• Associate Manager, Clinical Health Services…

    CVS Health (FL)
    …non-compact states as needed. + 5+ years of acute experience as a Registered Nurse + 3+ years of Utilization Management experience + 3+ year(s) of Appeals ... **Position Summary** The Associate Manager is responsible for oversight of Utilization Management staff. This position is responsible for the development and… more
    CVS Health (10/08/25)
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  • Quality Review Nurse RN PRN…

    AdventHealth (Orlando, FL)
    **Quality Review Nurse RN PRN...Care experience + OASIS experience + PDGM experience + Registered Nurse State Licensure and/or Compact State ... FL, 32804 **The role you'll contribute:** Responsible for ensuring effective utilization and case management oversight activities as defined by interprofessional… more
    AdventHealth (10/09/25)
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  • Pharmacy Benefit Consultant

    Highmark Health (Tallahassee, FL)
    …**Preferred** + 5 years of experience with communications + 3 years of experience in Utilization Review + 3 years of experience in Account Support + 1 year ... **Required** + None **Preferred** + PA clinical licensure/certifications such as RN , RD, Pharmacist **Language (Other than English):** None **Travel Requirement:**… more
    Highmark Health (08/26/25)
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  • Care Review Clinician ( RN )

    Molina Healthcare (FL)
    …authorization, managed care, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... **JOB DESCRIPTION** **Job Summary** Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically… more
    Molina Healthcare (10/02/25)
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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 (08/28/25)
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  • RN Coordinator Operating Room Surgery

    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. You ... colleagues in their positions. Join our Team as an RN Coordinator in the Operating Room and access programs...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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  • 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 your current...Associate Degree, or Bachelors Degree, or Registered Nurse Diploma + APRN preferred +… more
    HCA Healthcare (08/30/25)
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  • Operating Room RN PRN Float Pool Seasonal

    HCA Healthcare (Trinity, FL)
    …satisfaction and personal growth, we encourage you to apply for our Operating Room RN PRN Float Pool Seasonal opening. We review all applications. Qualified ... have the PRN career opportunities as a(an) Operating Room RN PRN Float Pool Seasonal you want with your...Summary and Qualifications** We are seeking an Operating Room Nurse for our ambulatory surgery center who demonstrates the… more
    HCA Healthcare (08/08/25)
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  • Operating Room RN Float Pool Seasonal

    HCA Healthcare (Trinity, FL)
    …satisfaction and personal growth, we encourage you to apply for our Operating Room RN Float Pool Seasonal opening. We promptly review all applications. Highly ... like family! Jump-start your career as a(an) Operating Room RN Float Pool Seasonal today with Surgery Ventures. **$48...Summary and Qualifications** We are seeking an Operating Room Nurse for our ambulatory surgery center who demonstrates the… more
    HCA Healthcare (08/08/25)
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  • Manager, Case Management, RN

    Carnival Cruise Line (Miami, FL)
    …Manager also escalates high-risk cases, conducts care coordination and utilization reviews. Operationally, the role supports shipboard medical teams, participates ... crew members. **Essential Functions:** + **Case Management Oversight** + Manage and review cases, including those at domicile or regional centers of excellence. +… more
    Carnival Cruise Line (08/29/25)
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