• Care Review Clinician

    Molina Healthcare (Miami, FL)
    For this position we are seeking a ( RN ) Registered Nurse who must hold a compact license. This is a Remote position, home office with internet connectivity ... least 2 years experience, including experience in hospital acute care , inpatient review , prior authorization, managed ...or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must… more
    Molina Healthcare (11/23/25)
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  • Care Review Clinician

    Molina Healthcare (Miami, FL)
    …managed care , or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted in ... or emergency room. Preferred Experience Previous experience in managed care Prior Auth, Utilization Review / Utilization...experience in managed care Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual /… more
    Molina Healthcare (12/13/25)
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  • Registered Nurse -Quality Management…

    Veterans Affairs, Veterans Health Administration (Miami, FL)
    …- Quality Management Specialist within Sterile Processing Service. The Registered Nurse - (QMS) functions as an advanced clinician and executes position ... and makes recommendation for improvements claims, and/or recommends peer review when quality of care issues is...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
    Veterans Affairs, Veterans Health Administration (12/17/25)
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  • Clinical Research Nurse 2

    University of Miami (Miami, FL)
    …and manage adverse reactions or trial-related events, escalating to investigators and modifying care as directed by protocol and clinician input. + Coordinate ... faculty or staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The Diabetes Research… more
    University of Miami (12/20/25)
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  • Medical Management Nurse

    Elevance Health (Miami, FL)
    …as required by law._ **Must reside in the state of Florida** The **Medical Management Nurse ** will be responsible for review of the most complex or challenging ... **Medical Management Nurse ** **Location:** Virtual: This role enables associates to...and requires a minimum of 2 years clinical, utilization review , or managed care experience; or any… more
    Elevance Health (12/09/25)
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