• Case Manager Registered Nurse

    CVS Health (Tallahassee, FL)
    …care. + Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse ( RN ) with at least 1 year of experience ... + This position consists of working intensely as a telephonic case manager with patients and their...in a hospital setting. + A Registered Nurse that holds an active, unrestricted… more
    CVS Health (08/09/25)
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  • Telephonic Behavior Health Care…

    Humana (Hallandale Beach, FL)
    …+ Bachelor's degree in social work or behavioral health-related field + Active licensed Registered Nurse , RN in the state of Florida without disciplinary ... to ensure interaction between the company and members are optimized. The Telephonic Behavioral Health Care Manager Internship provides transitioning service… more
    Humana (07/15/25)
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  • Case Manager Registered Nurse

    CVS Health (Tallahassee, FL)
    …status which has resulted in an inpatient admission. The Transition of Care (TOC) RN ensures the member experiences a seamless transition to their next care setting. ... **Position Responsibilities:** . Responsible for telephonic and/or face to face assessing, planning, implementing, and coordinating all care management activities… more
    CVS Health (07/31/25)
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  • Registered Nurse , ER Emergency…

    ChenMed (Miami, FL)
    …providers. We're rapidly expanding and we need great people to join our team. The Registered Nurse 1, Care Line, is responsible for providing telephonic ... and assessments within license and as possible given technology and medium. The registered nurse collaborates with primary caregivers and others on the… more
    ChenMed (08/08/25)
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  • Telephonic Nurse Case Manager

    Elevance Health (Tampa, FL)
    ** Telephonic Nurse Case Manager II** **Location: Virtual: This role enables associates to work virtually full-time, with the exception of required in-person ... 48 hours of receipt and meet the criteria._** The ** Telephonic Nurse Case Manager II**...claims or service issues. + Assists with development of utilization /care management policies and procedures. **Minimum Requirements:** + Requires… more
    Elevance Health (08/09/25)
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  • Registered Nurse , ER, Emergency…

    ChenMed (Jacksonville, FL)
    …and we need great people to join our team. The Registered Nurse , Telehealth is responsible for providing telephonic triage directional patient care advice ... organization's telehealth practices and professional nursing practice through successful utilization and improvement of outcomes that demonstrate program effectiveness.… more
    ChenMed (08/08/25)
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  • Observation Utilization Review RN

    Trinity Health (Fort Lauderdale, FL)
    **Employment Type:** Full time **Shift:** **Description:** Functions as Primary Nurse Reviewer for Observation services. * Maintains a working relationship with ... Observation Case Managers, including week-end staff regarding appropriate process of telephonic and submission of cases Reviews hospital admissions to ensure… more
    Trinity Health (08/02/25)
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  • RN -Case Manager

    ERP International (Macdill AFB, FL)
    **Overview** ERP International is seeking ** Registered ** ** Nurse ( RN )** for Full-Time positions in **Case Management** at MacDill AFB, FL. Apply online today ... Counselor Certification: Certified Rehabilitation Counselor (CRC) o American Nurses Credentialing Center Nurse Case Manager ( RN -NCM) o National Academy of… more
    ERP International (05/21/25)
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  • Disease Management Nurse - Remote

    Sharecare (Tallahassee, FL)
    …to enable individuals with disabilities to perform the essential functions. + Current Registered Nurse multi-state compact license in the state in which they ... utilization and desired clinical outcomes. The Disease Management Nurse is also responsible during their interactions with participants for identification… more
    Sharecare (07/12/25)
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  • LTSS Service Coordinator-LPN Case Manager

    Elevance Health (Lakeland, FL)
    …within the scope of licensure including, for example, assisting the responsible RN with telephonic or face-to-face assessments for the identification, ... **LTSS Service Coordinator - Clinician** works under the direction/supervision of an RN , with overall responsibility for the member's case, as required by applicable… more
    Elevance Health (07/16/25)
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