• Case Manager, Registered Nurse…

    CVS Health (Tallahassee, FL)
    …+ Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year of experience in a hospital ... setting. + A Registered Nurse that holds an active, unrestricted...lower levels of care. + 1+ years' experience in Utilization Review . + CCM and/or other URAC… more
    CVS Health (08/15/25)
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  • RN Stroke Program Coordinator

    HCA Healthcare (Orange Park, FL)
    …safety and customer service of the patient first.** **What qualifications you will need:** + ( RN ) Registered Nurse in the state in which you practice + ... **Introduction** Do you have the career opportunities as an RN Stroke Program Coordinator you want in...Associate Degree, or Bachelors Degree, or Registered Nurse Diploma + APRN preferred +… more
    HCA Healthcare (08/30/25)
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  • RN Coordinator Operating Room…

    HCA Healthcare (Hudson, FL)
    …to learn! **Job Summary and Qualifications** We are seeking an experienced and professional Registered Nurse to become our Coordinator of OR Service Line. ... colleagues in their positions. Join our Team as an RN Coordinator in the Operating Room and...workflow. **Qualifications** + Must be licensed as a Florida Registered Nurse in accordance with state regulations… more
    HCA Healthcare (09/13/25)
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  • SNF Utilization Management RN…

    Humana (Tallahassee, FL)
    …an impact** **Use your skills to make an impact** **Required Qualifications** + **​Licensed Registered Nurse ( RN )** in the (appropriate state) with no ... caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing...in an acute care setting + Previous experience in utilization management/ utilization review for a… more
    Humana (09/12/25)
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  • Medical Management Coordinator , RN

    DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
    …environment. + Minimum 2 years of experience with pre-authorization, utilization review /management, case management, care coordination, and/or discharge ... criteria. Responsibilities: + Manages appropriate cases that require medical necessity review such as home care, elective inpatient and outpatient service requests.… more
    DOCTORS HEALTHCARE PLANS, INC. (09/14/25)
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  • RN Case Manager

    HCA Healthcare (Tallahassee, FL)
    …and patient throughput while supporting a balance of optimal care and appropriate resource utilization . The RN CM Care Coordinator will identify potential ... required within 90 days of hire** + **Advanced Practice Registered Nurse license is acceptable for position...and compliant** + **Certification in Case Management, Nursing, or Utilization Review , preferred** + **Three years of… more
    HCA Healthcare (09/21/25)
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  • RN Case Manager PRN

    HCA Healthcare (Tallahassee, FL)
    …and patient throughput while supporting a balance of optimal care and appropriate resource utilization . The RN CM Care Coordinator will identify potential ... required within 90 days of hire** + **Advanced Practice Registered Nurse license is acceptable for position...and compliant** + **Certification in Case Management, Nursing, or Utilization Review , preferred** + **Three years of… more
    HCA Healthcare (09/19/25)
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  • Core Desk Coordinator - SoLe Mia

    University of Miami (North Miami, FL)
    …CORE QUALIFICATIONS Education: Bachelor of Science in nursing Certification and Licensing: Registered nurse license Experience: Minimum 5 years of relevant ... faculty or staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The University of… more
    University of Miami (08/18/25)
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  • RN Case Mgr

    HCA Healthcare (Fort Pierce, FL)
    …etc.) hospital nursing experience required + Certification in case management or utilization review preferred InterQual experience preferred HCA Florida Lawnwood ... rights and responsibilities. + You will act as the coordinator of patient/family/caregiver education. You will promote the participation...personal growth, we encourage you to apply for our RN Case Mgr opening. We promptly review … more
    HCA Healthcare (07/14/25)
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  • RN Case Mgr

    HCA Healthcare (Aventura, FL)
    …etc.) hospital nursing experience required + Certification in case management or utilization review preferred + InterQual experience preferred HCA Florida ... apply for our RN Case Mgr opening. Our team will promptly review your application. Highly qualified candidates will be contacted for interviews. **Unlock the… more
    HCA Healthcare (07/14/25)
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