• Utilization Management Nurse…

    CVS Health (Tallahassee, FL)
    …Must be willing and able to work Monday through Friday, 8:00am to 5:00pm. Utilization management is a 24/7 operation. Work schedules will include weekend/holiday ... zone + 3+ years of experience as a Registered Nurse + 3+ years of clinical experience required +...+ Managed Care experience + Discharge planning experience + Utilization Management experience **Education** Associates Degree or… more
    CVS Health (07/18/25)
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  • QM Nurse Consultant

    CVS Health (Tallahassee, FL)
    …we do it all with heart, each and every day. **Position Summary** As a QM Nurse Consultant you will be responsible for the review and evaluation of clinical ... required - 2+ years of experience as a Registered Nurse - Must have active, current and unrestricted RN...5:00pm in time zone of residence **Preferred Qualifications** - Utilization Management review - Managed Care experience… more
    CVS Health (07/18/25)
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  • Human Services Program Consultant II

    MyFlorida (Orlando, FL)
    …Bachelor's Degree in any other discipline with at least 6 months of direct case management experience or a Florida Licensed Registered Nurse (RN) with 1-year of ... HUMAN SERVICES PROGRAM CONSULTANT II - 64006362 Date: Jul 3, 2025...(CBO's). Incumbent reports directly to the Supervisor of Case Management . Staff will establish and maintain a caseload of… more
    MyFlorida (07/08/25)
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  • Senior Community Health Nurse

    MyFlorida (Auburndale, FL)
    SENIOR COMMUNITY HEALTH NURSE - 64031510 Date: Jul 15, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... No: 856648 Agency: Department of Health Working Title: SENIOR COMMUNITY HEALTH NURSE - 64031510 Pay Plan: Career Service Position Number: 64031510 Salary: $64,000… more
    MyFlorida (07/16/25)
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  • Clinical Pharmacy Specialist - Mental Health…

    Veterans Affairs, Veterans Health Administration (West Palm Beach, FL)
    …who functions to initiate, modify or discontinue medication therapy and as a consultant for intensive medication therapy management services. This includes, but ... as physician consultation, patient monitoring, and patient counseling and medication management clinics within Mental Health Care framework. The incumbent is… more
    Veterans Affairs, Veterans Health Administration (07/13/25)
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  • Medical/Health Care Program Analyst

    MyFlorida (Tallahassee, FL)
    …maximum reimbursement allowances developed pursuant to s. 440.13(12), FS Consults with Registered Nurse Consultant as necessary to identify issues that may be ... for medical services billed to insurance companies and reimbursement and utilization disputes between health care providers and carriers, under the authority… more
    MyFlorida (07/15/25)
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