• Director Case Management

    HCA Healthcare (Kissimmee, FL)
    …Master's degree in Nursing, Health Administration, or Business Administration, preferred + Either Registered Nurse ( RN ) licensure , Licensed Clinical Social ... actively engaging interdisciplinary teams and external stakeholders. The Director is a registered nurse with responsibility for all operational aspects of the… more
    HCA Healthcare (06/21/25)
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  • Clinical Manager, Home Health

    CenterWell (Clearwater, FL)
    …+ Graduate of an accredited School of Nursing. + Current state license as a Registered Nurse . + Proof of current CPR. + Valid driver's license, auto insurance ... community and help us put health first** + The ** RN Clinical Manager** coordinates and oversees all direct care...and reliable transportation. + Two years as a Registered Nurse in home health or hospice,… more
    CenterWell (07/04/25)
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  • Clinical Reviewer, Nurse

    Evolent (Tallahassee, FL)
    Registered Nurse + Associate or Bachelors in Nursing (Must be a Registered Nurse ) + Experience as an RN in a Pain MNGT setting is preferred. + Strong ... , you will be a key member of the utilization management team. We can offer you...Nurse , you will routinely interact with leadership and management staff, other CR's (Clinical Reviewers), providers, office staff… more
    Evolent (08/19/25)
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  • Clinical Health Services Associate Manager

    CVS Health (Tallahassee, FL)
    …years of acute experience as a Registered Nurse + 3+ years of Utilization Management experience + Must have experience using MS Office + Must be willing ... a successful level. The Associate Manager is also responsible for oversight of utilization management nurses including the organization and development of high… more
    CVS Health (08/08/25)
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  • Clinical Program Manager- Payment Integrity…

    Molina Healthcare (Miami, FL)
    **Job Summary** **_For this position we are seeking a ( RN ) Registered Nurse who must be licensed for the state of KENTUCKY or have a compact license._** ... Nursing experience, including hospital acute care/medical experience (STRONGLY DESIRED)** + ** Registered Nurse with Claims and CIC coding experience (STRONGLY… more
    Molina Healthcare (08/14/25)
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  • Clinical Reviewer, Nurse -Surgery

    Evolent (Tallahassee, FL)
    …Doing:** As a Clinical Reviewer, Nurse , you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference ... Clinical Reviewers are supported by Field Medical Directors (MDs) in the utilization management determination process. + Reviews charts and analyzes clinical… more
    Evolent (08/19/25)
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  • Nurse Manager - UHealth Palmetto Bay

    University of Miami (Miami, FL)
    …necessary. Core Qualifications: Education: Bachelor's degree in nursing Certification and Licensing: Registered Nurse Licensure ( RN ) State of Florida ... University of Miami/UHealth Palmetto Bay has an exciting opportunity for a Nurse Manager. The Manager, Nursing promotes and restores patients' health by developing… more
    University of Miami (08/08/25)
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  • Director of Quality Management - Inpatient…

    Select Medical (Miami, FL)
    …of acute transfers and other CQI indicators. **Qualifications** **Minimum Qualifications** + Registered Nurse with valid state license. Legacy employees may ... **Location: Miami, FL** **$10,000 Sign-on Bonus** **Director of Quality Management ** **(DQM)** **Responsibilities** **Position Summary** Coordinates the Medical Quality… more
    Select Medical (06/20/25)
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  • Director Behavioral Health

    HCA Healthcare (Fort Walton Beach, FL)
    …be obtained within 90 days of employment start date + Other-Fingerprint Required + ( RN ) Registered Nurse + Associate Degree HCA Florida Fort Walton-Destin ... labor management , including position control, scheduling excellence, productivity management , and premium pay utilization . Maintains staffing to ensure… more
    HCA Healthcare (07/23/25)
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  • Program Administrator - SES - 1

    MyFlorida (Largo, FL)
    …leave. Paid holidays and personal day. Retirement package. REQUIREMENTS + Unencumbered Florida Registered Nurse License. + Must be willing and able to travel ... (4) or more years of experience as a Licensed Registered Nurse in Long-Term Care facility. +...care activities. POSITION DESCRIPTION Overview: The direct leadership and management of clinical processes and systems to assure positive… more
    MyFlorida (08/19/25)
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