• 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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  • RN Registered Nurse Care…

    AdventHealth (Tampa, FL)
    …Qualifications The expertise and experiences you'll need to succeed: .Associate Degree Nursing or RN Diploma degree. .Florida Registered Nurse ( RN ) ... satisfaction, patient safety, readmission prevention and length of stay management . The RN Care Manager communicates daily....Two (2 ) years of medical/hospital Registered Nurse experience This facility is an equal opportunity employer… more
    AdventHealth (09/27/25)
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  • Director of Medical Management

    DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
    …a plus. Experience: + Minimum 5-10 years of progressively responsible experience in medical management , or utilization review within a healthcare plan, ACO, ... responsible for the strategic direction, leadership, and oversight of all medical management functions, including Utilization Management , and Quality… more
    DOCTORS HEALTHCARE PLANS, INC. (10/07/25)
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  • RN Registered Nurse Care…

    AdventHealth (Tampa, FL)
    …patient satisfaction, patient safety, readmission prevention and length of stay management .The RN Care Manager communicates daily with the interdisciplinary ... of medical necessity are core competencies of this role.The RN Care Manager facilitates the collaborative management ... Diploma degree Two (2 ) years of hospital Registered Nursing experience State specific RN license… more
    AdventHealth (09/27/25)
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  • Dialysis Clinical Manager Registered

    Fresenius Medical Center (Venice, FL)
    …and acts as the liaison for patient care as per the disease management agreement, including initial and ongoing validation of member eligibility. Facilitate timely ... workup of patients for access management , dialysis services, patient education, hospitalizations, and kidney transplantation as appropriate, and ensures coordination… more
    Fresenius Medical Center (07/31/25)
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  • Dialysis Clinical Manager Registered

    Fresenius Medical Center (Homestead, FL)
    …auditing activities. + Accountable for completion of the Annual Standing Order Review and Internal Classification of Disease (ICD) coding. + Manages clinic ... financials including efficient utilization of supplies or equipment and regular profits and...of supplies or equipment and regular profits and loss review . + Responsible for all required network reporting and… more
    Fresenius Medical Center (10/08/25)
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  • Senior Registered Nurse Supv

    MyFlorida (Land O' Lakes, FL)
    …that all verbal orders, including telephone orders from attending physicians are received by a registered nurse . If no RN is available, receive all telephone ... SENIOR REGISTERED NURSE SUPV - 50000070 Date:...current status and providing supervision and guidance to the RN , LPN, CNA and other Allied Health Care Professionals.… more
    MyFlorida (09/22/25)
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  • Senior Registered Nurse Supv

    MyFlorida (Port Saint Lucie, FL)
    …that all verbal orders, including telephone orders from attending physicians, are reviewed by a registered nurse . + If no RN is available, receive all ... SENIOR REGISTERED NURSE SUPV Date: Sep 29,...resident's status and providing supervision and guidance to the RN , LPN, CNA, and other Allied Health Care Professionals.… more
    MyFlorida (10/08/25)
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  • Senior Registered Nurse Supv

    MyFlorida (St. Augustine, FL)
    …that all verbal orders, including telephone orders from attending physicians are reviewed by a registered nurse . If no RN is available, receive all telephone ... SENIOR REGISTERED NURSE SUPV - 50950032 Date:...resident's status, and providing supervision and guidance to the RN , LPN, CNA and other Allied Health Care Professionals.… more
    MyFlorida (10/08/25)
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  • Senior Registered Nurse Supv

    MyFlorida (Port Charlotte, FL)
    …all verbal orders, including telephone orders from attending physicians, are received by a registered nurse . If no RN is available, receive all telephone ... SENIOR REGISTERED NURSE SUPV - 50009026 Date:...resident's status and providing supervision and guidance to the RN , LPN, CNA, and other Allied Health Care Professionals.… more
    MyFlorida (09/16/25)
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