• RN Utilization Management…

    Humana (Tallahassee, FL)
    **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work...make an impact** + Active Florida license or Compact Registered Nurse Clinical license without restrictions. +… more
    Humana (05/08/25)
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  • Registered Nurse Utilization…

    AdventHealth (Tampa, FL)
    …role** **you'll** **contribute:** The role of the Utilization Management (UM) Registered Nurse ( RN ) is to use clinical expertise by analyzing patient ... admission, treatment, and appropriate level of care. The UM RN leverages the algorithmic logic of the XSOLIS Cortex...order or a status conflict is indicated, the UM nurse is responsible for escalation to the Physician Advisor… more
    AdventHealth (05/07/25)
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  • Utilization Management Nurse…

    CVS Health (Tallahassee, FL)
    …administration of the utilization /benefit management function. Required Qualifications + Registered Nurse in state of residence. + 3+ years of Nursing ... experience. Preferred Qualifications + Prior authorization utilization management /review experience preferred Outpatient Clinical experience. + Knowledge of… more
    CVS Health (05/04/25)
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  • Utilization Management Nurse…

    CVS Health (Tallahassee, FL)
    …Qualifications** + Must reside in EST zone + 3+ years of experience as a Registered Nurse + 3+ years of clinical experience required + Must have active ... current and unrestricted RN licensure in state of residence + 1+ year(s)...able to work Monday through Friday, 8:00am to 5:00pm. Utilization management is a 24/7 operation. Work… more
    CVS Health (05/02/25)
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  • Utilization Management Nurse…

    CVS Health (Tallahassee, FL)
    …active current and unrestricted RN licensure in state of residence + Utilization Management is a 24/7 operation and work schedules will include weekends, ... **Required Qualifications** + 2+ years of experience as a Registered Nurse in adult acute care/critical care...or specialty area + Managed Care experience preferred, especially Utilization Management + Preference for those residing… more
    CVS Health (05/02/25)
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  • Utilization Management RN…

    AdventHealth (Altamonte Springs, FL)
    …role you will contribute:** The role of the Utilization Management (UM) Registered Nurse ( RN ) is to use clinical expertise by analyzing patient ... including concurrent payer communications to resolve status disputes. The Utilization Management Nurse is accountable.... Current and valid license to practice as a Registered Nurse (ADN or BSN) required. .… more
    AdventHealth (05/03/25)
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  • Senior Compliance Registered Nurse

    Humana (Tallahassee, FL)
    …of our caring community and help us put health first** The Senior Compliance Nurse reviews utilization management activities and documentation to ensure ... your skills to make an impact** **Required Qualifications:** + Registered Nurse with a Bachelor's degree in...action + Minimum two, (2) years of experience in utilization management + Intermediate proficiency using Microsoft… more
    Humana (05/06/25)
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  • AA* Registered Nurse RN Care…

    AdventHealth (Dade City, FL)
    ** Registered Nurse RN Care...care patient's care based on individual patient needs. The RN Care Manager is responsible for independent management ... **Location:** 13925 17TH ST, Dade City, 33525 **The role you'll contribute:** The Home Health Registered Nurse ( RN ) Care Manager is a professional nurse … more
    AdventHealth (02/21/25)
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  • Nurse Manager - Registered…

    Select Medical (Gainesville, FL)
    **Overview** **Select Specialty Hospital** **(Gainesville, FL)** ** Nurse Manager- Registered Nurse ( RN )** **Full-time** **Sign On Bonus: $15,000** Select ... characteristic protected under applicable law. Apply for this job (https://jobs-selectmedicalcorp.icims.com/jobs/321640/ nurse -manager registered - nurse --%28rn%29/job?mode=apply&apply=yes&in\_iframe=1&hashed=1374627814) Share this job… more
    Select Medical (04/26/25)
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  • Pediatric and Women's Registered…

    AdventHealth (Orlando, FL)
    …documents avoidable days, and facilitates progression of care. Collaborates with Utilization Management staff for collaboration on patient status changes ... valid State of Florida or multistate license as a Registered Nurse + 2 years of medical/...+ Health-related master's degree or MSN + Prior Care Management / Utilization Management experience +… more
    AdventHealth (04/23/25)
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