• Wound Care RN (Hospital)

    Trinity Health (Fort Lauderdale, FL)
    …people; adherence to established timelines; and professionalism. **Licensure/Certifications** + Must be a Registered Nurse ( RN ) licensed in the state of ... medical staff, Nurse Managers, Professional Practice, nursing staff, dietitians, and case managers in multiple hospitals to facilitate and provide basic WOC care… more
    Trinity Health (07/12/25)
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  • Community Care RN

    AdventHealth (Tavares, FL)
    …or BA education or minimum of 3 to 5 years of healthcare experience. Required + RN - Registered Nurse - State Licensure and/or Compact State Licensure ... + BCLS - Basic Life Support Required **Preferred qualifications** : + Case management /Chronic disease background preferred. Preferred This facility is an… more
    AdventHealth (09/26/25)
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  • Dementia Care Navigator, RN

    Bluestone Physician Services (Tampa, FL)
    …with primary care teams to ensure high quality team-based care + Use utilization management tools to facilitate appropriate transitional care management ... to identify high risk patients Qualifications : Education/Certification/Experience + Registered Nurse or Degree in Social Work,...Licensed Social Worker + 3-5 years of experience in case /care management or care coordination + Experience… more
    Bluestone Physician Services (09/18/25)
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  • Home Health Wound Ostomy Care RN

    Humana (Miramar, FL)
    …providers to ensure cohesive and evidence-based care. + Oversee and optimize utilization management processes within the organization. + Ensure resource ... put health first** The Home Health Wound Ostomy Care RN is a specialized nursing position primarily focused on...practices in wound care but also aim at controlling utilization to improve patient outcomes. The expertise of a… more
    Humana (09/25/25)
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  • Case Manager/Discharge Planner - Per Diem

    Select Medical (Jacksonville, FL)
    …allotted time frame; assuring payments of hospital-based services meeting patient-related utilization management criteria, and implementation of safe and ... as part of the discharge planning process. + The primary job functions in Case Management include: + Clinical Interventions/Discharge Planning + Care Planning … more
    Select Medical (08/02/25)
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  • Complex Care Manager, RN

    Bluestone Physician Services (Orlando, FL)
    …with providers to identify high risk patients Qualifications: Education/Certification/Experience + Registered Nurse , Social Worker, or LPN with 4-year degree ... as to acute settings with the goal of reducing utilization and unnecessary costs + Work to increase coordination...3-5 years of experience in value-based care, population health, case management , care coordination and/or discharge planning… more
    Bluestone Physician Services (10/03/25)
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  • Acute Care Manager - RN

    Trinity Health (Fort Lauderdale, FL)
    …3 years clinical experience.** Experience: 3-5 years of direct patient care or case management experience in a similar size, similar scope hospital preferred.** ... of the interprofessional acute care, ambulatory and post-acute care management teams to improve communication across the continuum of...urgency and a drive** **Licensure** Current license as a Registered Nurse in the State of Florida.**… more
    Trinity Health (08/23/25)
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  • Medical Claim Review Nurse ( RN )

    Molina Healthcare (Tampa, FL)
    …of payment decisions. + Serves as a clinical resource for Utilization Management , Chief Medical Officers, Physicians, and Member/Provider Inquiries/Appeals. ... state/federal regulations **REQUIRED LICENSE, CERTIFICATION, ASSOCIATION:** Active, unrestricted State Registered Nursing ( RN ) license in good standing.… more
    Molina Healthcare (09/06/25)
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  • LTSS Service Coordinator-LPN Case Manager…

    Elevance Health (Pinellas Park, FL)
    …Capabilities and Experiences:** + Bilingual in Spanish strongly preferred. + Previous case management or oncology experience strongly preferred. + Experience ... The **LTSS Service Coordinator - Clinician** works under the direction/supervision of an RN , with overall responsibility for the member's case , as required by… more
    Elevance Health (09/09/25)
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  • Operating Room RN PRN

    HCA Healthcare (Brandon, FL)
    …**Introduction** Do you have the PRN career opportunities as a Operating Room RN PRN you want with your current employer? We have an exciting opportunity ... Do you want to work as a(an) Operating Room RN PRN where your passion for creating positive patient...Summary and Qualifications** We are seeking an Operating Room Nurse for our ambulatory surgery center who demonstrates the… more
    HCA Healthcare (08/08/25)
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