- Cognizant (Tallahassee, FL)
- …you need to have to be considered** . Educational background - Registered Nurse (RN) . 2-3 years combined clinical and/or utilization management ... Eastern Time **Location:** Remote **About the role** As a Registered Nurse you will make an impact...care revenue cycle or clinic operations . Experience in utilization management to include Clinical Appeals and… more
- AdventHealth (Daytona Beach, FL)
- …you'll contribute:** The role of the Utilization Management (UM) Registered Nurse (RN) is to use clinical expertise by analyzing patient records to ... + Current and valid license to practice as a Registered Nurse (ADN or BSN) required. +...clinical nursing experience required. + Minimum two years Utilization Management experience, or equivalent professional experience. + Excellent… more
- Wellpath (Fort Lauderdale, FL)
- …for training, education, and point of care support. **How you make a difference** The Utilization Management Registered Nurse works under the guidance of the ... accordance with applicable state and local laws. Quick Apply (https://careers-wellpath.icims.com/jobs/181904/ utilization -management- registered - nurse -%28rn%29/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336175207) **Need help finding the… more
- Veterans Affairs, Veterans Health Administration (Gainesville, FL)
- Summary The Utilization Management/Inpatient Care Coordination Nurse Manager demonstrates leadership expertise in regards inpatient care coordination and ... level degree in Nursing may have opportunity to become registered as a nurse with a state...Utilization Management experience Minimum five years varied RN clinical experience to include acute care; UM, discharge planning,… more
- Humana (Tallahassee, FL)
- …community and help us put health first** Full-Time, Remote Telephonic opportunity The Utilization Management Nurse 2 utilizes clinical nursing skills to ... communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are...+ Minimum of Associate Degree in nursing + Licensed Registered Nurse (RN) in a compact state… more
- 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 ... of utilization management services for assigned area + Implements clinical policies & procedures in accordance with applicable regulatory and accreditation… more
- Fresenius Medical Center (Venice, FL)
- …requirements. Ensure provision of quality patient care while maintaining cost-effective clinical operations in accordance with all legal, compliance, and regulatory ... FMCNA Compliance Program, and FMS patient care and administrative policies as the clinical leader, has the authority to make daily decisions to ensure continuity of… more
- Fresenius Medical Center (Homestead, FL)
- **About this role:** As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical ... or chronic kidney disease. **Training and advancement:** You will enter our Clinical Leadership Program that creates and supports a culture of continuous learning… more
- Actalent (Sunrise, FL)
- Actalent is Hiring a Remote DietitianPosition Purpose: The Registered Dietitian will provide clinical education and support for Ambetter members enrolled in ... education experience (required). + Licensure: Current, active, and unrestricted Registered Dietitian (RD) license (required). Program Overview: + Supports high-risk… more
- MyFlorida (Land O' Lakes, FL)
- REGISTERED NURSE - 50000059 Date: Sep 26, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... . Requisition No: 853673 Agency: Veterans Affairs Working Title: REGISTERED NURSE - 50000059 Pay Plan: Career...in maintaining standards for professional nursing practice in the clinical setting. Works under the direct supervision of the… more