• Home Health Wound Ostomy Care RN

    Humana (Miramar, FL)
    …providers to ensure cohesive and evidence-based care. - Oversee and optimize utilization management processes within the organization. - Ensure resource ... put health first** The Home Health Wound Ostomy Care RN is a specialized nursing position primarily focused on...practices in wound care but also aim at controlling utilization to improve patient outcomes. The expertise of a… more
    Humana (06/10/25)
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  • RN Care Manager

    AdventHealth (Apopka, FL)
    …documents avoidable days, and facilitates progression of care. Collaborates with Utilization Management staff for collaboration on patient status changes ... **Minimum qualifications** : + Associates Degree Nursing + **Category:** Case Management **Organization:** AdventHealth Apopka **Schedule:** Full-time **Shift:**… more
    AdventHealth (07/23/25)
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  • Behavioral Health Care Manager l

    Elevance Health (Miami, FL)
    …staff supervision. **Preferred Skills, Capabilities and Experiences:** + Previous experience in case management / utilization management with a broad ... and substance abuse or substance abuse disorder assessment coordination implementation case planning monitoring and evaluating to promote quality member outcomes to… more
    Elevance Health (07/25/25)
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  • RN Care Manager

    AdventHealth (Deland, FL)
    …experiences you'll need to succeed: Minimum qualifications: + **Category:** Case Management **Organization:** AdventHealth DeLand **Schedule:** Part-time ... transitions, patient satisfaction, patient safety, readmission prevention and length of stay management . The RN Care Manager communicates daily with the… more
    AdventHealth (07/09/25)
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  • Occupational Health Manager - RN

    Pilgrim's (Live Oak, FL)
    …or injuries including assessment, first aid, follow-up care, rehabilitation service, and case management . Also provides first aid, minor treatment, counseling, ... **Description** Occupational Health Manger - RN GENERAL SUMMARY: As an RN ...the scope of practice and regulation of the State Nurse Practice Act. Directs, administers, supervises, and evaluates site… more
    Pilgrim's (06/14/25)
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  • Care Manager RN - (Remote)

    Highmark Health (Tallahassee, FL)
    …Health **Job Description :** **JOB SUMMARY** This job implements effective utilization management strategies including: review of appropriateness of health ... , identification of opportunities for referral to a Health Coach/ case management , and identification and resolution of...clinical care is being provided. **Preferred** + Certification in utilization management or a related field **SKILLS**… more
    Highmark Health (07/12/25)
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  • Assistant Vice President

    Sedgwick (Tallahassee, FL)
    …and client satisfaction; to ensure efficient, cost effective, and high quality delivery of case management and utilization review services to clients for ... business lines; and to provide expertise in client specific case management and utilization review...promote maximum performance. **QUALIFICATIONS** **Education & Licensing** Current unrestricted RN license in a state or territory of the… more
    Sedgwick (06/29/25)
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  • LTSS Service Coordinator-LPN Case Manager…

    Elevance Health (Lakeland, FL)
    …Capabilities and Experiences:** + Bilingual in Spanish strongly preferred. + Previous case management or oncology experience strongly preferred. + Experience ... The **LTSS Service Coordinator - Clinician** works under the direction/supervision of an RN , with overall responsibility for the member's case , as required by… more
    Elevance Health (07/16/25)
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  • Nurse Case Manager II

    Elevance Health (Tampa, FL)
    …EST *Required to work 2 Evening shifts/mth 11:30AM-8:00PM EST The ** Nurse Case Manager II** is responsible for care management within the scope of ... **Title** : Nurse Case Manager II **Location** :...claims or service issues. + Assists with development of utilization /care management policies and procedures. **Minimum Requirements:**… more
    Elevance Health (07/15/25)
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  • Nurse Case Mgr II (US)

    Elevance Health (Tampa, FL)
    …states; therefore Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager II** is responsible for care management within the scope ... **Telephonic Nurse Case Manager II** **Location:** This...claims or service issues. + Assists with development of utilization /care management policies and procedures. **Minimum Requirements:**… more
    Elevance Health (07/23/25)
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