• Clinical UM Nurse 2

    CenterWell (Tallahassee, FL)
    …of our caring community and help us put health first** The Utilization Management Nurse 2 uses clinical knowledge, communication skills, and independent ... your skills to make an impact** **Required Qualifications** + Licensed Registered Compact Nurse license (RN) with no disciplinary action and ability to obtain non… more
    CenterWell (09/26/25)
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  • Registered Nurse 2 - Chemotherapy…

    University of Miami (Miami, FL)
    …(https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . CORE JOB SUMMARY The Registered Nurse 2 delivers patient-family centered care ... of quality, safety, and service while ensuring population-specific patient care. The Registered Nurse 2 oversees nurses and allied health staff in their daily… more
    University of Miami (09/26/25)
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  • Registered Nurse 2 - Mohs - Full…

    University of Miami (Miami, FL)
    …please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The Registered Nurse works as a part of a team to ... position include, but are not limited to: Performance Nursing Duties as per Nurse Job Description 100% Perform patient interview and obtains vital signs. Assists… more
    University of Miami (10/01/25)
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  • Advanced Practice Registered Nurse - Human…

    University of Miami (Miami, FL)
    …metabolic disorders using independent discretion and judgment + Covers for other departmental nurse practitioners and/or clinical fellow(s) when they are out on ... at JMH/ UM Genetics clinics (including satellite clinics) + Manages clinical care for NBS/metabolic patients admitted to the hospital + Provide cross-coverage… more
    University of Miami (08/27/25)
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  • Registered Nurse 1 - OPD/Spine…

    University of Miami (Miami, FL)
    …health status of the patient in an ongoing timely and systematic manner. 2 . Obtains baseline information utilized for the development of individualized patient plan ... plan of care with patients, family and interdisciplinary team. 2 . Ensures the plan of care is accessible to...teaching nee ds as applicable. 4. Promotes development of clinical practice based on research and evidence. 5. Assists… more
    University of Miami (09/19/25)
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  • Utilization Management Nurse - Home…

    Humana (Tallahassee, FL)
    …and help us put health first** Full-Time, Remote Telephonic opportunity The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are varied and...a Utilization Management RN working on the OneHome/Home Solutions UM Team, you will have the opportunity to use… more
    Humana (09/12/25)
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  • Medical Director (AZ)

    Molina Healthcare (Orlando, FL)
    …national, state, and local laws and regulatory requirements affecting the medical and clinical staff. + Marketplace UM reviews + MD licenses required for ... appropriate care at the most effective setting. Evaluates the effectiveness of UM practices. Actively monitors for over and under-utilization. Assumes a leadership… more
    Molina Healthcare (09/26/25)
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  • RN, Manager, Utilization Management Nursing

    Humana (Tallahassee, FL)
    …for providing leadership and oversight of the physical health utilization management ( UM ) staff in daily operations. + Uses clinical knowledge, communication ... Manager, Utilization Management Nursing (LTSS Utilization Management Leader) utilizes clinical nursing skills to support the coordination, documentation and… more
    Humana (09/28/25)
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  • Quality Improvement CDI Specialist

    NCH (Naples, FL)
    + DEPARTMENT: 17117 - Clinical Documentation Integrity + LOCATION: 350 7th Street North, Naples, FL, 34102 + WORK TYPE: Full Time + WORK SCHEDULE: Standard Office ... and fellowships; Have endowed chairs; Conduct research and participate in national clinical trials; and partner with other health market leaders, like Hospital for… more
    NCH (09/15/25)
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  • Care Review Clinician (RN)

    Molina Healthcare (FL)
    **JOB DESCRIPTION** **Job Summary** Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically ... necessary and align with established clinical guidelines, insurance policies, and regulations - ensuring members...the Molina care model. * Adheres to utilization management ( UM ) policies and procedures. **Required Qualifications** * At least… more
    Molina Healthcare (10/02/25)
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