• RN Case Manager Part Time

    HCA Healthcare (Kissimmee, FL)
    …and patient throughput while supporting a balance of optimal care and appropriate resource utilization . What you will do in this role: + Develops a case management ... the appropriate level of care, patient status and resource utilization + Evaluates admissions for medical necessity using approved...card required within 30 days of start + Registered Nurse Diploma + Associates Degree in Nursing or Diploma… more
    HCA Healthcare (07/27/25)
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  • Clinical Program Manager- Payment Integrity…

    Molina Healthcare (Miami, FL)
    **Job Summary** **_For this position we are seeking a (RN) Registered Nurse who must be licensed for the state of KENTUCKY or have a compact license._** Provides ... claims data to ensure appropriate payment levels, optimize resource utilization , and maintain compliance with state and federal laws....focus on promoting the quality, accuracy, and efficiency of review services. + Serve as a resource and subject… more
    Molina Healthcare (08/14/25)
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  • APP, Supervisor - General Internal Medicine - Full…

    University of Miami (Miami, FL)
    …staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . APP, ... supervises advance d practice providers (APPs) ( ie, Advanced Registered Nurse Practitioners, Physician Assistants etc.). Key responsibilities of this position… more
    University of Miami (06/16/25)
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  • Clinical Documentation Specialist

    Houston Methodist (FL)
    …caring for adults in an acute care hospital setting is required; coding and utilization review experience preferred + For Medical School graduate - One year ... **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure and/or Compact State Licensure...Licensure within 60 days **OR** + RN-Temp - Registered Nurse - Temporary State Licensure within 60 days +… more
    Houston Methodist (07/31/25)
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  • Coord Prog Accred Sepsis

    HCA Healthcare (St. Petersburg, FL)
    …help build a team of sepsis champions including charge and unit nurse , key physician representing the Emergency Department, Intensivist Group, Hospitalists and ... + Mortality rate Vent day, ICU LOS, sepsis CVC utilization rate for overall severe sepsis, severe sepsis with...+ Bachelor's Degree in Nursing preferred. + Current Registered Nurse License in the State of Florida Northside Hospital… more
    HCA Healthcare (07/14/25)
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  • Director Case Management

    HCA Healthcare (Kissimmee, FL)
    …and external agencies to ensure continuity of care and optimal clinical resource utilization . The Director has oversight for all aspects of daily hospital case ... interdisciplinary teams and external stakeholders. The Director is a registered nurse with responsibility for all operational aspects of the department. This… more
    HCA Healthcare (06/21/25)
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  • Physician (Psychiatry) - Mental Health Clinic…

    Veterans Affairs, Veterans Health Administration (Lake City, FL)
    …coordinates and directs comprehensive, interdisciplinary team of psychologist, psychiatrist, nurse , social worker, admin support staff, ensuring a smooth continuum ... and privileging processes, monitoring and evaluation of clinical practice, peer review , and other appropriate quality assurance activities. The Program Manager will… more
    Veterans Affairs, Veterans Health Administration (08/14/25)
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  • Critical Care Technician, Emergency, Full-time

    University of Miami (Miami, FL)
    …for a Critical Care Technician. The Critical Care Technician conducts drug utilization review studies, and consults with medical practitioners on prescription ... 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 (08/20/25)
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  • Case Manager RN

    HCA Healthcare (Tampa, FL)
    …You will promote cost effectiveness through the integration of case management, utilization review management and discharge planning. **What qualifications you ... **Job Summary and Qualifications** We are seeking a Registered Nurse Case Manager. You will provide clinical expertise to...apply for our Case Manager RN opening. We promptly review all applications. Highly qualified candidates will be directly… more
    HCA Healthcare (08/20/25)
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  • Case Manager RN

    HCA Healthcare (Port Charlotte, FL)
    …You will promote cost effectiveness through the integration of case management, utilization review management and discharge planning. **What qualifications you ... **Job Summary and Qualifications** We are seeking a Registered Nurse Case Manager. You will provide clinical expertise to...apply for our Case Manager RN opening. We promptly review all applications. Highly qualified candidates will be contacted… more
    HCA Healthcare (08/19/25)
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