• RN , Manager , Utilization…

    Humana (Tallahassee, FL)
    …areas. **Use your skills to make an impact** **Required Qualifications** + An active, unrestricted Registered Nurse ( RN ) license in the state of Michigan. + ... of our caring community and help us put health first** The Manager , Utilization Management Nursing (LTSS Utilization Management Leader) utilizes clinical… more
    Humana (09/28/25)
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  • Clinical Learning Facilitator - Utilization…

    Molina Healthcare (St. Petersburg, FL)
    … RN or Clinical Social Worker/Counseling License. + Certified Case Manager (CCM), Utilization Management Certification (CPHM), Certified Professional in ... board licensing mandate. + At least 2 years in case, disease or utilization management; managed care; or medical/behavioral health settings. + One year of training… more
    Molina Healthcare (09/17/25)
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  • Hybrid Bilingual Manager , Care Integration…

    CenterWell (Tampa, FL)
    …for managing populations and coordinating care to reduce acute and post-acute care utilization . The Manager role is hybrid with travel requirements to preferred ... caring community and help us put health first** The Manager Care/Case Management in **Tampa area (** **_this is...action plans that will reduce acute and post-acute care utilization . + Solicits/shares feedback with market leaders on team-based… more
    CenterWell (08/09/25)
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  • Oncology Prior Authorization Case Manager…

    University of Miami (Miami, FL)
    …of UMHC SCCC Business Operations has an exciting opportunity for a full time Utilization Review Case Manager to work to work remote. The incumbent conducts ... chart reviews for clinical utilization and authorization. The Utilization Review Case Manager coordinates with the healthcare team for optimal and efficient… more
    University of Miami (09/25/25)
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  • RN Registered Nurse Care…

    AdventHealth (Tampa, FL)
    …Qualifications The expertise and experiences you'll need to succeed: .Associate Degree Nursing or RN Diploma degree. .Florida Registered Nurse ( RN ) ... well-balanced work life balance The role you'll contribute: The RN Care Manager in collaboration with the....Two (2 ) years of medical/hospital Registered Nurse experience This facility is an equal opportunity employer… more
    AdventHealth (09/27/25)
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  • RN Registered Nurse Care…

    AdventHealth (Riverview, FL)
    …Qualifications **The expertise and experiences you'll need to succeed:** Associates Degree Nursing or RN Diploma degree Registered Nurse ( RN ) State ... orthopedic and womens care. **The role you'll contribute:** The RN Care Manager in collaboration with the...physicians and the interdisciplinary team on issues related to utilization of resources, medical necessity, CMS CoP for Discharge… more
    AdventHealth (10/03/25)
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  • RN Registered Nurse Care…

    AdventHealth (Tarpon Springs, FL)
    …Qualifications **The expertise and experiences you'll need to succeed:** Associates Degree Nursing or RN Diploma degree. Registered Nurse ( RN ). Two (2) ... you'll be caring for:** AdventHealth North Pinellas **The role you'll contribute:** The RN Care Manager in collaboration with the patient/family, social workers,… more
    AdventHealth (10/02/25)
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  • Registered Nurse RN Home…

    AdventHealth (Winter Haven, FL)
    …in the Polk County area. **The role you'll contribute:** The Home Health Registered Nurse ( RN ) Care Manager is a professional nurse who coordinates ... ** Registered Nurse Case Manager - AdventHealth...school of professional nursing + 1 year of relevant clinical RN experience + Registered Nurse -… more
    AdventHealth (09/20/25)
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  • Registered Nurse RN Home…

    AdventHealth (Orlando, FL)
    …32813, 32822, 32829, 32812, 32809 **The role you'll contribute:** The Home Health Registered Nurse ( RN ) Care Manager is a professional nurse who ... ** Registered Nurse Case Manager AdventHealth...+ Associate's Degree + 1 year Recent, relevant clinical RN experience + Registered Nurse -… more
    AdventHealth (08/16/25)
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  • Registered Nurse RN Case Mgr…

    HCA Healthcare (Davie, FL)
    …HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a(an) Registered Nurse RN Case Mgr PRN with HCA Florida University ... in our organization. We are looking for an enthusiastic Registered Nurse RN Case Mgr...Unlock your potential! **Job Summary and Qualifications** The Case Manager (CM) ensures high-quality, patient-centered care by managing Rehabilitative… more
    HCA Healthcare (09/23/25)
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