- PharmaCord (Orlando, FL)
- …experience with relevant disease state experience preferred. Nurseline triage, Call Center Utilization Management , Call Center Case Management , a plus. ... collaborating to share ideas, support, and resources. As a Nurse Advocate you are responsible for contact with program...Case management or Clinical Trial Nurse experience, a plus. Bachelor's degree preferred. We are… more
- AdventHealth (Daytona Beach, FL)
- …Daytona Beach, 32117 **The role you'll contribute:** The role of the Utilization Management (UM) Registered Nurse (RN) is to use clinical expertise by ... including concurrent payer communications to resolve status disputes. The Utilization Management Nurse is accountable...+ Current and valid license to practice as a Registered Nurse (ADN or BSN) required. +… more
- AdventHealth (Tampa, FL)
- …**The ro** **le you'll contribute:** The role of the Emergency Department Utilization Management (UM) Registered Nurse (RN) is to use clinical expertise ... for additional review as determined by department standards. The Utilization Management Nurse is accountable...records of at least two years Preferred RN - Registered Nurse - State Licensure and/or Compact… more
- Cognizant (Tallahassee, FL)
- …- Registered Nurse (RN) . 2-3 years combined clinical and/or utilization management experience with managed health care plan . 3 years' experience in ... Eastern Time **Location:** Remote **About the role** As a Registered Nurse you will make an impact...care revenue cycle or clinic operations . Experience in utilization management to include Clinical Appeals and… more
- Humana (Tallahassee, FL)
- …community and help us put health first** Full-Time, Remote Telephonic opportunity The Utilization Management Nurse 2 utilizes clinical nursing skills to ... communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work...+ Minimum of Associate Degree in nursing + Licensed Registered Nurse (RN) in a compact state… more
- CVS Health (Tallahassee, FL)
- … solutions that promote high-quality healthcare for members. We are seeking a dedicated Utilization Management (UM) Nurse Consultant to join our remote team. ... a computer. + Flexibility to provide coverage for other Utilization Management (UM) Nurses across various UM...are not permitted. **Required Qualifications** + Active unrestricted state Registered Nurse licensure in state of residence… more
- Actalent (Sunrise, FL)
- Actalent is Hiring a Remote DietitianPosition Purpose: The Registered Dietitian will provide clinical education and support for Ambetter members enrolled in Disease ... Management programs, with a focus on Diabetes and Congestive...education experience (required). + Licensure: Current, active, and unrestricted Registered Dietitian (RD) license (required). Program Overview: + Supports… more
- Veterans Affairs, Veterans Health Administration (Tampa, FL)
- …Health Care System is seeking an experienced, dynamic and talented Registered Nurse for Quality/ Utilization Management . Our ideal applicants are those ... level degree in Nursing may have opportunity to become registered as a nurse with a state...creditable as related degrees. Preferred Experience: Demonstrated experience in Utilization Management within a healthcare setting, including… more
- MyFlorida (Macclenny, FL)
- …appropriateness of that utilization . Minimum Qualifications: + Licensure as a Registered Professional Nurse in accordance with Florida Statute 464 or ... REGISTERED NURSE SPECIALIST OPS - 60955263... REGISTERED NURSE SPECIALIST OPS - 60955263 Date: Oct 10,...Requisition No: 862161 Agency: Children and Families Working Title: REGISTERED NURSE SPECIALIST OPS - 60955263 Pay… more
- Humana (Tallahassee, FL)
- **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are… more
- MyFlorida (Land O' Lakes, FL)
- REGISTERED NURSE - 50000059 Date: Sep 26, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... . Requisition No: 853673 Agency: Veterans Affairs Working Title: REGISTERED NURSE - 50000059 Pay Plan: Career Service… more
- MyFlorida (St. Augustine, FL)
- REGISTERED NURSE - 50950152 Date: Sep 19,...the scope of practice as defined by the Florida Nurse Practice Act. + Ensure economical utilization of ... . Requisition No: 857361 Agency: Veterans Affairs Working Title: REGISTERED NURSE - 50950152 Pay Plan: Career Service Position Number: 50950152… more
- MyFlorida (Gainesville, FL)
- …appropriateness of that utilization . Minimum Qualifications: + Licensure as a Registered Professional Nurse in accordance with Florida Statute 464 and three ... SENIOR REGISTERED NURSE SUPV-F/C - 60008547 Date:...compliance with federal, state, and hospital guidelines. + Team Management : Lead, motivate, and evaluate nursing staff. Participate in… more
- MyFlorida (Port Charlotte, FL)
- REGISTERED NURSE - 50009670 Date: Sep 15,...the scope of practice as defined by the Florida Nurse Practice Act. + Ensure economic utilization of ... . Requisition No: 858320 Agency: Veterans Affairs Working Title: REGISTERED NURSE - 50009670 Pay Plan: Career Service Position Number: 50009027… more
- MyFlorida (Panama City, FL)
- REGISTERED NURSE - 50009130 Date: Sep 15, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... . Requisition No: 861123 Agency: Veterans Affairs Working Title: REGISTERED NURSE - 50009130 Pay Plan: Career...state, and federal rules and regulations + Ensure economical utilization of supplies and ensure that equipment is maintained… more
- MyFlorida (Land O' Lakes, FL)
- SENIOR REGISTERED NURSE SUPV - 50000070 Date: Oct 9, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... . Requisition No: 858645 Agency: Veterans Affairs Working Title: SENIOR REGISTERED NURSE SUPV - 50000070 Pay Plan: Career Service… more
- MyFlorida (Orlando, FL)
- REGISTERED NURSE Date: Oct 4, 2025 The...Plans and MDS as required. + Will ensure economic utilization of supplies and proper charging of items to residents' ... . Requisition No: 860343 Agency: Veterans Affairs Working Title: REGISTERED NURSE Pay Plan: Career Service Position Number:… more
- MyFlorida (Port Charlotte, FL)
- SENIOR REGISTERED NURSE SUPV - 50009026 Date: Sep 15, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... Requisition No: 860828 Agency: Veterans Affairs Working Title: SENIOR REGISTERED NURSE SUPV - 50009026 Pay Plan:...hours of scheduled Care Plan Conference. Participate in economic utilization of supplies and ensure that equipment is maintained… more
- HCA Healthcare (Panama City, FL)
- …Coast Hospital we support our colleagues in their positions. Join our Team as a(an) Registered Nurse Cardiac Holding RN and access programs to assist with every ... gain certifications and job skills. Apply today for our Registered Nurse Cardiac Holding RN opening and...Hospital. Prioritizes and organizes patient flow to ensure best utilization of time. Is given general guidance and is… more
- MyFlorida (Port Saint Lucie, FL)
- SENIOR REGISTERED NURSE SUPV Date: Sep 29, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... . Requisition No: 854386 Agency: Veterans Affairs Working Title: SENIOR REGISTERED NURSE SUPV Pay Plan: Career Service Position Number:… more
