• Oncology Prior Authorization Case

    University of Miami (Miami, FL)
    …Department of UMHC SCCC Business Operations has an exciting opportunity for a full time Utilization Review Case Manager to work to work remote. The incumbent ... chart reviews for clinical utilization and authorization. The Utilization Review Case Manager coordinates with the healthcare team for optimal… more
    University of Miami (10/18/25)
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  • RN Case Manager - Case

    Mayo Clinic (Jacksonville, FL)
    …care coordination, resource utilization , and clinical documentation. The RN Case Manager will function within the Mayo Clinical Nursing Professional ... Case Manager provides leadership through education on case management/ utilization management concepts, committee work, research, and community… more
    Mayo Clinic (11/05/25)
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  • RN Case Manager - Case

    Mayo Clinic (Jacksonville, FL)
    …care coordination, resource utilization , and clinical documentation. The RN Case Manager will function within the Mayo Clinical Nursing Professional ... Case Manager provides leadership through education on case management/ utilization management concepts, committee work, research, and community… more
    Mayo Clinic (09/07/25)
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  • Case Manager / PRN ( RN / RT / SW…

    Select Medical (Orlando, FL)
    …ideas, providing high-quality care and doing well by doing what is right. The Case Manager is responsible for utilization reviews and resource management, ... **Overview** **Select Specialty Hospital** **Critical Illness Recovery Hospital (LTACH)** ** Case Manager (PRN)** _Requires a current licensure in a clinical… more
    Select Medical (11/14/25)
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  • Case Manager / PRN ( RN / RT / SW…

    Select Medical (Pensacola, FL)
    …ideas, providing high-quality care and doing well by doing what is right. The Case Manager is responsible for utilization reviews and resource management, ... **Overview** **Critical Illness Recovery Hospital** ** Case Manager (PRN)** _Requires a current...safe and timely discharge plan. + Performs verification of utilization criteria reviews. + Builds relationships and coordinate with… more
    Select Medical (10/16/25)
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  • Case Manager ( RN / RT / SW / LPN…

    Select Medical (Orlando, FL)
    …ideas, providing high-quality care and doing well by doing what is right. The Case Manager is responsible for utilization reviews and resource management, ... Hospital** **Critical Illness Recovery Hospital (LTACH)** **Sign On Bonus: $5,000** ** Case Manager ** **Full Time: Monday-Friday 8-5pm** _Requires a current… more
    Select Medical (10/28/25)
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  • Mission Control RN FT Nights

    AdventHealth (Orlando, FL)
    …Obtains pre-authorization and provides information to the Utilization Review Specialist, Utilization Review Case Manager and the Clinical Support ... to the transfer and placement of all patients. Proactively initiates steps, including utilization of the hospital and physician chain of command, to prevent EMTALA… more
    AdventHealth (11/06/25)
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  • Experienced Care Manager Registered Nurse…

    AdventHealth (Orlando, FL)
    …qualifications:** + Prior Care Management/ Utilization Management experience [Preferred] + Certified Case Manager (CCM) [Preferred] + Accredited Case ... ROLLINS STREET, Orlando, 32803 **The role you'll contribute:** The RN Care Manager in collaboration with the patient/family, social workers, nurses, physicians and… more
    AdventHealth (11/11/25)
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  • Utilization Review Team Lead

    BayCare Health System (St. Petersburg, FL)
    …RN (Registered Nurse) + Preferred ACM ( Case Management) + Preferred CCM ( Case Manager ) **Education:** + Required Associates in Nursing or + Preferred ... + This position will report to the hospital based Manager and support the goals and policies of the...the department + Required experience includes 3 years of Case Management or 3 years of Utilization more
    BayCare Health System (11/12/25)
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  • Utilization Review RN

    BayCare Health System (Tampa, FL)
    …RN (Registered Nurse) + Preferred ACM ( Case Management) + Preferred CCM ( Case Manager ) **Education:** + Required Associates in Nursing or + Required ... + Required 2 years in Utilization Review or + Required 2 years in Case Management or + Required 3 years Registered Nurse + Preferred experience in Critical Care… more
    BayCare Health System (10/10/25)
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