• Case Manager RN

    HCA Healthcare (Largo, FL)
    …goals. Unlock your potential! **Job Summary and Qualifications** + We are seeking a Registered Nurse Case Manager. You will provide clinical expertise to ensure ... hours volunteering in our communities. As a(an) Case Manager RN with HCA Florida Largo Hospital you can be...will promote cost effectiveness through the integration of case management , utilization review management and… more
    HCA Healthcare (07/14/25)
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  • Case Manager RN

    HCA Healthcare (Largo, FL)
    …charitable organizations. Apply Today! **Job Summary and Qualifications** We are seeking a Registered Nurse Case Manager. You will provide clinical expertise to ... like family! Jump-start your career as a(an) Case Manager RN today with HCA Florida Largo Hospital. **Benefits** HCA...will promote cost effectiveness through the integration of case management , utilization review management and… more
    HCA Healthcare (06/21/25)
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  • RN Case Manager

    HCA Healthcare (Kissimmee, FL)
    …million dollars to charitable organizations. Apply Today! **Job Summary and Qualifications** ​​The Registered Nurse ( RN ) CM is responsible for promoting ... supporting a balance of optimal care and appropriate resource utilization .​ + ​Provides case management services for...and Value Statement." **What qualifications you will need:** + ( RN ) Registered Nurse + … more
    HCA Healthcare (06/28/25)
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  • UM Clinical Reviewer

    Centers Plan for Healthy Living (Margate, FL)
    …Healthy Living is currently accepting applications for Full Time Registered Nurse without experience. The Utilization Management Clinical Reviewer works ... in their home to improve their quality of life. Utilization Management Clinical Reviewer will assess and...education, and preventative interventions are maintained. Qualifications: + Active RN license, entry level RN welcome +… more
    Centers Plan for Healthy Living (07/15/25)
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  • Pre-Authorization Nurse

    Humana (Tallahassee, FL)
    …for either shift._ **Use your skills to make an impact** **Required Qualifications** + Licensed Registered Nurse ( RN ) in either Florida or a compact state ... working with CMS Guidelines, MCG and/or InterQual guidelines. + 2+ years of Utilization Management (UM), Pre-Auth, and/or other managed care review experience. +… more
    Humana (08/09/25)
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  • RN Case Manager PRN

    HCA Healthcare (Orange Park, FL)
    **Description** **Introduction** Do you have the PRN career opportunities as a ** Registered Nurse ( RN ) Case Manager** you want with your current employer? We ... expertise! **Job Summary and Qualifications** We are seeking a Registered Nurse ( RN ) Case Manager...required for this PRN role.** + Certification in Case Management or Utilization Review is preferred. +… more
    HCA Healthcare (06/24/25)
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  • Nurse Care Manager - Trinsic

    Intermountain Health (Tallahassee, FL)
    …/Professional Nursing program. + Required Licensure/Certification: State licensure as a Registered Nurse ( RN ). Preferred Qualifications + Bachelor's ... cost-effective outcomes. Provides focused support to various areas such as utilization management , emergency department, acute, ambulatory and specialty care.… more
    Intermountain Health (08/08/25)
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  • Care Review Clinician, Inpatient Review…

    Molina Healthcare (FL)
    …Medical, or ER unit. **Preferred License, Certification, Association** Active, unrestricted Utilization Management Certification (CPHM). To all current Molina ... acute care/medical experience. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing. Must… more
    Molina Healthcare (08/03/25)
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  • RN Case Manager Evenings

    HCA Healthcare (Gainesville, FL)
    …Florida North Florida Hospital! **Job Summary and Qualifications** We are seeking a dynamic Case Management RN to join our team. The RN Case Manager ... RN . BSN preferred. + 2 years of Case Management experience or 3 years of nursing experience required.... management experience preferred. + Certification in Case Management , Nursing or Utilization Review is preferred… more
    HCA Healthcare (06/21/25)
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  • Clinical UM Nurse 2

    CenterWell (Tallahassee, FL)
    **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 uses clinical knowledge, communication skills, and ... skills to make an impact** **Required Qualifications** + Licensed Registered Compact Nurse license ( RN )...mail order pharmacy practice environment + Previous experience in utilization management + Education: BSN or Bachelor's… more
    CenterWell (08/01/25)
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