• ERP International (Macdill AFB, FL)
    **Overview** ERP International is seeking a ** Registered ** ** Nurse ( RN )** for a Full-Time position in ** Utilization Management ** at MacDill AFB, FL. ... sectors. We provide comprehensive enterprise information technology, strategic sourcing, and management solutions to DoD and federal civilian agencies in 40 states.… more
    DirectEmployers Association (09/18/25)
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  • Teleflex (Tampa, FL)
    …based Sales Representative, Anesthesia, is making connections with anesthesiologists, Certified Registered Nurse Anesthetist's (CRNA's), other members of the ... our world-class brands including: + LMA and Rusch airway management devices designed to help reduce the risk of...business plan. - Grow overall market share and increase utilization among existing accounts, while securing new users within… more
    DirectEmployers Association (10/15/25)
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  • ED Utilization Management

    AdventHealth (Tampa, FL)
    …contribute:** The role of the Emergency Department Utilization Management (UM) Registered Nurse ( RN ) is to use clinical expertise by analyzing ... for additional review as determined by department standards. The Utilization Management Nurse is accountable...electronic health records of at least two years Preferred RN - Registered Nurse -… more
    AdventHealth (10/11/25)
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  • Clinical Learning Facilitator - Utilization

    Molina Healthcare (Tampa, FL)
    …state board licensing mandate. + At least 2 years in case, disease or utilization management ; managed care; or medical/behavioral health settings. + One year of ... or Clinical Social Worker/Counseling License. + Certified Case Manager (CCM), Utilization Management Certification (CPHM), Certified Professional in Health Care… more
    Molina Healthcare (09/17/25)
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  • Registered Nurse -Quality…

    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
    Veterans Affairs, Veterans Health Administration (10/10/25)
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  • RN Registered Nurse Care…

    AdventHealth (Tampa, FL)
    …Qualifications The expertise and experiences you'll need to succeed: .Associate Degree Nursing or RN Diploma degree. .Florida Registered Nurse ( RN ) ... satisfaction, patient safety, readmission prevention and length of stay management . The RN Care Manager communicates daily....Two (2 ) years of medical/hospital Registered Nurse experience This facility is an equal opportunity employer… more
    AdventHealth (09/27/25)
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  • Medical Management Clinician Associate

    Elevance Health (Tampa, FL)
    …following standard procedures that do not require the training or skill of a registered nurse . **How You Will Make an Impact** Primary duties may include, ... Excel. + Previous clinical experience at a skilled nursing facility or utilization management experience strongly preferred. Please be advised that Elevance… more
    Elevance Health (10/07/25)
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  • Manager Care Management

    AdventHealth (Tampa, FL)
    …Patient Choice, etc.) Qualifications **The expertise and experiences you'll need to succeed:** Registered Nurse : BSN or Social Worker: BSW Masters in related ... field. 3 years in direct Care Management / Utilization Management experience in an... experience in an acute care setting. State specific RN license if a nurse . This facility… more
    AdventHealth (09/11/25)
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  • Care Management Manager

    AdventHealth (Tampa, FL)
    …sharing amongst staff. Qualifications **The expertise and experiences you'll need to succeed:** Registered Nurse : BSN or Social Worker: BSW Masters in related ... field. 3 years in direct Care Management / Utilization Management experience in an... experience in an acute care setting. State specific RN license if a nurse . This facility… more
    AdventHealth (09/06/25)
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  • RN Registered Nurse Care…

    AdventHealth (Tampa, FL)
    …patient satisfaction, patient safety, readmission prevention and length of stay management .The RN Care Manager communicates daily with the interdisciplinary ... of medical necessity are core competencies of this role.The RN Care Manager facilitates the collaborative management ... Diploma degree Two (2 ) years of hospital Registered Nursing experience State specific RN license… more
    AdventHealth (09/27/25)
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  • Care Review Clinician, PA ( RN )

    Molina Healthcare (Tampa, 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 (10/17/25)
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  • Registered Nurse

    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 (10/08/25)
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  • Registered Nurse Care Manager

    AdventHealth (Tampa, FL)
    …experiences you'll need to succeed:** Associate and 2 years experience Associates Degree Nursing or RN Diploma degree. Registered Nurse ( RN ). 2 years of ... transitions, patient satisfaction, patient safety, readmission prevention and length of stay management . The RN Care Manager communicates daily with the… more
    AdventHealth (10/02/25)
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  • Registered Nurse Care Manager…

    AdventHealth (Wesley Chapel, FL)
    …Qualifications **The expertise and experiences you'll need to succeed:** Associates Degree Nursing or RN Diploma degree. Registered Nurse ( RN ). State ... transitions, patient satisfaction, patient safety, readmission prevention and length of stay management . The RN Care Manager communicates daily with the… more
    AdventHealth (10/07/25)
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  • Dementia Care Navigator, RN

    Bluestone Physician Services (Tampa, FL)
    …with primary care teams to ensure high quality team-based care + Use utilization management tools to facilitate appropriate transitional care management ... with providers to identify high risk patients Qualifications : Education/Certification/Experience + Registered Nurse or Degree in Social Work, Licensed Social… more
    Bluestone Physician Services (09/18/25)
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  • Team Lead Registered Nurse PICU…

    AdventHealth (Tampa, FL)
    …**The expertise and experiences you'll need to succeed:** Associate's of Nursing Required Registered Nurse ( RN ) Required Basic Life Support - CPR ... Participates in conducting performance appraisals for personnel on assigned shift. The Registered Nurse provides self-directed, effective nursing care to groups… more
    AdventHealth (10/02/25)
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  • Registered Nurse Specialist

    MyFlorida (Clearwater, FL)
    68061397 - REGISTERED NURSE SPECIALIST Date: Oct 8, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... Agency for Health Care Administration Working Title: 68061397 - REGISTERED NURSE SPECIALIST Pay Plan: Career Service...individual, team member or team leader. As assigned by management , this position is required to successfully complete the… more
    MyFlorida (10/08/25)
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  • RN -Case Manager

    ERP International (Macdill AFB, FL)
    **Overview** ERP International is seeking ** Registered ** ** Nurse ( RN )** for Full-Time positions in **Case Management ** at MacDill AFB, FL. Apply online ... algorithms, CM software, and databases for community resources. * Integrate CM and utilization management (UM) and integrating nursing case management with… more
    ERP International (08/20/25)
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  • RN - Care Management PRN

    AdventHealth (Land O' Lakes, FL)
    ….ADN, RN .Two (2) years of hospital nursing experience .Current license of registered nurse in Florida or licensure from another state with verification of ... frames on a specific group of patients.The Case Manager is responsible for utilization reviews and resource management , discharge planning, treatment plan … more
    AdventHealth (08/07/25)
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  • Medical Claim Review Nurse ( RN )

    Molina Healthcare (Tampa, FL)
    …of payment decisions. + Serves as a clinical resource for Utilization Management , Chief Medical Officers, Physicians, and Member/Provider Inquiries/Appeals. ... state/federal regulations **REQUIRED LICENSE, CERTIFICATION, ASSOCIATION:** Active, unrestricted State Registered Nursing ( RN ) license in good standing.… more
    Molina Healthcare (09/06/25)
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