RN Care Review & Utilization Specialist (FL)
$26.41 per hourMolina Healthcare of Illinois
Molina Healthcare is hiring for a position in clinical member services in Jacksonville, Florida. The role involves assessing service requests for clinical compliance and ensuring quality care outcomes. An active Registered Nurse (RN) license and at least 2 years of related experience are required. Successful candidates will demonstrate strong problem-solving skills and an ability to work collaboratively in a multidisciplinary setting. Competitive compensation starting at $26.41 hourly is offered. #J-18808-Ljbffr
$26.41 - $51.49 per hour
...for clinical member services review assessment processes. Responsible... ...integrated delivery of care across the continuum. Contributes... ...Molina care model. • Adheres to utilization management (UM) policies and... ...experience. • Registered Nurse (RN). License must be active and...SuggestedHourly payWork experience placementWork at officeRemote work$140.47k - $190.04k
...Jacksonville, Gainesville and Daytona, FL Relocation is not offered... ...career. Senior Oncology Specialist What you will do... ...exist. Amgen's supportive care treatments help patients combat... ...Specialists achieve territory sales by utilizing their Oncology background and...SuggestedLocal areaRemote workRelocationFlexible hours- ...Description The Admissions RN is a registered nurse and... ...Prudential Drive Jacksonville, FL 32207 or 655 W. 8th St.... ...appropriateness, e.g. medical records review as requested. Obtain... ...admissions and patient care resource persons. Utilize interpersonal skills to...SuggestedFlexible hoursNight shiftWeekend workDay shiftWeekday work
- ...The Admissions RN is a registered nurse and an Interdisciplinary... ...Drive Jacksonville, FL 32207 or 655 W. 8th St. Jacksonville... ..., e.g. medical records review as requested. Obtain... ...admissions and patient care resource persons. Utilize interpersonal skills to help...SuggestedFlexible hoursNight shiftWeekend workDay shiftWeekday work
$56.68k - $72.92k
...Jacksonville Beach City Hall, FL Job Type: Full-Time Regular... ...: Finance Division: Utility Billing Opening Date: 04/2... ...and coordination of Customer Care efforts across multiple City departments... ...you provide will be reviewed and used to determine your eligibility...SuggestedFull timeWork at officeLocal areaLong distanceMonday to FridayFlexible hoursShift work$29.05 - $67.97 per hour
...Description Job Summary Utilizing clinical knowledge and... ..., responsible for review of documentation to ensure... ...appropriate level of care utilizing MCG/InterQual... ...• Registered Nurse (RN). License must be active... ...Certified Medical Audit Specialist (CMAS), Certified Case...Hourly payWork experience placementWork at office$28.94 - $51.63 per hour
...Join Our OB Home Care Team Optum is a global organization that... ...Qualifications: ~ Active, unrestricted RN license in the state of Florida... ..., antepartum) ~ Ability to utilize Microsoft programs including MS... ...-hour radius of Jacksonville, FL ~ Availability to work at...Hourly payDaily paidMinimum wageFull timeWork experience placementLocal areaFlexible hoursWeekday work- ...at a glance Location: Jacksonville, FL Facility: Ascension St. Vincent's Riverside... ...experience grounded in service, growth, care and connection. We empower our 99,000+... ...through continuous assessments and record reviews. Advocate for essential resources and...Part timeLocal areaShift workWeekend workDay shiftWeekday work
$15.5 per hour
...Employment Specialist - TJB THE JACKSONVILLE BRIDGE - JACKSONVILLE, FL 32254 Overview Salary Range $15.50 - $15.50 Hourly... ..., providing a continuum of care in Residential Substance Abuse Treatment... ...inmates. 15. Clock in and out utilizing the company time and attendance...Hourly payFull timeWork experience placementWork at officeImmediate startTrial period$86.93k - $109.79k
...ARDMS Certified Sonography / Ultrasound Specialist Jacksonville, FL $86,925 - $109,786 a Year Full Time Position Overview We are... ...imaging professionals dedicated to providing unparalleled care. Utilizing cutting-edge ultrasound technology, you will carry out...Full timeLocal areaFlexible hoursWeekend work- ...determining price of design, build, and consulting services. Review Request for Proposals ("RFP") requirements to help determine... ...control reporting and updating labor cost and summary cost reports utilizing MS Excel. Responsible for communicating to estimate lead...Contract workFor subcontractorLocal area
- ...St Augustine, Gate Parkway and main campus (San Pablo) primary care. Facilitates patient visits and supports the health care... ...information, serving as a direct contact and resource to the patient, utilizing clerical skills, technical skills and excellent customer...Full timeWork at officeFlexible hours
- ...Registered Nurse (RN) The Registered Nurse (RN) provides nursing care to patients utilizing the nursing process and standards of practice for a professional nurse. The RN is expected to perform all staff nurse activities and function as charge nurse when assigned....
