• 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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  • Manager Case Management

    HCA Healthcare (Ocala, FL)
    …and costs to patient and patient families. What qualifications you will need: + Registered Nurse + Associate Degree HCA Florida Ocala Hospital is a 323-bed ... **Introduction** Do you have the career opportunities as a(an) Manager Case Management you want with your current employer? We have an exciting opportunity… more
    HCA Healthcare (06/21/25)
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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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  • 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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  • UM Clinical Reviewer

    Centers Plan for Healthy Living (Margate, FL)
    …Healthy Living is currently accepting applications for Full Time Registered Nurse without experience. The Utilization Management Clinical Reviewer works ... in their home to improve their quality of life. Utilization Management Clinical Reviewer will assess and...education, and preventative interventions are maintained. Qualifications: + Active RN license, entry level RN welcome +… more
    Centers Plan for Healthy Living (07/15/25)
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  • Program Manager, HCS

    Molina Healthcare (Jacksonville, FL)
    …materials and other related documentations. **JOB QUALIFICATIONS** **Required Education** + Registered Nurse or equivalent combination of Licensed Vocational ... Nurse (LVN) or Licensed Practical Nurse (LPN) with experience in lieu of ...years in one or more of the following areas: utilization management , case management , care… more
    Molina Healthcare (08/02/25)
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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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  • Human Services Program Consultant II

    MyFlorida (Orlando, FL)
    …at least 6 months of direct case management experience or a Florida Licensed Registered Nurse ( RN ) with 1-year of direct case management experience ... (CBO's). Incumbent reports directly to the Supervisor of Case Management . Staff will establish and maintain a caseload of...job duties as needed. KNOWLEDGE, SKILLS AND ABILITIES, INCLUDING UTILIZATION OF EQUIPMENT, REQUIRED FOR THE POSITION : +… more
    MyFlorida (07/08/25)
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  • SQPE Specialist I

    Cleveland Clinic (Stuart, FL)
    …Preferred qualifications for the ideal future caregiver include: + Masters degree + Registered Nurse ( RN ) + Certified Patient Safety Professional (CPPS) ... compliance with all standards and favorable performance on safety, quality, utilization , and experience metrics. + Participate in engraining the safety, quality,… more
    Cleveland Clinic (08/08/25)
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  • Dir Surgical Svcs

    Community Health Systems (Naples, FL)
    …organization's purpose and ambition. Encourages and values diversity. **Licenses and Certifications** + RN - Registered Nurse - State Licensure and/or ... role is responsible for departmental planning, regulatory compliance, financial management , and fostering collaboration among multidisciplinary teams. The Director… more
    Community Health Systems (08/21/25)
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