• SNF Utilization Management RN…

    Humana (Tallahassee, FL)
    **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work...skills to make an impact** **Required Qualifications** + **​Licensed Registered Nurse ( RN )** in the… more
    Humana (09/12/25)
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  • Behavioral Health Utilization Review…

    Actalent (Sunrise, FL)
    …Health Utilization Review NurseJob Description We are seeking a dedicated Utilization Management Nurse (UMN) who will work collaboratively with an ... Additional Skills & Qualifications + Current unrestricted Florida RN or LPN License. + Minimum of one year...+ Valid Florida Driver's License. + Knowledge of case management and utilization review concepts,… more
    Actalent (10/10/25)
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  • Behavioral Health Utilization Review…

    Actalent (Sunrise, FL)
    Job Title: Behavioral Health Utilization Review NurseJob Description The Utilization Management Nurse (UMN) plays a crucial role in reviewing ... health. + Proficiency in clinical and utilization review processes. + Current unrestricted Florida RN ...+ Valid Florida Driver's License. + Knowledge of case management and utilization review concepts,… more
    Actalent (10/10/25)
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  • Registered Nurse RN Case Mgr…

    HCA Healthcare (West Palm Beach, FL)
    …compelling, we encourage you to apply for our Registered Nurse RN Case Mgr PRN opening. We promptly review all applications. Highly qualified candidates ... individual is recognized. Submit your application for the opportunity below: Registered Nurse RN Case Mgr...years of critical care experience + Certification in case management or utilization review preferred… more
    HCA Healthcare (09/12/25)
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  • Registered Nurse RN case Mgr

    HCA Healthcare (Margate, FL)
    …growth, we encourage you to apply for our Registered Nurse RN case Mgr opening. We promptly review all applications. Highly qualified candidates will ... **Introduction** Do you have the career opportunities as a(an) Registered Nurse RN case Mgr...years of critical care experience + Certification in case management or utilization review preferred… 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… more
    HCA Healthcare (08/09/25)
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  • Utilization Management…

    AdventHealth (Daytona Beach, FL)
    …**The role you'll contribute:** The role of the Utilization Management (UM) Registered Nurse ( RN ) is to use clinical expertise by analyzing patient ... including concurrent payer communications to resolve status disputes. The Utilization Management Nurse is accountable...of admission; and when warranted by length of stay, utilization review plan, and/or best practice guidelines,… more
    AdventHealth (09/18/25)
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  • Clinical Registered Nurse…

    Cognizant (Tallahassee, FL)
    …have to be considered** . Educational background - Registered Nurse ( RN ) . 2-3 years combined clinical and/or utilization management experience with ... Eastern Time **Location:** Remote **About the role** As a Registered Nurse you will make an impact...care revenue cycle or clinic operations . Experience in utilization management to include Clinical Appeals and… more
    Cognizant (10/07/25)
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  • Registered Nurse Case Mgr

    HCA Healthcare (Davie, FL)
    … experience + or 2 years of critical care experience + Certification in case management or utilization review preferred + InterQual experience preferred + ... Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a(an) Registered Nurse Case Mgr with HCA Florida University Hospital you… more
    HCA Healthcare (09/26/25)
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  • Care Review Clinician, PA ( RN )

    Molina Healthcare (Orlando, FL)
    …for internal meetings. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse ( RN ). **Required Experience** 1-3 years of ... clinic experience. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing....Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management and… more
    Molina Healthcare (09/05/25)
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