• Director of Quality

    HCA Healthcare (Brooksville, FL)
    …services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed ... Hospital, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The...CHCQM (Diploma in American Board of Quality Assurance and Utilization Review Physicians). _Individuals without CPHQ or_… more
    HCA Healthcare (07/14/25)
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  • Case Manager RN

    Adecco US, Inc. (Altamonte Springs, FL)
    …experience in an acute clinical care setting or equivalent. . Previous care management, utilization review or discharge planning experience. . RN License in FL . ... thorough understanding of the cost consequences resulting from Care Management decisions through utilization of reports and systems such as Health Plan Benefits,… more
    Adecco US, Inc. (08/01/25)
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  • Associate Medical Director

    CenterWell (Jacksonville, FL)
    …performance in patient experience, quality of care, clinical outcomes, and avoidable utilization + Periodically review clinician charts to identify opportunities ... health (SDOH) efforts, improving clinical outcomes and avoidable utilization + Monitor and manage daily patient care and...and for the lowest cost. We go beyond physical health - addressing the social, emotional, behavioral more
    CenterWell (07/22/25)
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  • Associate Medical Director

    CenterWell (Daytona Beach, FL)
    …in patient experience, quality of care, clinical outcomes, and avoidable utilization *Periodically review clinician charts to identify opportunities in ... health (SDOH) efforts, improving clinical outcomes and avoidable utilization *Monitor and manage daily patient care and initiatives...and for the lowest cost. We go beyond physical health - addressing the social, emotional, behavioral more
    CenterWell (06/12/25)
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  • RN Case Mgr

    HCA Healthcare (Tamarac, FL)
    …services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed ... or 2 years of critical care experience + Certification in case management or utilization review preferred + InterQual experience preferred Founded in 1974, HCA… more
    HCA Healthcare (07/14/25)
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  • Case Manager RN PRN

    HCA Healthcare (Tamarac, FL)
    …services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed ... or 2 years of critical care experience + Certification in case management or utilization review preferred + InterQual experience preferred Founded in 1974, HCA… more
    HCA Healthcare (07/14/25)
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  • Innovation Operations Manager

    HCA Healthcare (Aventura, FL)
    …services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed ... HCA Florida Aventura Hospital, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The available plans and… more
    HCA Healthcare (08/09/25)
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  • Manager Case Management

    HCA Healthcare (Gainesville, FL)
    …services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed ... physical, psycho-social, financial). 1. Participates in IDT rounds, 1. Conducts utilization review , evaluates clinical information, and communicates findings to… more
    HCA Healthcare (08/02/25)
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  • Psychologist Reviewer

    Centene Corporation (Tallahassee, FL)
    …to be considered. **Position Purpose:** Authorize, direct and monitor care for behavioral health and/or substance abuse problems according to clinical ... necessity and appropriateness of care + Conduct peer reviews with psychologists, behavioral health therapists and/or Board Certified Behavior Analysts for… more
    Centene Corporation (08/08/25)
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  • RN Case Manager

    HCA Healthcare (Gainesville, FL)
    …services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed ... Hospital, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The...is preferred + Certification in Case Management, Nursing or Utilization Review is preferred HCA Florida North… more
    HCA Healthcare (07/19/25)
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