• Care Review Clinician, PA ( RN )

    Molina Healthcare (Jacksonville, FL)
    …for internal meetings. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse ( RN ). **Required Experience** 1-3 years of ... Experience** Previous experience in Hospital Acute Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual… more
    Molina Healthcare (10/26/25)
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  • Care Review Clinician ( RN )

    Molina Healthcare (Miami, FL)
    …authorization, managed care, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... JOB DESCRIPTION Job SummaryProvides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary… more
    Molina Healthcare (11/21/25)
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  • RN Clinical Resource Manager

    AdventHealth (Altamonte Springs, FL)
    …GPO programs and processes within healthcare **LICENSURE, CERTIFICATION, OR REGISTRATION REQUIRED:** + Registered Nurse ( RN ) This facility is an equal ... leadership and consultation to company facilities in the clinical review , evaluation and procurement of products and leads multi-disciplinary...of Nursing + 5 years of experience as a registered nurse in an acute care setting… more
    AdventHealth (11/14/25)
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  • RN Case Manager PRN

    HCA Healthcare (Kissimmee, FL)
    …patient safety.​ + ​Other duties as assigned.​ **What qualifications you will need:** + ( RN ) Registered Nurse + Associate Degree + Bachelor's in Nursing ... + 1+ year of prior case management experience + Registered Nurse - Currently licensed as a...opportunity compelling, we encourage you to apply for our RN Case Manager PRN opening. We promptly review more
    HCA Healthcare (11/10/25)
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  • RN Case Manager

    HCA Healthcare (Oviedo, FL)
    …dollars to charitable organizations. Apply Today! **Job Summary and Qualifications** The Registered Nurse ( RN )CM is responsible for promoting ... and Value Statement." **What qualifications you will need:** + ( RN ) Registered Nurse + ...personal growth, we encourage you to apply for our RN Case Manager opening. We promptly review more
    HCA Healthcare (11/10/25)
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  • RN Case Manager PRN

    HCA Healthcare (Jacksonville, FL)
    **Description** **Introduction** Do you have the PRN career opportunities as a ** Registered Nurse ( RN ) Case Manager** you want with your current employer? We ... expertise! **Job Summary and Qualifications** We are seeking a Registered Nurse ( RN ) Case Manager...this PRN role. + Certification in Case Management or Utilization Review is preferred. + InterQual experience… more
    HCA Healthcare (11/19/25)
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  • RN Case Manager PRN

    HCA Healthcare (Orange Park, FL)
    **Description** **Introduction** Do you have the PRN career opportunities as a ** Registered Nurse ( RN ) Case Manager** you want with your current employer? We ... expertise! **Job Summary and Qualifications** We are seeking a Registered Nurse ( RN ) Case Manager...this PRN role.** + Certification in Case Management or Utilization Review is preferred. + InterQual experience… more
    HCA Healthcare (09/23/25)
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  • Mission Control RN FT Nights

    AdventHealth (Orlando, FL)
    …role you'll contribute:** The Mission Control RN Tier 1 is a professional registered nurse functioning withing Mission Control in one of three primary roles. ... verification process. Obtains pre-authorization and provides information to the Utilization Review Specialist, Utilization ...State of Florida or multi state license as a Registered Nurse . Graduate of school of Nursing… more
    AdventHealth (11/06/25)
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  • RN Case Manager Part Time

    HCA Healthcare (Tallahassee, FL)
    …active FL RN license required within90 days of hire** + **Advanced Practice Registered Nurse license is acceptable for position if current and compliant** + ... supporting a balance of optimal care and appropriate resource utilization . The RN CM Care Coordinator will...**Certification in Case Management, Nursing, or Utilization Review , preferred** + **Three years of… more
    HCA Healthcare (11/10/25)
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  • RN Case Manager

    HCA Healthcare (Orange Park, FL)
    …our nurses set us apart from any other healthcare provider. We are seeking a ** Registered Nurse ( RN ) Case Manager** to join our healthcare family. ... opportunity. **Job Summary and Qualifications** We are seeking a Registered Nurse ( RN ) Case Manager...is highly preferred. + Certification in Case Management or Utilization Review is preferred. + InterQual experience… more
    HCA Healthcare (11/16/25)
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