- Cleveland Clinic (Vero Beach, FL)
- …healthcare experience, including physical, educational, emotional and spiritual needs. As SQPE Specialist II, you play an essential part in this mission by ensuring ... compliance with all standards and favorable performance on safety, quality, utilization and experience metrics. + Participate in engraining the safety, quality… more
- MyFlorida (Chattahoochee, FL)
- …SHIFTS. This is a highly responsible and professional position serving as a Registered Nurse Specialist within Nursing Services. The ideal candidate will be a ... REGISTERED NURSE SUPERVISOR - 60005446 Date: Dec 4, 2025...Ability to analyze complex reports and determine the service utilization habits of clients and to evaluate the appropriateness… more
- Molina Healthcare (Miami, FL)
- …chief medical officer on denial decisions. * Resolves escalated complaints regarding utilization management and long-term services and supports (LTSS) issues. * ... JOB DESCRIPTION **Job Summary** The RN Clinical Appeals Nurse provides support for internal appeals clinical processes...be required. * Serves as a clinical resource for utilization management , chief medical officer, physicians, and… more
- ERP International (Hurlburt Field, FL)
- …algorithms, CM software, and databases for community resources. * Integrate CM and utilization management (UM) and integrating nursing case management with ... of Disability Management Specialists Commission: Certified Disability Management Specialist (CDMS) Association of Rehabilitation Nurses: Certified… more
- ChenMed (St. Petersburg, FL)
- … management programs, clinical meetings and other meetings. The Nurse Practitioner, Specialty incumbent adheres to strict departmental goals/objectives, standards ... we need great people to join our team. The Nurse Practitioner (NP), Specialty acts as part of the...the clinical operations team and is responsible for providing specialist patient care in nursing homes, skilled nursing facilities… more
- MyFlorida (Port Charlotte, FL)
- SENIOR REGISTERED NURSE SUPV - 50009026 Date: Dec 19, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... . Requisition No: 865480 Agency: Veterans Affairs Working Title: SENIOR REGISTERED NURSE SUPV - 50009026 Pay Plan: Career Service Position Number: 50009026 Salary:… more
- MyFlorida (St. Augustine, FL)
- SENIOR REGISTERED NURSE SUPV - 50950032 Date: Dec 17, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... . Requisition No: 866953 Agency: Veterans Affairs Working Title: SENIOR REGISTERED NURSE SUPV - 50950032 Pay Plan: Career Service Position Number: 50950032 Salary:… more
- MyFlorida (Fort Myers, FL)
- SENIOR COMMUNITY HEALTH NURSE - 64028368 1 1 Date: Jan 6, 2026 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... Agency: Department of Health Working Title: SENIOR COMMUNITY HEALTH NURSE - 64028368 1 1 Pay Plan: Career Service...position is under the supervision of the Nursing Program Specialist with the Florida Department of Health in Lee… more
- ERP International (Macdill AFB, FL)
- …algorithms, CM software, and databases for community resources. * Integrate CM and utilization management (UM) and integrating nursing case management with ... Certification of Disability Management Specialists Commission: Certified Disability Management Specialist (CDMS) o Association of Rehabilitation Nurses:… more
- MyFlorida (Orlando, FL)
- …and control of Tuberculosis (TB). The position serves as a Disease lntervention Specialist (DlS) working with experienced DIS to learn to work with infectious ... ensure treatment is completed as prescribed. Participates in case management meetings and notifies supervisor and case managers of...provider staff. Will be trained to assist the LTBI Nurse with tracking and managing all LTBI clients to… more