• Case Manager, Registered Nurse…

    CVS Health (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...lower levels of care. + 1+ years' experience in Utilization Review . + CCM and/or other URAC… more
    CVS Health (10/02/25)
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  • Utilization Review RN

    BayCare Health System (Tampa, FL)
    …Call:** No **Certifications and Licensures:** + Required RN ( Registered Nurse ) + Preferred ACM (Case Management ) + Preferred CCM (Case Manager) ... Case Management or + Required 3 years Registered Nurse + Preferred experience in Critical...Community discounts and more Equal Opportunity Employer Veterans/Disabled **Position** Utilization Review RN **Location** Tampa:St… more
    BayCare Health System (10/10/25)
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  • Quality Systems Specialist Registered…

    Veterans Affairs, Veterans Health Administration (Bay Pines, FL)
    …and accreditation within Quality Service. Responsibilities The Quality Systems (QS) Specialist Registered Nurse ( RN ) demonstrates leadership, experience, and ... The QS Specialist may be assigned responsibility in risk management , peer review , patient safety, accreditation, and...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
    Veterans Affairs, Veterans Health Administration (10/08/25)
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  • Registered Nurse (On Call)

    MTC (Graceville, FL)
    …medical team who are dedicated to improving people's lives. We are seeking an **On-Call Registered Nurse ( RN )** to join our team. **Primary duties:** + ... forms as appropriate. + Practice basic cost containment and utilization management for inmate care and facility...HIPAA rules. + Accurately and promptly chart medical care. Review medical files to determine all provided services are… more
    MTC (09/13/25)
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  • RN Case Manager Part Time

    HCA Healthcare (Lake City, FL)
    …goals. Unlock your potential! **Job Summary and Qualifications** Provides hospital case management / utilization review and discharge planning to assure that ... a timely manner. **What qualifications you will need:** + ( RN ) Registered Nurse + Associate... and/or supervisory / management position involving case management / utilization review /responsibility in an acute… more
    HCA Healthcare (09/19/25)
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  • RN Case Manager PRN

    HCA Healthcare (Lake City, FL)
    …be a part of our team. **Job Summary and Qualifications** Provides hospital case management / utilization review and discharge planning to assure that the ... a timely manner. **What qualifications you will need:** + ( RN ) Registered Nurse + Associate... and/or supervisory / management position involving case management / utilization review /responsibility in an acute… more
    HCA Healthcare (09/13/25)
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  • RN Utilization Management ED

    AdventHealth (Tampa, FL)
    …contribute:** The role of the Emergency Department Utilization Management (UM) Registered Nurse ( RN ) is to use clinical expertise by analyzing ... review as determined by department standards. The Utilization Management Nurse is accountable...electronic health records of at least two years Preferred RN - Registered Nurse -… more
    AdventHealth (10/09/25)
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  • RN Case Manager PRN

    HCA Healthcare (Ocala, FL)
    …duties as assigned **What qualifications you will need:** + 2 year Associate Degree required + ( RN ) Registered Nurse + 2 years acute hospital RN ... join an organization that invests in you as an RN Case Manager PRN? At HCA Florida West Marion...4 year Bachelor Degree preferred + Certification in Case Management or Utilization Review preferred… more
    HCA Healthcare (08/09/25)
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  • RN Case Manager Part Time

    HCA Healthcare (Tallahassee, FL)
    …is acceptable for position if current and compliant** + **Certification in Case Management , Nursing, or Utilization Review , preferred** + **Three years ... and assess observation patients for appropriateness in observation status + Performs utilization management reviews and communicates information to third party… more
    HCA Healthcare (10/05/25)
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  • RN Case Manager

    HCA Healthcare (Tallahassee, FL)
    …is acceptable for position if current and compliant** + **Certification in Case Management , Nursing, or Utilization Review , preferred** + **Three years ... observation patients for appropriateness in observation status + Performs utilization management reviews and communicates information to...career path, we encourage you to apply for our RN Case Manager opening. We review all… more
    HCA Healthcare (09/21/25)
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