• 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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  • ( Registered Dietician) Health…

    Molina Healthcare (Jacksonville, FL)
    **Job Description** **Job Summary** The Molina Population Health Management Case Manager uses clinical judgment, knowledge, and direct hands-on member care ... team meetings and informal ICT collaboration. + Collaborate with RN case managers/supervisors as needed or required...& ABILITIES** : 1-3 years in direct patient care, case management , disease management , managed… more
    Molina Healthcare (03/04/25)
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  • RN Case Manager

    Ascension Health (Jacksonville, FL)
    **Details** + **Department:** Case Management + **Schedule:** PRN + **Hospital:** Ascension St. Vincent's Southside + **Location:** Jacksonville, FL This is a ... options for post-discharge care. **Requirements** Licensure / Certification / Registration: + Registered Nurse credentialed from the Florida Board of Nursing… more
    Ascension Health (03/05/25)
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  • RN - Registered Nurse , Home…

    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 (03/15/25)
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  • Case Manager /Discharge Planner…

    Select Medical (Jacksonville, FL)
    **Overview** **UF Health Rehabilitation Hospital - North** **Jacksonville, FL** ** Case Manager /Discharge Planner** Per Diem Weekday & Weekend Shifts Available ... **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 (03/04/25)
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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 (02/08/25)
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  • Hospice Registered Nurse

    Gentiva (Jacksonville, FL)
    …performance improvement programs. **About You** **Hospice Registered Nurse / RN Case Manager Requirements:** + Hospice heart: compassionate, kind and ... for everyone, so we offer ongoing professional training, lower nurse -to-patient ratios, and comprehensive benefits for eligible employees. Here,...need with dignity, grace, and love. **As a Hospice RN / RN Case Manager more
    Gentiva (03/06/25)
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  • Registered Nurse

    Gentiva (Jacksonville, FL)
    …hospice to give people the care they need with dignity, grace, and love. **As a Hospice RN / RN Case Manager , you will:** + Reportdirectly to the ... company quality assessment and performance improvement programs. **About You** **Hospice Registered Nurse Requirements:** + Hospice heart: compassionate, kind… more
    Gentiva (02/12/25)
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  • Registered Nurse , Home Health

    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...Home Health experience a plus + Current and unrestricted Registered Nurse licensure + Current CPR certification… more
    CenterWell (03/11/25)
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  • RN Case Manager

    HCA Healthcare (Jacksonville, FL)
    …Hospital** we support our colleagues in their positions. Join our Team as a ** Registered Nurse ( RN ) Case Manager ** and access programs to assist with ... 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 (02/12/25)
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  • Case Manager (Behavior Health…

    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 (03/13/25)
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  • Case Manager " RN

    Aveanna Healthcare (Jacksonville, FL)
    Case Manager " RN " -Pediatric ApplyRefer a FriendBack Job Details Requisition #: 203741 Location: Jacksonville, FL 32256 Category: Nursing Salary: $65,000.00 ... - $70,000.00 per year Position Details Position: Clinical Supervisor ( RN ) Clinical Case Manager Join a Company That Puts People First! Aveanna Healthcare is… more
    Aveanna Healthcare (03/13/25)
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  • Remote Program Manager , HCS - RN

    Molina Healthcare (Jacksonville, FL)
    …Certification, Association** Any of the following: Certified Case Manager (CCM), Certified Professional in Healthcare Management Certification (CPHM), ... and other related documentations. **JOB QUALIFICATIONS** **Required Education** + Registered Nurse or equivalent combination of Licensed...in one or more of the following areas: utilization management , case management , care transition… more
    Molina Healthcare (03/04/25)
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  • Trainer - Clinical Services - Utilization Review…

    Molina Healthcare (Jacksonville, FL)
    …knowledge on the job. Job Qualifications **REQUIRED EDUCATION** : Completion of an accredited Registered Nurse ( RN ) Program and an Associate's or Bachelor's ... ) or State Clinical Social Worker/Counseling (or related field) License Certified Case Manager (CCM), Utilization Management Certification (CPHM), Certified… more
    Molina Healthcare (03/13/25)
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  • RN - TX Licensure - Transition of Care…

    Molina Healthcare (Jacksonville, FL)
    **_**For this position we are seeking a ( RN ) Registered Nurse who must have a current active unrestricted RN license in the state of TEXAS._** **JOB ... ICT collaboration. + RNs provide consultation, recommendations, and education as appropriate to non- RN case managers. + RNs are assigned cases with members who… more
    Molina Healthcare (02/22/25)
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  • LTSS Service Coordinator-LPN Case

    Elevance Health (Jacksonville, FL)
    …Capabilities and Experiences:** + Bilingual in Spanish strongly preferred. + Previous case management or oncology experience strongly preferred. + Experience ... Monday-Friday 8am-5pm EST** The **LTSS Clinician** works under the direction/supervision of an RN , with overall responsibility for the member's case , as required… more
    Elevance Health (03/04/25)
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  • Clinical Appeals Nurse ( RN ): Texas…

    Molina Healthcare (Jacksonville, FL)
    …Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager + Certified Professional Healthcare Management + Certified Professional in ... outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse ( RN ) performs clinical/medical reviews of previously denied… more
    Molina Healthcare (02/09/25)
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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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  • Manager , Healthcare Services (Remote)

    Molina Healthcare (Jacksonville, FL)
    …Certification, Association** Any of the following: Certified Case Manager (CCM), Certified Professional in Healthcare Management Certification (CPHM), ... review/utilization management (prior authorizations, inpatient/outpatient medical necessity, etc.), case management , transition of care, health management more
    Molina Healthcare (03/07/25)
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