• Utilization Management Nurse

    CVS Health (Tallahassee, FL)
    …anywhere in the state of Florida. **Applicant must reside in Florida** . As a Utilization Management Nurse Consultant , you will utilize clinical skills ... we do it all with heart, each and every day. **Position Summary** Utilization Management is a 24/7 operation and work schedule may include weekends, holidays and… more
    CVS Health (05/16/25)
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  • Utilization Management Nurse

    CVS Health (Tallahassee, FL)
    …Must have active current and unrestricted RN licensure in state of residence. + Utilization Management is a 24/7 operation and work schedules will include ... in med surg or specialty area. + Managed Care experience preferred, especially Utilization Management . + Preference for those residing in EST zones.… more
    CVS Health (05/16/25)
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  • Consultant , Nurse Disability

    Lincoln Financial (Tallahassee, FL)
    …Role at a Glance** We are excited to bring on a highly motivated Nurse Disability Consultant to our clinical organization. This position will be responsible ... for** * 4 Year/Bachelor's Degree in Nursing * Registered Nurse License - Current, unrestricted license in the state...Care, , Trauma , Disability, Workman's comp or case management or Utilization review **Application Deadline** **What's… more
    Lincoln Financial (04/30/25)
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  • Senior Clinical Strategy Consultant

    Highmark Health (Tallahassee, FL)
    …​ **SKILLS** + Deep Clincal Expertise -extensive knowledge of clinical, quality, care, utilization , high-cost claim, and population health management . Must be a ... in Business or Clinical field **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse (RN) or Pharmacist (Pharm D) or Physician Assistant (PA) **Preferred** +… more
    Highmark Health (05/10/25)
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  • Registered Nurse Consult-After Hours

    MyFlorida (Chattahoochee, FL)
    …This is a highly responsible and professional position that will serve as a Registered Nurse Consultant - After Hours. T his position will collaborate with each ... REGISTERED NURSE CONSULT-AFTER HOURS - 60005482 Date: May 2,...on medical and health care services, patient assessments, and utilization practices. + Ability to develop program policy, procedures,… more
    MyFlorida (05/13/25)
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  • Care Manager, Registered Nurse

    CVS Health (Tallahassee, FL)
    …providers. Serves as advocate for patients, ensuring effective communication, resource utilization , and continuous monitoring of their progress to promote positive ... healthcare personnel as appropriate. - Implements and coordinates all case management activities relating to catastrophic cases and chronically ill members/clients… more
    CVS Health (05/15/25)
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