• Registered Nurse…

    Veterans Affairs, Veterans Health Administration (Miami, FL)
    …process and initiatives as well as customer service programs. The Utilization Management /Float Registered Nurse ( RN ) is responsible for providing ... Center is looking for recruit for Registered Nurse - Utilization Management /...the Associate Director of Patient Care Services (ADPCS). The Utilization Management /Float ( RN ) follows procedures… more
    Veterans Affairs, Veterans Health Administration (11/14/25)
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  • Utilization Management Nurse…

    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...+ Minimum of Associate Degree in nursing + Licensed Registered Nurse ( RN ) in a… more
    Humana (09/12/25)
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  • Utilization Management Clinical…

    CVS Health (Tallahassee, FL)
    …+ Active and good standing Arizona clinical and/or counseling license, specifically RN ( Registered Nurse ), LPC (Licensed Professional Counselor), LAC ... experience working within the mental health system. + Previous experience with utilization management . + Ability to collaborate with various internal… more
    CVS Health (11/19/25)
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  • SNF Utilization Management RN…

    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...skills to make an impact** **Required Qualifications** + **​Licensed Registered Nurse ( RN )** in the… more
    Humana (09/12/25)
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  • Utilization Management Nurse

    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...Qualifications** + Minimum of an Associate's degree + Licensed Registered Nurse ( RN ) with no… more
    Humana (11/18/25)
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  • Utilization Management Nurse

    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...skills to make an impact** **Required Qualifications** + Licensed Registered Nurse ( RN ) in the… more
    Humana (11/16/25)
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  • Registered Nurse RN ED…

    AdventHealth (Tampa, FL)
    …such as heart failure, cancer and other diseases. **The role you'll contribute:** The Utilization Management nurse uses clinical expertise to review patient ... + Associates degree required + Bachelors degree preferred + RN License - required + 3 years Clinical nursing...nursing in an acute care setting - preferred + Utilization Management or Care Management … more
    AdventHealth (11/07/25)
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  • Clinical Registered Nurse…

    Cognizant (Tallahassee, FL)
    …have to be considered** . Educational background - Registered Nurse ( RN ) . 2-3 years combined clinical and/or utilization management experience with ... 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
    Cognizant (11/15/25)
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  • RN - Utilization Management

    ERP International (Macdill AFB, FL)
    **Overview** ERP International is seeking a ** Registered ** ** Nurse ( RN )** for a Full-Time position in ** Utilization Management ** at MacDill AFB, FL. ... sectors. We provide comprehensive enterprise information technology, strategic sourcing, and management solutions to DoD and federal civilian agencies in 40 states.… more
    ERP International (09/18/25)
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  • Utilization Review Team Lead

    BayCare Health System (St. Petersburg, FL)
    …clinical nursing **Certifications and Licensures:** + Required RN ( Registered Nurse ) + Preferred ACM (Case Management ) + Preferred CCM (Case Manager) ... Nursing or + Preferred Bachelors in Nursing **Experience:** + Required 3 years in Utilization Management or + Required 3 years in Case Management or +… more
    BayCare Health System (11/12/25)
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