• Utilization Review Clinician - Behavioral…

    Centene Corporation (Tallahassee, FL)
    …be located in eastern or central time zone with experience in utilization management .** **Education/Experience:** Requires Graduate of an Accredited School ... 28 million members as a clinical professional on our Medical Management /Health Services team. Centene is a diversified, national organization offering competitive… more
    Centene Corporation (07/31/25)
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  • Acute Care Manager, Complex Care (Registered…

    ChenMed (Pembroke Pines, FL)
    …We're rapidly expanding and we need great people to join our team. The Nurse Case Manager I position is responsible for achieving positive patient outcomes and ... quality of care across the continuum of care. The Nurse Case Manager I will first and foremost serve...preferred providers. + Coordinate the integration of social services/case management functions in the pre-acute, ER, acute and post-acute… more
    ChenMed (08/16/25)
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  • Disease Management Nurse - Remote

    Sharecare (Tallahassee, FL)
    …appropriate resource utilization and desired clinical outcomes. The Disease Management Nurse is also responsible during their interactions with participants ... for everyone. To learn more, visit www.sharecare.com . **Job Summary:** The Disease Management Nurse has the responsibility for supporting the goals and… more
    Sharecare (08/13/25)
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  • Acute Care Case Manager , Registered Nurse

    ChenMed (North Miami Beach, FL)
    …years' clinical work experience required. + A minimum of 1 year of utilization review and/or case management , home health, hospital discharge planning experience ... expanding and we need great people to join our team. The Acute Care Nurse (RN) is responsible for achieving positive patient outcomes and managing quality of care… more
    ChenMed (05/28/25)
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  • Registered Nurse - Case Management

    Mayo Clinic (Jacksonville, FL)
    …patient plan of care throughout the continuum of care by ensuring appropriate utilization management , care coordination, resource utilization , and clinical ... outcomes. The RN Case Manager provides leadership through education on case management / utilization management concepts, committee work, research, and… more
    Mayo Clinic (08/17/25)
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  • Acute Care Manager, Complex Care (Registered…

    ChenMed (Opa Locka, FL)
    …We're rapidly expanding and we need great people to join our team. The Nurse Case Manager 1 (RN) is responsible for achieving positive patient outcomes and managing ... into acute and post-acute facilities, as well as, their home environments. The Nurse Case Manager 1 (RN) role also involves establishing relationships with patients'… more
    ChenMed (08/16/25)
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  • Registered Nurse Supervisor

    MyFlorida (Chattahoochee, FL)
    REGISTERED NURSE SUPERVISOR - 60005446 Date: Aug 13, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... . Requisition No: 858609 Agency: Children and Families Working Title: REGISTERED NURSE SUPERVISOR - 60005446 Pay Plan: Career Service Position Number: 60005446… more
    MyFlorida (08/13/25)
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  • RN Registered Nurse Care Management

    AdventHealth (Port Charlotte, FL)
    …patient satisfaction, patient safety, readmission prevention and length of stay management . The RN Care Manager communicates daily with the interdisciplinary team ... core competencies of this role. The RN Care Manager facilitates the collaborative management of patient care across the continuum, intervening to remove barriers to… more
    AdventHealth (08/07/25)
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  • Implant Coordinator Registered Nurse

    Veterans Affairs, Veterans Health Administration (West Palm Beach, FL)
    …for the coordination of care focused on patient education, self- management , and customer satisfaction throughout the continuum of care. Responsibilities ... an understanding of implants and tissue processes. Responsible for the overall management and oversight of implant and tissue inventory, stocking, supply, and… more
    Veterans Affairs, Veterans Health Administration (08/14/25)
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  • Clinical Reviewer, Nurse

    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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