- Lee Health (Fort Myers, FL)
- …(Salary/Exempt) Previous Supervisory/ Management of Staff preferred Three (3) years of Home Health experience, Two (2) years of Clinical experience Required RN ... Location: Home Health Offices, 12801 Westlinks Drive,Fort Myers FL...and assists in meeting financial targets by effectively managing utilization , productivity, personnel and supplies. This position ensures adherence… 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...appropriate courses of action. As a Utilization Management RN working on the OneHome/ Home Solutions… more
- CVS Health (Tallahassee, FL)
- …years of clinical experience in acute or post-acute setting,and 1+ years of Utilization Management / CareManagementExperience + Must have active current and ... obtainadditionalNursing Licenses as business needsrequire. * **Preferred Qualifications** - Utilization Management experience preferred - **Anticipated Weekly… more
- CenterWell (Tallahassee, FL)
- …RN experience; + Prior clinical experience, managed care experience, **OR** utilization management experience + Demonstrates Emotional Maturity + Ability ... Therapy, DME, Cardiac or Orthopedic procedures + Previous experience in utilization management within Insurance industry + Previous Medicare Advantage/Medicare… 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
- BayCare Health System (Tampa, FL)
- …Occasional + **On Call:** No **Certifications and Licensures:** + Required RN (Registered Nurse ) + Preferred ACM (Case Management ) + Preferred CCM (Case Manager) ... of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians.... Review or + Required 2 years in Case Management or + Required 3 years Registered Nurse… more
- BayCare Health System (St. Petersburg, FL)
- …experience includes 3 years of Case Management or 3 years of Utilization Management or 6 years of clinical nursing **Certifications and Licensures:** + ... Required RN (Registered Nurse ) + Preferred ACM (Case Management ) +...Bachelors in Nursing **Experience:** + Required 3 years in Utilization Management or + Required 3 years… more
- HCA Healthcare (Kissimmee, FL)
- …**Introduction** Are you ready to manage in a new era as a Manager Case Management where building a healthier tomorrow is more than a job? Our HCA Florida Osceola ... protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage,… more
- Evolent (Tallahassee, FL)
- …As a Clinical Reviewer, Nurse , you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference ... Clinical reviewers are supported by Field Medical Directors (MDs) in the utilization management determination process. + Reviews charts and analyzes clinical… more
- ChenMed (Bradenton, FL)
- … management programs, clinical meetings and other meetings. The Nurse Practitioner will adhere to strict departmental goals/objectives, standards of performance, ... we need great people to join our team. The Nurse Practitioner (NP) acts as part of the clinical...medical centers, nursing homes, skilled nursing facilities (SNF) and home settings depending on the nature of the assignment… more
- MyFlorida (Port Charlotte, FL)
- …Comply and perform within the scope of practice as defined by the Florida Nurse Practice Act. + Ensure economic utilization of supplies and ensure that ... REGISTERED NURSE - 50009027 Date: Nov 21, 2025 The...OF VETERANS' AFFAIRS Douglas T. Jacobson State Veterans' Nursing Home Port Charlotte, FL, Charlotte County Annual Salary: $67,742.74… more
- MyFlorida (St. Augustine, FL)
- …Comply and perform within the scope of practice as defined by the Florida Nurse Practice Act. + Ensure economical utilization of supplies and ensure that ... SENIOR LICENSED PRACTICAL NURSE - 50950058 Date: Nov 20, 2025 The...OF VETERANS' AFFAIRS Clyde E. Lassen State Veterans' Nursing Home Saint Augustine, St. Johns County, Florida Annual Salary:… more
- MyFlorida (St. Augustine, FL)
- …Comply and perform within the scope of practice as defined by the Florida Nurse Practice Act. + Ensure economical utilization of supplies and ensure that ... REGISTERED NURSE - 50950152 1 Date: Nov 19, 2025...OF VETERANS' AFFAIRS Clyde E. Lassen State Veterans' Nursing Home Saint Augustine, St. Johns County, Florida Annual Salary:… more
- ChenMed (Hollywood, FL)
- … management programs, clinical meetings and other meetings. The Nurse Practitioner, Specialty incumbent adheres to strict departmental goals/objectives, standards ... we need great people to join our team. The Nurse Practitioner (NP), Specialty acts as part of the...care in nursing homes, skilled nursing facilities (SNF) and home settings, or supporting a Cardiologist practice. The responsibilities… more
- MyFlorida (Port Charlotte, FL)
- SENIOR REGISTERED NURSE SUPV - 50009026 Date: Nov 20, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... . Requisition No: 865480 Agency: Veterans Affairs Working Title: SENIOR REGISTERED NURSE SUPV - 50009026 Pay Plan: Career Service Position Number: 50009026 Salary:… more
- MyFlorida (Port Saint Lucie, FL)
- …+ Comply and perform within the scope of practice as defined by the Florida Nurse Practice Act. + Ensure economic utilization of supplies and ensure that ... SENIOR LICENSED PRACTICAL NURSE Date: Nov 14, 2025 The State Personnel...OF VETERANS' AFFAIRS Ardie R. Copas State Veterans' Nursing Home Port Saint Lucie, St. Lucie County Non-Negotiable Annual… more
- MyFlorida (Land O' Lakes, FL)
- REGISTERED NURSE - 50000059 Date: Nov 13, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... . Requisition No: 865258 Agency: Veterans Affairs Working Title: REGISTERED NURSE - 50000059 Pay Plan: Career Service Position Number: 50000059 Salary:… more
- MyFlorida (Daytona Beach, FL)
- …Comply and perform within the scope of practice as defined by the Florida Nurse Practice Act. + Ensure economic utilization of supplies and ensure that ... SENIOR LICENSED PRACTICAL NURSE Date: Dec 2, 2025 The State Personnel...VETERANS' AFFAIRS Emory L. Bennett Memorial State Veterans' Nursing Home Daytona Beach, Volusia County Annual Salary: $49,960.77 Paid… more
- MyFlorida (Land O' Lakes, FL)
- SENIOR LICENSED PRACTICAL NURSE - 50000083 Date: Nov 13, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... Requisition No: 865263 Agency: Veterans Affairs Working Title: SENIOR LICENSED PRACTICAL NURSE - 50000083 Pay Plan: Career Service Position Number: 50000083 Salary:… more
- MyFlorida (Macclenny, FL)
- REGISTERED NURSE SPECIALIST - 60042416 Date: Dec 3, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... . Requisition No: 861824 Agency: Children and Families Working Title: REGISTERED NURSE SPECIALIST - 60042416 Pay Plan: Career Service Position Number: 60042416… more