• RN Weekend Supervisor

    NHS Management, LLC (Daytona Beach, FL)
    …of subordinate nurses engaged in quality assurance, infection control, and utilization review activities. + Receives physicians' instructions regarding resident ... the way. We are in search of a qualified Registered Weekend Nurse Supervisor: + Assists in...documentation of treatment and nursing observations. Qualifications: + Current RN license by State required with experience in the… more
    NHS Management, LLC (10/05/25)
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  • Assistant Vice President

    Sedgwick (Tallahassee, FL)
    …to ensure efficient, cost effective, and high quality delivery of case management and utilization review services to clients for multiple business lines; and to ... provide expertise in client specific case management and utilization review requirements and ensure customer satisfaction through the provision of these… more
    Sedgwick (10/10/25)
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  • Medical Management Clinician Associate - 40 hours,…

    Elevance Health (Jacksonville, FL)
    …following standard procedures that do not require the training or skill of a registered nurse . **How you will make an impact:** + Confirms medical services ... a minimum of 2 years of clinical experience and/or utilization review experience. + Current active, valid...experience. + Current active, valid and unrestricted LPN/LVN or RN license and/or certification to practice as a health… more
    Elevance Health (10/10/25)
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  • Medical Management Clinician

    Elevance Health (FL)
    …moderately complex case types that do not require the training or skill of a registered nurse . **Primary duties may include but are not limited to:** + ... a minimum of 4 years of clinical experience and/or utilization review experience. + Current active, valid...+ Current active, valid and unrestricted LPN/LVN license or RN license and/or certification to practice as a health… more
    Elevance Health (10/08/25)
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  • Special Operations Case Manager / Nurse…

    KBR (Homestead, FL)
    …compliance in meeting care goals. + Knowledge and skill in using pre-established utilization review criteria recognize and report actual or potential quality and ... + Current licens ur e ; full , active, and unrestricted license as a Registered Nurse or Licensed Clinical Social Worker in one of any US State, the District of… more
    KBR (10/08/25)
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  • Flight Program Manager Emergency Trans - Air

    AdventHealth (Wesley Chapel, FL)
    …Works with appropriate representatives from other clinical delivery units, finance, utilization review , social services, admissions, and medical staff to ... enrolled in and pursuing either of those degrees + Active and Unrestricted Registered Nurse or Paramedic license + ACLS Advanced Cardiac Life Support + BCLS… more
    AdventHealth (09/23/25)
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  • VP of Quality and Patient Safety

    HCA Healthcare (Trinity, FL)
    …related field required; Master's Degree preferred .Current Florida licensure as a Registered Nurse preferred _**If serving as facility's primary Risk Manager, ... Quality) OR CHCQM (Diplomate in American Board of Quality Assurance and Utilization Review Physicians) _Individuals without CPHQ or ABQUARP will be granted a 12… more
    HCA Healthcare (08/15/25)
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  • VP of Quality and Patient Safety

    HCA Healthcare (Sun City Center, FL)
    …related field required; Master's Degree preferred . Current Florida licensure as a Registered Nurse preferred _**If serving as facility's primary Risk Manager, ... Quality) OR CHCQM (Diplomate in American Board of Quality Assurance and Utilization Review Physicians) _Individuals without CPHQ or ABQUARP will be granted a 12… more
    HCA Healthcare (07/24/25)
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  • Mental Health Professional III Lic PRN

    HCA Healthcare (Gainesville, FL)
    …guidelines. Participates in developing department goals and clinical programming. + Performs utilization review as assigned. + Helps with Process and Quality ... to give people a healthier tomorrow."- Jane Englebright, PhD, RN CENP, FAAN Senior Vice President and Chief Nursing...Mental Health Professional III Lic PRN opening. We promptly review all applications. Highly qualified candidates will be directly… more
    HCA Healthcare (09/19/25)
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  • Case Mgr IR PRN

    HCA Healthcare (Aventura, FL)
    …2 years of critical care experience + Certification in case management or utilization review preferred + InterQual experience preferred HCA Florida Aventura ... the Rehabilitation team. **What qualifications you will need:** + RN with current state licensure; BSN preferred + Three...to apply for our Case Mgr opening. We promptly review all applications. Highly qualified candidates will be contacted… more
    HCA Healthcare (07/14/25)
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