• Disease Management Nurse - Remote

    Sharecare (Tallahassee, FL)
    …change techniques, the nurse helps to drive cost effective and appropriate resource utilization and desired clinical outcomes. The Disease Management Nurse is ... learn more, visit www.sharecare.com . **Job Summary:** The Disease Management Nurse has the responsibility for supporting the goals...and to take the pre and post tests to review competency during orientation. Yearly competency tests are required… more
    Sharecare (09/13/25)
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  • Licensed Clinical Social Worker

    CenterWell (Tallahassee, FL)
    …short-term interventions, and connection to community-based resources. This role brings behavioral health expertise and addresses social determinants of health to ... and outcomes. This role requires a deep understanding of how socio-economic, behavioral , and environmental factors impact a patient's ability to engage in healthcare… more
    CenterWell (10/08/25)
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  • Transplant Care Nurse - Remote

    Highmark Health (Tallahassee, FL)
    …triaging members to appropriate resources for additional support. + Implement care management review processes that are consistent with established industry, ... Nursing **EXPERIENCE** **Required** + 7 years in any combination of clinical, case/ utilization management and/or disease/condition management experience, or… more
    Highmark Health (10/10/25)
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  • Executive Director

    Sevita (FL)
    …states to increase census, maintain occupancy, improve daily attendance, and maximize utilization . + **Financial Management :** + Oversee billing to ensure ... opportunity to grow with a mission-driven organization** Do you have substantial management experience in human services? Are you looking for rewarding work in… more
    Sevita (09/09/25)
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  • Placement Stabilization Clinician - Orange…

    Community Based Care of Brevard, Inc. (Orlando, FL)
    …Clinical Review - Essential Function: In partnership with the Behavioral Health and MDT coordinators, jointly reviews clinical service intervention, participates ... partner with various stakeholders and agency staff and train community stakeholders. Utilization and Fiscal Management : This is preferred to effectively evaluate… more
    Community Based Care of Brevard, Inc. (10/04/25)
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  • Primary Care Physician

    ChenMed (Jacksonville, FL)
    …explain primary care provider role. + Facilitates patient/family conferences to review treatment goals, optimize resource utilization , provide family education ... re: goals of care, palliative care and hospice. + Utilization /Financial Management -managing resource utilization and...quality of health care. + Applies skills in peer review to promote a culture of excellence. + Anticipates… more
    ChenMed (10/02/25)
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  • 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)
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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 (10/01/25)
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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 (09/19/25)
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  • Medical Director

    Elevance Health (FL)
    …must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US ... a State agency.*_ **Preferred Skills, Capabilities and Experiences:** + 1-2 years Utilization Management experience strongly preferred. + Strong oral, written,… more
    Elevance Health (10/10/25)
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