• RN Case Manager - Case

    Mayo Clinic (Jacksonville, FL)
    …Retirement: Competitive retirement package to secure your future. **Responsibilities** The Registered Nurse ( RN ) Case Manager works within an ... , care coordination, resource utilization, and clinical documentation. The RN Case Manager will function... Manager provides leadership through education on case management /utilization management concepts, committee… more
    Mayo Clinic (01/01/25)
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  • Manager - RN Case

    Mayo Clinic (Jacksonville, FL)
    …Facilitates and coordinates the orientation and staff development programs for the case management staff. Participates in development of leadership skills in ... case management staff. Validates appropriateness of ...solve and facilitate change effectively. **License or Certifications:** Florida RN License is required. **Exemption Status** Exempt **Compensation Detail**… more
    Mayo Clinic (01/09/25)
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  • RN Case Manager

    Ascension Health (Jacksonville, FL)
    **Details** + **Department:** Case Management + **Schedule:** Part Time, Day Shift, 7am - 5:30pm + **Hospital:** Ascension St. Vincent's Riverside + ... options for post-discharge care. **Requirements** Licensure / Certification / Registration: + Registered Nurse credentialed from the Florida Board of Nursing… more
    Ascension Health (01/23/25)
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  • Case Manager /Discharge Planner…

    Select Medical (Jacksonville, FL)
    **Overview** **UF Health Rehabilitation Hospital - North** **Jacksonville, FL** ** Case Manager /Discharge Planner** Full-time **_Limited Time: $10,000 sign-on ... bonus_** **Benefits of becoming a Case Manager with us:** + Manageable ...Licensure in a clinical discipline per state guidelines required. ( Registered Nurse or Social Work (SW) preferred)… more
    Select Medical (01/25/25)
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  • RN / Registered Nurse

    BrightSpring Health Services (Jacksonville, FL)
    Our Company Haven Hospice Overview Schedule: Weekends, Part-time The Registered Nurse plans, organizes and directs hospice care and is experienced in nursing, ... toward self-sufficiency and optional comfort care + Acts as Case Manager when assigned by Clinical Supervisor...Graduate of an accredited school of Nursing + Current Registered Nurse licensure in State and American… more
    BrightSpring Health Services (12/02/24)
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  • RN / Registered Nurse Hospice

    BrightSpring Health Services (Orange Park, FL)
    Our Company Haven Hospice Overview A Registered Nurse specializing in hospice care provides compassionate and comprehensive end-of-life care to patients with ... toward self-sufficiency and optional comfort care + Acts as Case Manager when assigned by Clinical Supervisor...Graduate of an accredited school of Nursing + Current Registered Nurse licensure in State and American… more
    BrightSpring Health Services (01/15/25)
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  • Case Manager Registered

    Surgery Care Affiliates (Jacksonville, FL)
    …+ Experience At least five years of clinical experience and utilization review/ case management experience. Experience in determining medical necessity in ... as part of Optum and with our new Specialty Management Solutions business. + We have pioneered a physician-led,...accordance with specified guidelines of hospital. + Certifications Current RN licensure to practice in the State of Texas.… more
    Surgery Care Affiliates (11/10/24)
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  • Case Management Director

    Ascension Health (Jacksonville, FL)
    …or job transfer date. + Case Manager credentialed from the American Case Management Association (ACMA) preferred. + Case Manager credentialed ... **Details** + **Department:** Case Management + **Schedule:** Full Time,...+ One or more of the following required: + Registered Nurse credentialed from the Florida Department… more
    Ascension Health (01/25/25)
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  • Registered Nurse , Home Health

    BAYADA Home Health Care (Jacksonville, FL)
    …affording them the opportunity to remain at home and receive the medical care required. ** Registered Nurse ( RN ) Benefits:** + Baptist Home Health by BAYADA ... 401(k) with company match; and opportunities for career advancement. ** Registered Nurse ( RN ) Responsibilities:** +...doctors' orders + Perform client assessments as necessary + Case management and coordination + Accurately document… more
    BAYADA Home Health Care (01/08/25)
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  • RN Case Manager

    HCA Healthcare (Orange Park, FL)
    **Description** **Introduction** Do you have the career opportunities as a ** Registered Nurse ( RN ) Case Manager ** you want in your current role? We ... and Qualifications** We are seeking a Registered Nurse ( RN ) Case Manager...will make appropriate referrals to third-party payer, disease and case management programs for recurring patients and… more
    HCA Healthcare (01/03/25)
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  • Case Manager ( RN )

