• Pre-Authorization Nurse

    Humana (Tallahassee, FL)
    …for either shift._ **Use your skills to make an impact** **Required Qualifications** + Licensed Registered Nurse ( RN ) in either Florida or a compact state ... for review depending on case findings. Educates providers on utilization and medical management processes. + Enters and maintains pertinent clinical information… more
    Humana (08/09/25)
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  • Disease Management Nurse - Remote

    Sharecare (Tallahassee, FL)
    …to enable individuals with disabilities to perform the essential functions. + Current Registered Nurse multi-state compact license in the state in which they ... utilization and desired clinical outcomes. The Disease Management Nurse is also responsible during their interactions with participants for identification… more
    Sharecare (07/12/25)
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  • Program Administrator - SES - 1

    MyFlorida (Largo, FL)
    …leave. Paid holidays and personal day. Retirement package. REQUIREMENTS + Unencumbered Florida Registered Nurse License. + Must be willing and able to travel ... (4) or more years of experience as a Licensed Registered Nurse in Long-Term Care facility. +...in the State Veterans' Homes by researching and the utilization of evidenced based clinical practices. Oversees the clinical… more
    MyFlorida (07/31/25)
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  • Quality Management, Nurse Consultant

    CVS Health (Tallahassee, FL)
    …clinical judgement as well as knowledge of internal systems. **Required Qualifications** - Registered Nurse ( RN ) with current unrestricted compact license ... hours, as needed. This position reports to the Potential Quality of Care (PQOC) nurse investigator team manager. This position is responsible for the review and… more
    CVS Health (08/08/25)
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  • SQPE Specialist I

    Cleveland Clinic (Stuart, FL)
    …Preferred qualifications for the ideal future caregiver include: + Masters degree + Registered Nurse ( RN ) + Certified Patient Safety Professional (CPPS) ... compliance with all standards and favorable performance on safety, quality, utilization , and experience metrics. + Participate in engraining the safety, quality,… more
    Cleveland Clinic (08/08/25)
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  • Telephonic Behavior Health Care Manager

    Humana (Hallandale Beach, FL)
    …+ Bachelor's degree in social work or behavioral health-related field + Active licensed Registered Nurse , RN in the state of Florida without disciplinary ... psycho-social health issues. + Monitor and maintain awareness of utilization and conducts outreach based on acuity to assess...protection. Please be aware that applicants selected for leader review may be asked to provide their social security… more
    Humana (07/15/25)
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  • APP, Supervisor - General Internal Medicine - Full…

    University of Miami (Miami, FL)
    …Providers supervises advance d practice providers (APPs) ( ie, Advanced Registered Nurse Practitioners, Physician Assistants etc.). Key responsibilities of ... 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) . APP, Supervisor -… more
    University of Miami (06/16/25)
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  • APP Supervisor - Surgery, Colorectal - Jackson…

    University of Miami (Doral, FL)
    …Providers supervises advance d practice providers (APPs) ( ie, Advanced Registered Nurse Practitioners, Physician Assistants etc.). Key responsibilities of ... 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) . APP Supervisor -… more
    University of Miami (07/11/25)
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  • Director of Quality Management - Inpatient Rehab

    Select Medical (Miami, FL)
    …of acute transfers and other CQI indicators. **Qualifications** **Minimum Qualifications** + Registered Nurse with valid state license. Legacy employees may ... documentation related to the hospital's CQI program. + Performs basic chart review activities with appropriate staff for outcome utilization , infection control… more
    Select Medical (06/20/25)
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  • Core Desk Coordinator - SoLe Mia

    University of Miami (North Miami, FL)
    …CORE QUALIFICATIONS Education: Bachelor of Science in nursing Certification and Licensing: Registered nurse license Experience: Minimum 5 years of relevant ... 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 (05/19/25)
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