• RN Case Manager NE

    Cleveland Clinic (Port Saint Lucie, FL)
    …school of professional nursing (ADN or BSN program) + Current state licensure as a Registered Nurse ( RN ) + Basic Life Support (BLS) certification through the ... of the most respected healthcare organizations in the world. RN Case Managers work collaboratively with inter-professional...or AHA) + Two years of recent experience in utilization review , quality or care management +… more
    Cleveland Clinic (12/27/25)
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  • RN Case Manager

    Cleveland Clinic (Stuart, FL)
    …school of professional nursing (ADN or BSN program) + Current state licensure as a Registered Nurse ( RN ) + Basic Life Support (BLS) certification through the ... excellent medical facility and a home away from home. RN Case Managers work collaboratively with inter-professional...or CCM) + Two years of recent experience in utilization review , quality or care management +… more
    Cleveland Clinic (12/09/25)
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  • Medical Review Nurse ( RN

    Molina Healthcare (Miami, FL)
    … and/or coding experience, or equivalent combination of relevant education and experience. + Registered Nurse ( RN ). License must be active and unrestricted ... At least 2 years clinical nursing experience, including at least 1 year of utilization review , medical claims review , long-term services and supports (LTSS),… more
    Molina Healthcare (01/09/26)
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  • Utilization Management Appeals Nurse

    Humana (Tallahassee, FL)
    …MRM, SRO **Use your skills to make an impact** **Required Qualifications** + Licensed Registered Nurse ( RN ) in the (appropriate state) with no disciplinary ... caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing...who will assist in preparation of cases prior to review by the Humana G&A Medicare Medical Directors. The… more
    Humana (01/18/26)
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  • RN Clinical Manager, Home Health

    CenterWell (Tallahassee, FL)
    …of Science in Nursing (BSN) strongly preferred. **License/Certifications:** + Active and unrestricted Registered Nurse ( RN ) license or Compact State RN ... utilization of Performance Improvement principles. + Responsible for review of the appropriate number of Case ...A minimum of 2 years of experience as a Registered Nurse ( RN ). + Background… more
    CenterWell (01/16/26)
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  • RN Clinical Manager, Home Health

    CenterWell (Gainesville, FL)
    …action through the utilization of Performance Improvement principles. + Responsible for review of the appropriate number of Case Managers and clinical staff ... clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the...School of Nursing. + Current state license as a Registered Nurse . + Proof of current CPR.… more
    CenterWell (01/21/26)
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  • Home Care Supervisor, RN

    BayCare Health System (Sarasota, FL)
    …care goals. + Knowledge of regulatory standards appropriate to position **Requirements:** + RN ( Registered Nurse ) License + Driver's License, State of ... Career with BayCare HomeCare as a Home Care Supervisor, RN At BayCare, we are proud to be one... Case Manager on initial Plan of Care review with a focus on quality, utilization more
    BayCare Health System (01/06/26)
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  • Home Care Supervisor, RN

    BayCare Health System (Dunedin, FL)
    …with 1 year Home Health RN visit experience. **Required Credentials:** + RN ( Registered Nurse ) License + Diploma, Associate's or Bachelor's Nursing ... dignity, respect, responsibility and clinical excellence. **Home Care Supervisor, RN position details:** + **Location:** BayCare HomeCare Dunedin +... Case Manager on initial Plan of Care review with a focus on quality, utilization more
    BayCare Health System (01/09/26)
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  • RN Care Manager, 10a-8:30pm

    AdventHealth (Ocala, FL)
    …[Preferred] **Additional Information:** * N/A **Licenses and Certifications:** * Registered Nurse ( RN ) [Required] * Certified Case Manager (CCM) ... state and local anti-discrimination laws, regulations and ordinances._ **Category:** Registered Nurse **Organization:** AdventHealth Ocala **Schedule:** Full… more
    AdventHealth (01/20/26)
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  • RN Care Manager Kissimmee Full Time

    AdventHealth (Kissimmee, FL)
    …[Preferred] **Additional Information:** * N/A **Licenses and Certifications:** * Registered Nurse ( RN ) [Required] * Certified Case Manager (CCM) ... state and local anti-discrimination laws, regulations and ordinances._ **Category:** Registered Nurse **Organization:** AdventHealth Kissimmee **Schedule:** Full… more
    AdventHealth (01/20/26)
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