• Registered Nurse 1 - OPD/Spine…

    University of Miami (Miami, FL)
    …a system that elevates any abnormal results (non - critical values) to the nurse who in turn will contact the physician accordingly 5. Ens ures that patients ... Serves as mentor and role model 26. Compliance with UM , Hospital and department policies and procedures 27. Other...Metadata + Add + Add Custom Metadata + + UM Comm Meta + Relay Workflow Information No metadata… more
    University of Miami (06/21/25)
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  • Registered Nurse 2 - Pediatric Oncology-…

    University of Miami (Miami, FL)
    …Employees Include Percent of Effort): Meets requirements of Clinical Trials Chemotherapy Nurse 50% Works closely with the medical director and the pediatric nursing ... protocol and clinical practice standards. Provides documentation to the Research Nurse / Nurse Coordinators, and/or Research Staff/Data Managers. Meets study… more
    University of Miami (07/02/25)
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  • Registered Nurse 2 - Mohs - Full Time

    University of Miami (Miami, FL)
    …please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The Registered Nurse works as a part of a team to ... are not limited to: Performance Nursing Duties as per Nurse Job Description 100% Perform patient interview and obtains...by promptly reporting to work when scheduled. Compliance with UM , hospital and department policies and procedures Serves as… more
    University of Miami (07/02/25)
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  • Registered Nurse 2 - Chemotherapy Infusion…

    University of Miami (Miami, FL)
    …Percent of Effort): Meets requirements of Clinical Trials Senior Chemotherapy Nurse 30% Administers research study agents, standard chemotherapy and biotherapy ... clinical protocol and clinical practice standards. Provides documentation to the Research Nurse and/or Data Manager. Meets study timelines and objectives as defined… more
    University of Miami (06/25/25)
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  • Advanced Practice Registered Nurse

    University of Miami (Miami, FL)
    …. CORE JOB SUMMARY This position is not remote. The Advanced Practice Registered Nurse (APRN) d elivers medical care to a wide variety of patients in an ... + Maintain EMR inbox and close encounters in a timely fashion according to UM MG guidelines + Close encounters within 48 hours according to UMMG guidelines .… more
    University of Miami (07/30/25)
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  • Field Care Manager Behavioral Health Professional

    Humana (Tampa, FL)
    …primarily support the Utilization Management Team. SW will work closely with internal, nurse liaison to assist in discharge planning needs of members in acute and ... settings. SW will facilitate case conferences, as needed, with UM team, medical directors, members and providers. SW will...SDOH barriers to discharge plan. SW will meet with UM nurses weekly to discuss cases with length of… more
    Humana (09/05/25)
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  • Senior Accreditation Utilization Management…

    Humana (Tallahassee, FL)
    …+ Serves as subject matter expert on NCQA Health Plan Accreditation UM requirements, advising stakeholders on compliance, and facilitating NCQA UM ... Health; MED-Deeming accreditation standards knowledge is a plus. + Registered Nurse or Behavioral Health Licensed Professional. + Managed care, Medicaid health… more
    Humana (09/03/25)
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  • Care Review Clinician, PA (RN)

    Molina Healthcare (Jacksonville, FL)
    …or a compact licensure. The ideal candidate will have experience with UM and prior authorization, within both Physical Health and Behavioral Health. Candidates ... Collaborates with multidisciplinary teams to promote Molina Care Model + Adheres to UM policies and procedures. + Occasional travel to other Molina offices or… more
    Molina Healthcare (08/16/25)
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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 and ... and databases for community resources. * Integrate CM and utilization management ( UM ) and integrating nursing case management with social work case management. *… more
    ERP International (08/20/25)
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  • Care Review Clinician, Prior Authorization

    Molina Healthcare (Jacksonville, FL)
    …with multidisciplinary teams to promote Molina Care Model + Adheres to UM policies and procedures. **JOB QUALIFICATIONS** **Required Education** Any of the ... following: Completion of an accredited Licensed Vocational Nurse (LVN) or Licensed Practical Nurse (LPN) Program OR a bachelor's or master's degree in a… more
    Molina Healthcare (08/31/25)
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