• Supervisor ED Utilization Management

    AdventHealth (Tampa, FL)
    …such as heart failure, cancer and other diseases. **The role you'll contribute:** The Utilization Management RN Supervisor reports directly to the Divisional ... Utilization Management RN Manager and assists in monitoring...you'll need to succeed:** Associates Degree in Nursing Required Registered Nurse ( RN ) License Required.… more
    AdventHealth (08/08/25)
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  • Utilization Management Nurse

    Actalent (Sunrise, FL)
    Actalent is hiring a Utilization Management Nurse ! Job Description The Utilization Management Nurse (UMN) collaborates closely with the ... activities as assigned. Essential Skills + Clinical review + Utilization review + Utilization management ...care Additional Skills & Qualifications + Current unrestricted Florida RN or LPN License. + Minimum of one year… more
    Actalent (07/29/25)
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  • Utilization Management Nurse

    CVS Health (Tallahassee, FL)
    …anywhere in the state of Florida. **Applicant must reside in Florida** . As a Utilization Management Nurse Consultant, you will utilize clinical skills to ... all with heart, each and every day. **Position Summary** Utilization Management is a 24/7 operation and...setting required - Must have active current and unrestricted RN licensure in state of Florida - Willingness to… more
    CVS Health (07/30/25)
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  • Utilization Management Nurse

    CVS Health (Tallahassee, FL)
    …Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers flexible medical management ... from work._ **Required Qualifications** + 1 year of varied UM ( utilization management ) experience within an **outpatient** setting, concurrent review… more
    CVS Health (07/30/25)
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  • Registered Nurse ED…

    AdventHealth (Tampa, FL)
    …contribute:** The role of the Emergency Department Utilization Management (UM) Registered Nurse ( RN ) is to use clinical expertise by analyzing ... for additional review as determined by department standards. The Utilization Management Nurse is accountable...need to succeed:** + Associates of Nursing Required + Registered Nurse ( RN ) license Required… more
    AdventHealth (08/08/25)
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  • Registered Nurse ED…

    AdventHealth (Tampa, FL)
    …contribute:** The role of the Emergency Department Utilization Management (UM) Registered Nurse ( RN ) is to use clinical expertise by analyzing ... for additional review as determined by department standards. The Utilization Management Nurse is accountable...need to succeed:** + Associate's of Nursing Required + Registered Nurse ( RN ) license Required… more
    AdventHealth (08/07/25)
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  • Utilization Management Nurse

    CVS Health (Tallahassee, FL)
    …and external constituents in the coordination and administration of the utilization /benefit management function. **Required Qualifications** + 3+ years of ... it all with heart, each and every day. _Utilization Management is a 24/7 operation and work schedule may...schedule may include weekends, holidays, and evening hours._ **UM Nurse Consultant** Fully Remote- WFH **Position Summary** + Utilizes… more
    CVS Health (07/30/25)
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  • Registered Nurse Utilization

    AdventHealth (Tampa, FL)
    …**The role you'll contribute:** The role of the Utilization Management (UM) Registered Nurse ( RN ) is to use clinical expertise by analyzing patient ... Nursing Required 3 years of relevant work experience required. Registered Nurse ( RN ) License Required....of critical care nursing experience preferred. 1 years of utilization management experience preferred. This facility is… more
    AdventHealth (08/08/25)
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  • Concurrent Utilization Management

    Humana (Tallahassee, FL)
    …in care coordination? Humana Healthy Horizons in Florida is seeking a dedicated Concurrent Utilization Management Nurse to join our collaborative team! In ... passion and experience to Humana Healthy Horizons. The Concurrent Utilization Management Nurse is responsible...Qualifications** + Bachelor's degree in nursing (BSN). + Licensed Registered Nurse ( RN ) in Florida… more
    Humana (08/08/25)
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  • Utilization Management Nurse

    CenterWell (Tallahassee, FL)
    RN experience; + Prior clinical experience, managed care experience, **OR** utilization management experience + Demonstrates Emotional Maturity + Ability to ... put health first** Conviva Care Solutions is seeking a RN who will collaborate with other health care givers...DME, Cardiac or Orthopedic procedures + Previous experience in utilization management within Insurance industry + Previous… more
    CenterWell (08/08/25)
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