• Senior Licensed Practical Nurse

    MyFlorida (Daytona Beach, FL)
    …+ Enrollment and payment of awards is based on available funds. **Other Registered Nurse positions/shifts, including OPS Temporary positions, may be filled from ... within the scope of practice as defined by the Florida Nurse Practice Act. + Ensure economic utilization of supplies and ensure that equipment is maintained in a… more
    MyFlorida (07/24/25)
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  • Chief Nursing Officer

    Ascension Health (Jacksonville, FL)
    …of Health obtained prior to hire date or job transfer date. + Licensed Registered Nurse credentialed from the Florida Department of Health obtained prior to ... and structure of assigned areas to best determine the allocation and utilization of services and budgets appropriately according to strategic goals. + Ensure… more
    Ascension Health (07/11/25)
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  • Physician Lead

    CenterWell (Daytona Beach, FL)
    …the strategic intent + Overseeing other clinicians which includes Physicians, Advanced Registered Nurse Practitioners (ARNP), and Physicians Assistants (PA) + ... for education/coaching + Identifying trends and areas of opportunity in pharmacy utilization (pharmacy management) to impact Part D per Member per Month (PMPM)… more
    CenterWell (07/10/25)
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  • LTSS Service Coordinator-LPN Case Manager…

    Elevance Health (Pinellas Park, FL)
    …**LTSS Service Coordinator - Clinician** works under the direction/supervision of an RN , with overall responsibility for the member's case, as required by applicable ... the scope of licensure including, for example, assisting the responsible RN with telephonic or face-to-face assessments for the identification, evaluation,… more
    Elevance Health (09/09/25)
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  • Director of Medical Management

    DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
    …leadership, and oversight of all medical management functions, including Utilization Management, and Quality Improvement initiatives. This role ensures effective ... delivery of high-quality, cost-effective, and patient-centered care. + Oversee Utilization Management to ensure alignment with organizational goals and compliance… more
    DOCTORS HEALTHCARE PLANS, INC. (09/14/25)
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  • Nurse Reviewer I

    Elevance Health (FL)
    ** Nurse Reviewer I** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing ... set of clinical domains, including radiology, cardiology and oncology. The ** Nurse Reviewer I** is responsible for conducting preauthorization, out of network… more
    Elevance Health (09/26/25)
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  • Appeals Nurse Reviewer I

    Elevance Health (FL)
    **Appeals Nurse Reviewer I** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person training sessions, ... of clinical domains, including radiology, cardiology and oncology. The **Appeals Nurse Reviewer I** is responsible for conducting preauthorization, out of network… more
    Elevance Health (09/26/25)
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  • Hybrid Bilingual Manager, Care Integration Team

    CenterWell (Tampa, FL)
    …managing populations and coordinating care to reduce acute and post-acute care utilization . The Manager role is hybrid with travel requirements to preferred ... and create action plans that will reduce acute and post-acute care utilization . + Solicits/shares feedback with market leaders on team-based focus with attention… more
    CenterWell (08/09/25)
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  • Director of Quality

    HCA Healthcare (Brooksville, FL)
    …our Director, you will provide direction to ensure the facilitation and utilization of diverse strategies and communication for quality and performance improvement ... Business Administration, Healthcare Administration, or other related field + Current FL RN license preferred + CPHQ (Certified Professional in Healthcare Quality) OR… more
    HCA Healthcare (07/14/25)
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  • Nurse Audit Senior (Operating Room)

    Elevance Health (Miami, FL)
    ** Nurse Audit Senior (Operating Room)** **Virtual:** This role enables associates to work virtually full-time, with the exception of required in-person training ... to recover, eliminate and prevent unnecessary medical-expense spending." The ** Nurse Audit Senior** is responsible for identifying, monitoring, and analyzing… more
    Elevance Health (09/30/25)
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