• Clinical Learning Facilitator - Utilization…

    Molina Healthcare (St. Petersburg, FL)
    …or state board licensing mandate. + At least 2 years in case, disease or utilization management ; managed care; or medical/ behavioral health settings. + One ... or Clinical Social Worker/Counseling License. + Certified Case Manager (CCM), Utilization Management Certification (CPHM), Certified Professional in Health Care… more
    Molina Healthcare (09/17/25)
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  • Registered Nurse RN Case Mgr…

    HCA Healthcare (West Palm Beach, FL)
    …intrinsic worth of each individual is recognized. Submit your application for the opportunity below: Registered Nurse RN Case Mgr PRNHCA Florida JFK North ... benefits may vary by location._** We are seeking a(an) Registered Nurse RN Case Mgr...years of critical care experience + Certification in case management or utilization review preferred + InterQual… more
    HCA Healthcare (09/12/25)
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  • Registered Nurse RN Case Mgr…

    HCA Healthcare (Davie, FL)
    …HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a(an) Registered Nurse RN Case Mgr PRN with HCA Florida University ... in our organization. We are looking for an enthusiastic Registered Nurse RN Case Mgr...years of critical care experience + Certification in case management or utilization review preferred + InterQual… more
    HCA Healthcare (09/23/25)
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  • Registered Nurse RN case Mgr

    HCA Healthcare (Margate, FL)
    **Description** **Introduction** Do you have the career opportunities as a(an) Registered Nurse RN case Mgr you want with your current employer? We have an ... of colleagues. Do you want to work as a(an) Registered Nurse RN case Mgr...years of critical care experience + Certification in case management or utilization review preferred + InterQual… more
    HCA Healthcare (08/15/25)
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  • Registered Nurse Case Mgr RN…

    HCA Healthcare (Aventura, FL)
    …HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a(an) Registered Nurse Case Mgr RN PRN with HCA Florida Aventura ... in our organization. We are looking for an enthusiastic Registered Nurse Case Mgr RN ...years of critical care experience + Certification in case management or utilization review preferred + InterQual… more
    HCA Healthcare (08/09/25)
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  • Case Manager, Registered Nurse…

    CVS Health (Tallahassee, FL)
    …Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers flexible medical management ... reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year...Obstetrics experience . **Preferred Qualifications** + 1+ years' Case Management experience or discharge planning, nurse navigator… more
    CVS Health (08/15/25)
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  • Utilization Review Clinician…

    Centene Corporation (Tallahassee, FL)
    …Family Therapist (LMFT) required or + Licensed Mental Health Professional (LMHP) required or + RN - Registered Nurse - State Licensure and/or Compact State ... 28 million members as a clinical professional on our Medical Management /Health Services team. Centene is a diversified, national organization offering competitive… more
    Centene Corporation (10/01/25)
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  • Utilization Review Clinician - ABA

    Centene Corporation (Tallahassee, FL)
    …Family Therapist (LMFT) required or + Licensed Mental Health Professional (LMHP) required or + RN - Registered Nurse - State Licensure and/or Compact State ... 28 million members as a clinical professional on our Medical Management /Health Services team. Centene is a diversified, national organization offering competitive… more
    Centene Corporation (09/18/25)
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  • RN Case Manager PRN

    HCA Healthcare (Pensacola, FL)
    …patient safety.​ + ​Other duties as assigned.​ **What qualifications you will need:** + ( RN ) Registered Nurse + Associate Degree + Bachelor's in Nursing ... status issues through established chain of command.​ + ​Performs utilization management reviews and communicates to third...+ 1+ year of prior case management experience + Registered Nurse … more
    HCA Healthcare (08/24/25)
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  • RN Case Manager PRN

    HCA Healthcare (Tallahassee, FL)
    …and assess observation patients for appropriateness in observation status + Performs utilization management reviews and communicates information to third party ... medical necessity, admission status, level of care, and resource management . The RN CM Care Coordinator will...required within 90 days of hire** + **Advanced Practice Registered Nurse license is acceptable for position… more
    HCA Healthcare (09/19/25)
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