• Remote RN Case Manager

    Actalent (Orlando, FL)
    Remote RN Case Manager Job Description We are seeking a dedicated RN Case Manager to perform telephonic case management for Medicare ... new cases in Athena EMR. Responsibilities + Perform telephonic case management for Medicare Advantage members. + Coordinate care...new cases using Athena EMR. Essential Skills + Valid RN license in Florida. + Minimum of 2 years… more
    Actalent (11/06/25)
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  • Registered Nurse Health Advisor

    AdventHealth (Altamonte Springs, FL)
    ** Registered Nurse Health Advisor AdventHealth PHSO** **All the benefits and perks you need for you and your family:** Benefits from Day One Paid Days Off from ... Full Time **Shift:** Monday Friday 8:00am to 5:00pm **Location:** Maitland, FL ( Remote ) **The role you'll contribute:** The Nurse Health Advisor coordinates… more
    AdventHealth (11/14/25)
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  • RN UM Clinical Appeals Nurse

    Molina Healthcare (Orlando, FL)
    …health, pharmacy, etc.), or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... **JOB DESCRIPTION** **Job Summary** The Clinical Appeals Nurse ( RN ) provides support for internal...Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management… more
    Molina Healthcare (11/14/25)
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  • Medical Review Nurse ( RN )

    Molina Healthcare (Orlando, FL)
    …and/or coding experience, or equivalent combination of relevant education and experience. + Registered Nurse ( RN ). License must be active and unrestricted ... **JOB DESCRIPTION** Looking for a RN that has a current active unrestricted license...Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management… more
    Molina Healthcare (09/06/25)
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  • Program Manager , Healthcare Services…

    Molina Healthcare (Orlando, FL)
    …transitions, behavioral health, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ), Licensed Vocational Nurse (LVN), ... to navigate online portals and databases. Preferred Qualifications * Certified Case Manager (CCM), Certified Professional in Healthcare Management (CPHM),… more
    Molina Healthcare (11/13/25)
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  • Transition of Care Coach ( RN )

    Molina Healthcare (Orlando, FL)
    …ICT collaboration. + RNs provide consultation, recommendations, and education as appropriate to non- RN case managers. + RNs are assigned cases with members who ... Association** Active, unrestricted Transitions of Care Sub-Specialty Certification and/or Certified Case Manager (CCM) Work schedule :M - F Pacific… more
    Molina Healthcare (09/14/25)
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  • Clinical Documentation Auditor

    AdventHealth (Maitland, FL)
    …: Days **Location: Remote ** **The role you'll contribute:** The Clinical Documentation Integrity Manager is a Registered Nurse and/or a Registered ... + Additional Licenses and Certifications Current active State license as a Registered Nurse , Nurse Practitioner, Physicians Assistant, Medical Physician,… more
    AdventHealth (11/14/25)
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