• VP, Clinical Operations

    Molina Healthcare (Miami, FL)
    …State Registered Nursing (RN) license in good standing. + Utilization Management Certification (CPHM) Certified Professional in Health Care Quality ... management initiatives and analytical studies aimed at optimizing utilization of medical resources and maximizing operational efficiencies. + Engages with… more
    Molina Healthcare (07/17/25)
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  • RN Case Manager PRN

    HCA Healthcare (Sanford, FL)
    …in Case Management is preferred + BSN is preferred + Certification in Case Management , Nursing or Utilization Review is preferred HCA Florida Lake Monroe ... with physicians, patients, families, hospital staff, and outside agencies + Performs utilization management reviews and communicates information to third party… more
    HCA Healthcare (07/19/25)
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  • RN Case Manager PRN

    HCA Healthcare (Gainesville, FL)
    …Case Management is preferred + BSN is preferred + Certification in Case Management , Nursing or Utilization Review is preferred HCA Florida North Florida ... with physicians, patients, families, hospital staff, and outside agencies + Performs utilization management reviews and communicates information to third party… more
    HCA Healthcare (06/21/25)
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  • LPN/LVN - Pain Management

    Matrix Providers (Jacksonville, FL)
    …ratios and fair, reliable schedules. Matrix Providers is hiring a Licensed Practical Nurse /Licensed Vocational Nurse - Pain Management to join our ... + Degree: Be a graduate from a Licensed Practical Nurse (LPN) or Licensed Vocational Nurse (LVN)...coordinating with the local Medical Home Port (MHP) clinic, utilization and Referral Management policies, and obtains… more
    Matrix Providers (07/31/25)
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  • Director of Quality

    HCA Healthcare (Brooksville, FL)
    …of experience in a healthcare environment + Previous experience in accreditation, quality, utilization management , or risk management required. + Knowledge ... and Qualifications** We are seeking a Director of Quality Management . As our Director, you will provide direction to...you will provide direction to ensure the facilitation and utilization of diverse strategies and communication for quality and… more
    HCA Healthcare (07/14/25)
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  • Acute Care Case Manager , Registered Nurse

    ChenMed (North Miami Beach, FL)
    …Ability to plan, implement and evaluate individual patient care plans. + Knowledge of nursing and case management theory and practice. + Knowledge of patient ... great people to join our team. The Acute Care Nurse (RN) is responsible for achieving positive patient outcomes...experience required. + A minimum of 1 year of utilization review and/or case management , home health,… more
    ChenMed (05/28/25)
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  • Director Of Nursing

    MTC (Quincy, FL)
    …performing the duties of the position. 11. Practice advanced cost containment and utilization management for inmate care and facility operations. 12. Maintain ... Summary:** Reports to the health services administrator. Directs the management of nursing services and the supervision...(1) year supervisory experience. Must be a licensed registered nurse in the state of Florida or compact state.… more
    MTC (08/08/25)
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  • Registered Nurse (On Call)

    MTC (Graceville, FL)
    …record or other forms as appropriate. + Practice basic cost containment and utilization management for inmate care and facility operations. + Maintain absolute ... 7pm or 7pm-7am **ARE YOU BURNT OUT ON BEDSIDE NURSING ?? Give correctional nursing a try! This...improving people's lives. We are seeking an **On-Call Registered Nurse (RN)** to join our team. **Primary duties:** +… more
    MTC (08/14/25)
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  • Registered Nurse (On call)

    MTC (Panama City, FL)
    …record or other forms as appropriate. + Practice basic cost containment and utilization management for inmate care and facility operations. + Maintain absolute ... : PART- TIME **ARE YOU BURNT OUT ON BEDSIDE NURSING ?? Give correctional nursing a try! This...Panama City, FL. is **now hiring a part-time Registered Nurse (RN)** to join our team. **Primary duties:** +… more
    MTC (08/08/25)
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  • Registered Nurse Hospitalist East

    AdventHealth (Orlando, FL)
    …+ Experience in Case Management , Managed Care, Discharge Planning and Utilization Management + Case Management training **LICENSURE, CERTIFICATION, OR ... and Degrees without out-of-pocket tuition expense) * **For Eligible Positions** * + Nursing Clinical Ladder Program * **For Eligible Positions** * **Our promise to… more
    AdventHealth (08/16/25)
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