for all operational aspects of the… more
    HCA Healthcare (09/19/25)
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  • Manager Care Management East

    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 ... field 3 years in direct Care Management/ Utilization Management experience in an acute care setting **Preferred...Management experience in an acute care setting **Preferred qualifications:** Registered Nurse : BSN Masters in related field… more
    AdventHealth (09/13/25)
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  • Manager Emergency Services DeFuniak FSED

    HCA Healthcare (Niceville, FL)
    …+ Trauma Nursing Core Course must be obtained within 6 months of employment start date + ( RN ) Registered Nurse + Associate Degree, or Registered Nurse ... and established productivity guidelines. + Manages operating expenses, including the utilization of supplies and equipment. + Identifies cost reduction opportunities… more
    HCA Healthcare (09/10/25)
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