• Registered Nurse RN Care Manager…

    AdventHealth (Orlando, FL)
    …of Nursing [Required] + 2 medical/hospital nursing experience [Required] + Registered Nurse (RN) [Required] **Preferred qualifications:** + Prior Care ... patient progression of care and transitions plans. Evaluates the potential for readmissions throughout the patient stay through the monitoring of each patient's… more
    AdventHealth (11/08/25)
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  • Medical Review Nurse (RN)

    Molina Healthcare (FL)
    …and/or coding experience, or equivalent combination of relevant education and experience. + Registered Nurse (RN). License must be active and unrestricted in ... of services provided, length of stay, level of care, and inpatient readmissions . + Validates member medical records and claims submitted/correct coding, to ensure… more
    Molina Healthcare (09/06/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (FL)
    …and efficiency recommendations. **Minimum Requirements:** + Requires current, active, unrestricted Registered Nurse license in applicable state(s). + Requires a ... coding and documentation patterns such as inappropriate billing for readmissions , inpatient admission status, and Hospital-Acquired Conditions (HACs). + Suggests… more
    Elevance Health (11/06/25)
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  • Hospice Administrator

    AdventHealth (Altamonte Springs, FL)
    …or CHPN Certified (###@gmail.com) + Previous experience as a hospice administrator + Registered Nurse This facility is an equal opportunity employer and complies ... cost of care to the system (ie reducing hospital length of stay, readmissions and other hospital metrics).Leads to ensure delivery of exceptional care to… more
    AdventHealth (11/08/25)
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  • Dementia Care Navigator, Social Worker

    Bluestone Physician Services (Tampa, FL)
    …: Education/Certification/Experience + Degree in Social Work, Licensed Social Worker or Registered Nurse + 3-5 years of experience in case/care management ... 21% fewer ER visits, 36% fewer hospitalizations and 41% fewer hospital readmissions compared to patients with similar conditions and complexities over the same… more
    Bluestone Physician Services (09/18/25)
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