• Acute Care Nurse , HCT ( RN )

    ChenMed (Tampa, FL)
    …RN with bachelor's degree in a related clinical field preferred. + A valid, active Registered Nurse ( RN ) license in State of employment required. + A ... great people to join our team. The Acute Care Nurse is responsible for achieving positive patient outcomes, managing...experience required. + A minimum of 1 year of utilization review and/or case management ,… more
    ChenMed (03/04/25)
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  • RN Registered Nurse Care…

    AdventHealth (Tampa, FL)
    …to all. **The value** **you'll** **bring to the team:** **Category:** Case Management **Organization:** AdventHealth Tampa **Schedule:** Full-time **Shift:** 1 ... patient satisfaction, patient safety, readmission prevention and length of stay management .The RN Care Manager communicates daily with the interdisciplinary… more
    AdventHealth (05/09/25)
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  • Case Manager Registered Nurse…

    University of Miami (Miami, FL)
    …Tower The University of Miami/UHealth has an exciting opportunity for an RN Case Manager in the Case Management department at the UTower location. ... This position functions as a RN Case Manager for the Case Management...the direction of the Director of Case Management . + Incorporates the fundamental principles of utilization… more
    University of Miami (04/09/25)
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  • Registered Nurse Care…

    Community Health Systems (Naples, FL)
    … skills to prioritize tasks in a dynamic environment. **Licenses and Certifications** + RN - Registered Nurse - State Licensure and/or Compact State ... responsible for coordinating and overseeing discharge planning, transitions of care, and case management activities to ensure optimal patient outcomes. This role… more
    Community Health Systems (03/26/25)
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  • Care Review Clinician, PA ( RN )…

    Molina Healthcare (FL)
    …authorization requests for transplants; the ideal candidate will have experience either in utilization review or case management for transplants. Preference ... **JOB DESCRIPTION** Opportunity for experienced Utilization Review RN in United States...meetings. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse ( RN ). **Required Experience**… more
    Molina Healthcare (03/07/25)
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  • Registered Nurse , Wound Care, Full…

    Northwest Florida Community Hospital (Chipley, FL)
    Registered Nurse - Wound Healing Institute (DAY SHIFTS) Northwest Florida Community Hospital (NFCH), in Chipley, FL, is seeking a FT experienced, energetic and ... dedicated Registered Nurse to provide exceptional care for...and other significant individuals; utilizing teaching opportunities. + Provides case management functions for patients as directed.… more
    Northwest Florida Community Hospital (04/13/25)
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  • Utilization Management RN…

    AdventHealth (Altamonte Springs, FL)
    …role you will contribute:** The role of the Utilization Management (UM) Registered Nurse ( RN ) is to use clinical expertise by analyzing patient ... avoidance strategies including concurrent payer communications to resolve status disputes. The Utilization Management Nurse is accountable for a designated… more
    AdventHealth (05/03/25)
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  • PAC Nurse

    Actalent (Tampa, FL)
    …thinking skills under minimal supervision. + Commitment to quality and standards. + Utilization management experience. + Case management experience. ... experience working in the managed care/insurance industry. The PAC Nurse is a telephonic position responsible for recommending discharge...+ 1 year of experience within Case Management or Transition-of-care role. + Experience in Utilization… more
    Actalent (05/02/25)
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  • Compliance Nurse 2

    CenterWell (Tallahassee, FL)
    …a part of our caring community and help us put health first** The Compliance Nurse 2 reviews utilization management activities and documentation to ensure ... RN license in the state(s) in which the nurse is required to practice + Ability to be...experience a plus + Previous experience in chronic disease management , utilization management , case… more
    CenterWell (05/08/25)
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  • Care Management Educator Lead

    AdventHealth (Maitland, FL)
    …Work **OR** Bachelors degree in Nursing Degree (or advanced degree) + Experience in Case Management , Utilization Management , Transitional Care + ... + Three (3) years functional healthcare setting + If RN , Current and valid Florida or Multi-State Department of...Certified Case Manager, or Board Certification in Case Management (Preferred) + Familiarity with Center… more
    AdventHealth (05/08/25)
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