• Utilization Review RN

    Community Health Systems (Naples, FL)
    Join us as a ** Registered Nurse ( RN ) - Utilization Review position** at Physicians Regional Collier Unit: Utilization Review Shift: Mon-Fri ... and Part-Time roles **Job Summary** The Utilization Review Nurse - RN reviews...patient-centered service and continuous improvement. **Licenses and Certifications** + RN - Registered Nurse -… more
    Community Health Systems (11/20/25)
    - Related Jobs
  • Registered Nurse

    Veterans Affairs, Veterans Health Administration (Winter Park, FL)
    Summary The Orlando VA Medical Center is seeking a Utilization Review Registered Nurse to join the Orlando VAMC team. The Utilization Review ... vocational nurses/nursing assistants, as appropriate to the setting. The Utilization Review RN assist in...improvement and outcomes utilization consultation. Responsibilities The Utilization Review Registered Nurse more
    Veterans Affairs, Veterans Health Administration (11/21/25)
    - Related Jobs
  • Utilization Review RN

    BayCare Health System (Tampa, FL)
    …appraisals + Community discounts and more Equal Opportunity Employer Veterans/Disabled **Position** Utilization Review RN **Location** Tampa:St Josephs | ... of trust, dignity, respect, responsibility and clinical excellence. **The Utilization Review Specialist Senior/ RN responsibilities...+ **On Call:** No **Certifications and Licensures:** + Required RN ( Registered Nurse ) + Preferred… more
    BayCare Health System (10/10/25)
    - Related Jobs
  • Utilization Review Team Lead

    BayCare Health System (St. Petersburg, FL)
    … Management or 6 years of clinical nursing **Certifications and Licensures:** + Required RN ( Registered Nurse ) + Preferred ACM (Case Management) + Preferred ... trust, dignity, respect, responsibility and clinical excellence. **The Team Lead Utilization Review responsibilities include:** + Directing and coordinating the… more
    BayCare Health System (11/12/25)
    - Related Jobs
  • Registered Nurse RN ED…

    AdventHealth (Tampa, FL)
    …and other diseases. **The role you'll contribute:** The Utilization Management nurse uses clinical expertise to review patient records in the emergency ... providers in emergency department setting. Utilize critical thinking and expertise in utilization review regarding medical necessity, patient status, level of… more
    AdventHealth (11/07/25)
    - Related Jobs
  • SNF Utilization Management RN

    Humana (Tallahassee, FL)
    …an impact** **Use your skills to make an impact** **Required Qualifications** + **​Licensed Registered Nurse ( RN )** in the (appropriate state) with no ... caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing...in an acute care setting + Previous experience in utilization management/ utilization review for a… more
    Humana (09/12/25)
    - Related Jobs
  • Care Review Clinician ( RN )

    Molina Healthcare (St. Petersburg, FL)
    …authorization, managed care, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... unit (ICU) or emergency room. Previous experience in managed care Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual / MCG… more
    Molina Healthcare (11/21/25)
    - Related Jobs
  • Care Review Clinician, PA ( RN )

    Molina Healthcare (Jacksonville, FL)
    …for internal meetings. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse ( RN ). **Required Experience** 1-3 years of ... Experience** Previous experience in Hospital Acute Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual… more
    Molina Healthcare (10/26/25)
    - Related Jobs
  • Registered Nurse RN case Mgr

    HCA Healthcare (Margate, FL)
    …growth, we encourage you to apply for our Registered Nurse RN case Mgr opening. We promptly review all applications. Highly qualified candidates will ... **Introduction** Do you have the career opportunities as a(an) Registered Nurse RN case Mgr...critical care experience + Certification in case management or utilization review preferred + InterQual experience preferred… more
    HCA Healthcare (11/14/25)
    - Related Jobs
  • Registered Nurse RN Case Mgr

    HCA Healthcare (Atlantis, FL)
    …**Introduction** Do you want to join an organization that invests in you as a(an) registered Nurse RN Case Mgr? At HCA Florida JFK Hospital, you ... make a difference. We are looking for a dedicated registered Nurse RN Case Mgr...critical care experience + Certification in case management or utilization review preferred + InterQual experience preferred… more
    HCA Healthcare (11/19/25)
    - Related Jobs