• RN Case Manager Part Time

    HCA Healthcare (Tallahassee, FL)
    …and assess observation patients for appropriateness in observation status + Performs utilization management reviews and communicates information to third party ... is acceptable for position if current and compliant** + **Certification in Case Management , Nursing, or Utilization Review, preferred** + **Three years of… more
    HCA Healthcare (11/10/25)
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  • RN Case Manager Evenings

    HCA Healthcare (Tallahassee, FL)
    …and assess observation patients for appropriateness in observation status + Performs utilization management reviews and communicates information to third party ... is acceptable for position if current and compliant** + **Certification in Case Management , Nursing, or Utilization Review, preferred** + **Three years of… more
    HCA Healthcare (11/10/25)
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  • RN Case Manager PRN

    HCA Healthcare (Tallahassee, FL)
    …and assess observation patients for appropriateness in observation status + Performs utilization management reviews and communicates information to third party ... is acceptable for position if current and compliant** + **Certification in Case Management , Nursing, or Utilization Review, preferred** + **Three years of… more
    HCA Healthcare (11/10/25)
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  • FSS Care Coordinator - Brevard County

    Community Based Care of Brevard, Inc. (Rockledge, FL)
    …Microsoft and a web-based application for daily entry of case activity and the utilization management of service authorizations. 3. 2+ years of Team Facilitation ... Position Summary: This position oversees and manages the authorization and utilization of services delivered for families determined by the Department of… more
    Community Based Care of Brevard, Inc. (12/18/25)
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  • Diversion Care Coordinator (North)

    Community Based Care of Brevard, Inc. (Rockledge, FL)
    …and a web based application for daily entry of case activity and the utilization management of service authorizations. 2+ years' experience serving at risk ... case plan outlining family needs, goals and services. Service Utilization UM/Wrap: This is strongly recommended in order to...in order to manage and track the daily service utilization log, monitors costs and tracks 3rd party resources.… more
    Community Based Care of Brevard, Inc. (11/29/25)
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  • Nurse Manager Patient Throughput

    HCA Healthcare (Kissimmee, FL)
    …caregivers, case management , and admitting departments to promote effective utilization management through coordination of efforts involving patient flow. ... the patient flow program effectiveness as it relates to utilization review, resource management , and discharge planning...as it relates to utilization review, resource management , and discharge planning and care coordination. + Establish… more
    HCA Healthcare (12/11/25)
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  • Field Medical Director- (MD/DO)

    Evolent (Tallahassee, FL)
    …**What You'll Be Doing:** As a FMD, Radiology you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference ... the Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. +… more
    Evolent (12/26/25)
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  • Field Medical Director, Oncology

    Evolent (Tallahassee, FL)
    …Doing:** As a Field Medical Director, Oncology, you will be a key member of the utilization management team. We can offer you a meaningful way to make a ... the Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. .… more
    Evolent (11/18/25)
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  • Medical Director - Medicaid (remote)

    Humana (Tallahassee, FL)
    …interpretation skills, with prior experience participating in teams focusing on quality management , utilization management , case management , discharge ... Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management . + Utilization management experience in a… more
    Humana (01/01/26)
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  • Case Manager / PRN ( RN / RT / SW / LPN )

    Select Medical (Pensacola, FL)
    … within the plan of care. + Demonstrates compliance with facility-wide Utilization Management policies and procedures. + Coordinates UR compliance with ... what is right. The Case Manager is responsible for utilization reviews and resource management , discharge planning, treatment plan management and financial… more
    Select Medical (12/27/25)
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