    Molina Healthcare (Jacksonville, FL)
    …assessments of members per regulated timelines and determines who may qualify for case management based on clinical judgment, changes in member's health or ... wellness, and triggers identified in the assessment. + Develops and implements a case management plan in collaboration with the member, caregiver, physician… more
    Molina Healthcare (01/21/25)
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  • RN Clinical Manager , Home Health

    CenterWell (Orange Park, FL)
    …license, auto insurance and reliable transportation. + Two years as a Registered Nurse with at least one-year of management experience in a home care, ... of care analysis to determine efficiency, the efficacy of case management system as well as any...School of Nursing. + Current state license as a Registered Nurse . + Proof of current CPR.… more
    CenterWell (01/25/25)
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  • RN - CA Licensure - Transition of Care…

    Molina Healthcare (Jacksonville, FL)
    **JOB DESCRIPTION** _For this position we are seeking a ( RN ) Registered Nurse who must have a current active unrestricted RN license in the state of CA._ ... _Case Manager RN will work in remote setting supporting our Medicare/Medicaid...and productivity is important. Preferred candidates will have previous case management , managed care, hospital, and/or home… more
    Molina Healthcare (01/21/25)
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  • RN or LCSW Pod Lead (Clinical)

    Molina Healthcare (Jacksonville, FL)
    …within 24 months of hire + Active, unrestricted State Registered Nursing ( RN ) license OR Licensed Vocational Nurse (LVN) or Licensed Practical Nurse ... EDUCATION** : Graduate from an Accredited School of Nursing. Registered Nurse or equivalent combination of Licensed...EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES** : + 3+ years in case management , disease management , managed… more
    Molina Healthcare (01/10/25)
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  • LTSS Service Coordinator - LPN Case

    Elevance Health (Jacksonville, FL)
    …using Microsoft Office Suite including Outlook, Word and Excel preferred + Previous case management experience preferred. + Travels to worksite and other ... Miami-Dade counties, FL. The **LTSS Clinician** works under the direction/supervision of an RN , with overall responsibility for the member's case , as required by… more
    Elevance Health (01/17/25)
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  • RN Home Health Full Time Baylor

    CenterWell (Jacksonville, FL)
    …caring community and help us put health first** As a **Home Health Registered Nurse ** , you will: + Provide admission, case management , and follow-up ... for home health patients. + Administer on-going care and case management for each patient, provide necessary...experience Home Health experience a plus Current and unrestricted Registered Nurse licensure Current CPR certification Strong… more
    CenterWell (01/17/25)
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  • Case Manager (bilingual Chinese)

    Molina Healthcare (Jacksonville, FL)
    …assessments of members per regulated timelines and determines who may qualify for case management based on clinical judgment, changes in member's health or ... triggers from the assessment. + Develops and implements a case management plan in collaboration with the...assistance to member to address concerns. + Collaborates with RN case managers/supervisors as needed or required… more
    Molina Healthcare (01/25/25)
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  • Medical Claim Review Nurse ( RN )

    Molina Healthcare (Jacksonville, FL)
    …Clinical Coder, Certified Medical Audit Specialists, Certified Case Manager , Certified Professional Healthcare Management , Certified Professional in ... state/federal regulations **REQUIRED LICENSE, CERTIFICATION, ASSOCIATION:** Active, unrestricted State Registered Nursing ( RN ) license in good standing.… more
    Molina Healthcare (01/25/25)
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  • Auditor, Clinical Services

    Molina Healthcare (Jacksonville, FL)
    **KNOWLEDGE/SKILLS/ABILITIES** + Performs monthly auditing of registered nurse and other clinical functions in Utilization Management (UM), Case ... them. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse ( RN ) Program and...+ Preferred Experience + 3-5 years of experience in case management , disease management or… more
    Molina Healthcare (01/25/25)
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  • Sr. Field Reimbursement Manager - HIV…

    Gilead Sciences, Inc. (Jacksonville, FL)
    …the lives of patients with life-threatening illnesses worldwide. The **Sr.** **Field Reimbursement Manager - HIV Prevention (** **Sr. FRM)** plays a critical role in ... with internal teams, including Therapeutic Specialists (Sales), Marketing, Account Management , and Patient Support, will be essential for aligning patient… more
    Gilead Sciences, Inc. (12/21/24)
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