• Case Manager RN

    HCA Healthcare (Largo, FL)
    …and satisfaction. + You will promote cost effectiveness through the integration of case management , utilization review management and discharge planning. ... **What qualifications you will need:** + Current Florida State RN License or appropriate compact license + Completion of RN Diploma program or related Healthcare program + Minimum of 3 years recent acute clinical practice or related healthcare experience +… more
    HCA Healthcare (08/28/25)
    - Related Jobs

  • Placement Stabilization Clinician - Orange…

    Community Based Care of Brevard, Inc. (Orlando, FL)
    …partner with various stakeholders and agency staff and train community stakeholders. Utilization and Fiscal Management : This is preferred to effectively evaluate ... group homes, and other specialized providers to ensure appropriate service utilization . The Placement Stabilization Clinician works closely with the Behavioral… more
    Community Based Care of Brevard, Inc. (10/04/25)
    - Related Jobs

  • RN Case Manager Hematology

    HCA Healthcare (Gainesville, FL)
    …oncology, transplant, and/or cellular therapy is required. + Certification in case management , nursing, or utilization review desired. + Bachelors ... work to deliver clinical excellence behind the scenes in data science, case management or transfer centers. Unlock your potential at HCA Florida North Florida… more
    HCA Healthcare (10/02/25)
    - Related Jobs

  • Cost Containment Analyst

    ICW Group (Orlando, FL)
    …and trending of cost management issues related to bill review , case management and utilization review . + Works closely with Case Management ... AND SKILLS** Understanding of Workers' Compensation, Workers' Compensation Managed Care processes, Utilization Review , Telephonic Nurse Case Management , and… more
    ICW Group (09/22/25)
    - Related Jobs

  • Chief Medical Officer

    Ascension Health (Jacksonville, FL)
    …areas of responsibility, to include but not limited to; + Quality and Safety + Utilization Review + Peer Review and Credentialing + Growth and Strategic ... promote and oversee patient safety, continuous performance and quality improvement, risk management and efficient resource utilization . + Provides leadership to … more
    Ascension Health (08/23/25)
    - Related Jobs

  • Denials Prevention Specialist PRN

    Datavant (Tallahassee, FL)
    …and software tools. The specialist serves as a key liaison between coding, billing, utilization review , case management , and payer relations to reduce ... record (EHR) systems. + Collaborate with internal departments (HIM, billing, case management , patient access) to investigate and resolve complex denials. + Utilize… more
    Datavant (10/08/25)
    - Related Jobs

  • Assistant Vice President

    Sedgwick (Tallahassee, FL)
    …satisfaction; to ensure efficient, cost effective, and high quality delivery of case management and utilization review services to clients for multiple ... business lines; and to provide expertise in client specific case management and utilization review requirements and ensure customer satisfaction through the… more
    Sedgwick (10/10/25)
    - Related Jobs

  • RN Case Manager

    HCA Healthcare (Orange Park, FL)
    …of experience in Case Management is highly preferred. + Certification in Case Management or Utilization Review is preferred. + InterQual experience is ... work to deliver clinical excellence behind the scenes in data science, case management or transfer centers. Unlock your potential at **HCA Florida Orange Park… more
    HCA Healthcare (10/01/25)
    - Related Jobs

  • Manager, Anesthesia, Full Time

    University of Miami (Miami, FL)
    …and blood component management , pharmacology, pathophysiology and anesthesia management , utilization of biotechnology and monitoring equipment, and supply ... faculty or staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The Manager, Anesthesia… more
    University of Miami (08/22/25)
    - Related Jobs

  • RN Case Manager

    HCA Healthcare (Orange Park, FL)
    …of experience in Case Management is highly preferred. + Certification in Case Management or Utilization Review is preferred. + InterQual experience is ... the patient stay, managing the length of stay, ensuring appropriate resource management , while developing a safe appropriate discharge plan. + You will facilitate… more
    HCA Healthcare (10/01/25)
    - Related Jobs