- CVS Health (Tallahassee, FL)
- …years of clinical experience in acute or post-acute setting,and 1+ years of Utilization Management / CareManagementExperience + Must have active current and ... obtainadditionalNursing Licenses as business needsrequire. * **Preferred Qualifications** - Utilization Management experience preferred - **Anticipated Weekly… more
- CenterWell (Tallahassee, FL)
- …RN experience; + Prior clinical experience, managed care experience, **OR** utilization management experience + Demonstrates Emotional Maturity + Ability ... Therapy, DME, Cardiac or Orthopedic procedures + Previous experience in utilization management within Insurance industry + Previous Medicare Advantage/Medicare… more
- Humana (Tallahassee, FL)
- **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are… more
- BayCare Health System (Tampa, FL)
- …Occasional + **On Call:** No **Certifications and Licensures:** + Required RN (Registered Nurse ) + Preferred ACM (Case Management ) + Preferred CCM (Case Manager) ... of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians.... Review or + Required 2 years in Case Management or + Required 3 years Registered Nurse… more
- BayCare Health System (St. Petersburg, FL)
- …experience includes 3 years of Case Management or 3 years of Utilization Management or 6 years of clinical nursing **Certifications and Licensures:** + ... Required RN (Registered Nurse ) + Preferred ACM (Case Management ) +...Bachelors in Nursing **Experience:** + Required 3 years in Utilization Management or + Required 3 years… more
- HCA Healthcare (Kissimmee, FL)
- …**Introduction** Are you ready to manage in a new era as a Manager Case Management where building a healthier tomorrow is more than a job? Our HCA Florida Osceola ... protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage,… more
- HCA Healthcare (Kissimmee, FL)
- …caregivers, case management , and admitting departments to promote effective utilization management through coordination of efforts involving patient flow. ... and improve the patient flow program effectiveness as it relates to utilization review, resource management , and discharge planning and care coordination.… more
- MyFlorida (Port Charlotte, FL)
- …Comply and perform within the scope of practice as defined by the Florida Nurse Practice Act. + Ensure economic utilization of supplies and ensure that ... REGISTERED NURSE - 50009027 Date: Nov 21, 2025 The...OF VETERANS' AFFAIRS Douglas T. Jacobson State Veterans' Nursing Home Port Charlotte, FL, Charlotte County Annual Salary: $67,742.74… more
- MyFlorida (St. Augustine, FL)
- …Comply and perform within the scope of practice as defined by the Florida Nurse Practice Act. + Ensure economical utilization of supplies and ensure that ... SENIOR LICENSED PRACTICAL NURSE - 50950058 Date: Nov 20, 2025 The...OF VETERANS' AFFAIRS Clyde E. Lassen State Veterans' Nursing Home Saint Augustine, St. Johns County, Florida Annual Salary:… more
- MyFlorida (St. Augustine, FL)
- …Comply and perform within the scope of practice as defined by the Florida Nurse Practice Act. + Ensure economical utilization of supplies and ensure that ... REGISTERED NURSE - 50950152 1 Date: Nov 19, 2025...OF VETERANS' AFFAIRS Clyde E. Lassen State Veterans' Nursing Home Saint Augustine, St. Johns County, Florida Annual Salary:… more