• Clinical Reviewer, Nurse - 9am -6pm PST

    Evolent (Tallahassee, FL)
    …quality and cost effective care delivery. **What You'll Be Doing:** + Performs utilization review of outpatient procedures and ancillary services. + Fulfills on ... **Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes...Determines medical necessity and appropriateness of services using clinical review criteria. + Accurately documents all review more
    Evolent (08/01/25)
    - Related Jobs
  • Chief Financial Officer

    HCA Healthcare (Pensacola, FL)
    …annual budget. Departmental responsibility typically includes Accounting, Reimbursement, Managed Care, Health Information, and Utilization Review . Functions ... HCA Florida West Hospital, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The available plans and programs… more
    HCA Healthcare (07/03/25)
    - Related Jobs
  • Pharmacy Technician Specialist

    AdventHealth (Maitland, FL)
    …company issued equipment (laptop, screens, keyboard/mouse, etc.) for office and work from home station + Join a High-Performing Team Committed to Excellence Be part ... operations o Controlled substances Provides support in the appropriate utilization of medication automation, technology, and computer systems. Maintains expertise… more
    AdventHealth (08/14/25)
    - Related Jobs
  • Human Services Program Consultant II

    MyFlorida (Orlando, FL)
    …supporting home safety, enhancing parent-infant interaction, promoting continuation in health care promoting health literacy, and managing behavior concerns ... out-of-state deployment. Perferred: One year of verifiable professional experience in conducting home visits with clients. Florida Department of Health Mission,… more
    MyFlorida (05/17/25)
    - Related Jobs
  • Supply Chain Equipment Coordinator

    HCA Healthcare (Gainesville, FL)
    …Florida North Florida Hospital, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The available plans and ... cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.… more
    HCA Healthcare (08/08/25)
    - Related Jobs
  • RN Case Manager PRN

    HCA Healthcare (Pensacola, FL)
    …HCA Florida West Hospital, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The available plans and programs ... no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as telemedicine services and free AirMed medical transportation. +… more
    HCA Healthcare (06/21/25)
    - Related Jobs
  • Senior Registered Nurse Supv

    MyFlorida (St. Augustine, FL)
    …skills. + Three (3) years' experience providing nursing services in a long-term health care environment (nursing home ; skilled nursing; or assisted living ... SUPERVISOR FLORIDA DEPARTMENT OF VETERANS' AFFAIRS NH Name State Veterans' Nursing Home City, County, Florida Annual Salary: $72,113.08 Paid Bi-Weekly. May be… more
    MyFlorida (08/08/25)
    - Related Jobs
  • RN Care Manager

    AdventHealth (Deland, FL)
    …available to the patient including, but not limited to the following: Home Health , Infusion Services, Durable Medical Equipment, Palliative Care, Hospice, ... (as permitted by the patient) as well as a review of the current and past inpatient and outpatient...Health -related Master's degree or MSN + Prior Care Management/ Utilization Management experience ACM/CCM Certification This facility is an… more
    AdventHealth (08/07/25)
    - Related Jobs
  • Registered Nurse Care Manager

    AdventHealth (Deland, FL)
    …available to the patient including, but not limited to the following: Home Health , Infusion Services, Durable Medical Equipment, Palliative Care, Hospice, ... (as permitted by the patient) as well as a review of the current and past inpatient and outpatient...Health -related Master's degree or MSN + Prior Care Management/ Utilization Management experience ACM/CCM Certification This facility is an… more
    AdventHealth (08/07/25)
    - Related Jobs
  • Case Mgr RN

    HCA Healthcare (Miami, FL)
    …etc.) hospital nursing experience required + Certification in case management or utilization review preferred + InterQual experience preferred HCA Florida Mercy ... what matters most to nurses like you - at home , at work, and at every stage in your...Hospital, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The… more
    HCA Healthcare (07/23/25)
    - Related Jobs