- ...Free Standing Emergency ER Nurse RN Strong staffing Support when it matters most... ...resources you need to deliver safe, high-quality care—so you can focus on what you do best.... ...Nurse RN opening. Our team will promptly review your application. Highly qualified candidates...Full timeTemporary workLive inFlexible hoursShift work
$1,588 - $1,765 per week
...Travel Pcurn Job In Jacksonville, Fl $1,588 - $1,765/week ~... ...a difference in a patient's care, inspiring Gifted's mission to... ...and other vital information. Pcu Rn job responsibilities include, but... ...~24/7 support with Career Specialist ~ Access to Social Worker 24/...Hourly payWeekly payTemporary workReliefLocal areaShift workNight shift- ...ER RN Trauma Emergency As an Emergency Room (ER) Registered Nurse (RN) , your voice to influence patient care is valued and empowered at every turn –whether through open, collaborative... ...our Emergency Room ER RN opening. We review all applications. Qualified...Full timeTemporary workWork experience placementFlexible hoursShift work
- ...CALL CENTER CARE COORDINATOR-WORKERS COMPENSATION SPECIALIST JACKSONVILLE, FL | FULL-TIME MONDAY - FRIDAY | BUSINESS OFFICE Southeast Orthopedic Specialists... ...managers and patients. Completes administrative review of received medical records and treatment notes...Full timeWork at officeMonday to Friday
- ...at a glance Location: Jacksonville, FL Facility: Ascension St. Vincent's Riverside... ...experience grounded in service, growth, care and connection. We empower our 99,000+ associates... ...'re seeking ~ One year of Acute Care RN experience is preferred Equal...Full timeLocal area
- ...RN Ortho Introduction Do you have the career opportunities as an acute care Ortho Registered Nurse (RN) you want in your current role? We invest in what matters most... ...and discharges You will maintain and review patients’ records including posting tests and...Full timeTemporary workWork from homeFlexible hoursShift workNight shift
- ...Your future role at a glance Location: Jacksonville, FL Facility: Ascension St. Vincent's Southside Hospital Department... ...a culture and associate experience grounded in service, growth, care and connection. We empower our 99,000+ associates to bring their...Full timeLocal area
- ...RN Strong staffing Support when it matters most. Technology and tools that streamline... ...you need to deliver safe, high-quality care—so you can focus on what you do best.... ...for our RN opening. Our team will promptly review your application. Highly qualified candidates...Full timeTemporary workFlexible hoursShift workDay shift
- ...RN Trauma Med Surg Strong staffing Support when it matters most. Technology and... ...resources you need to deliver safe, high-quality care—so you can focus on what you do best.... ...testing and discharges You will maintain and review patients’ records including posting tests...Full timeTemporary workWork experience placementFlexible hoursShift workDay shift
$1,222.23 - $1,437.91 per week
...RN - PCU/Stepdown We have a new assignment for RN - PCU/Stepdown in Jacksonville, FL and are interviewing ASAP. This is a travel assignment, 3x12 Days position at a great... ...We believe one size does not fit all, so we carefully match your unique needs and strengths with...Daily paidPermanent employmentTemporary workLocal areaImmediate startShift work- ...Local ICU Registered Nurse (RN) Job in Jacksonville, FL ICU Local 2 Openings 13 weeks 05/16/26 to... ...to make a difference in a patient's care, inspiring Gifted's mission to help nurses... ...~24/7 support with Career Specialist ~ Access to Social Worker 24/7 ~...Hourly payWeekly payTemporary workReliefLocal areaShift workNight shift
$28 - $35 per hour
...RN Homecare Jacksonville, Florida Salary: $2... ...Healthcare in Jacksonville, FL is hiring for a... ...Responsibilities: Utilizes the nursing process to plan... ...evaluate patient/client care and/or services provided... ...effectiveness of intervention Reviews plan of care and program...Weekly payContract workTemporary work- ...ICU Step Down RN Ready for a role that supports your unique calling in patient care and fits your life? At HCA Florida Memorial Hospital , in sunny Jacksonville... ...treatment instructions You will maintain and review patients’ records including posting tests and...Full timeTemporary workFlexible hoursShift workNight shift
- ...Nurse RN | OR CVT | FT Days Overview: The cardiothoracic-vascular Perioperative Registered Nurse (RN) provides nursing care to patients in select phases of Perioperative care (as competency demonstrates). This care utilizes the nursing process and the standards of...
$2,069 per week
...Registered Nurse (RN) | Operating Room Location: Jacksonville, FL Agency: Atlas MedStaff Pay: $2,... ...travel healthcare agency should care about you. Our team has lots of crazy... ...recognitions are fueled by real reviews by real travel nurses and allied...Hourly payContract workWork at officeRemote workShift workWeekend work$2,086 per week
...Registered Nurse (RN) | Operating Room Location: Jacksonville, FL Agency: Magnet Medical Pay: $2,... ...surgical team, providing direct patient care before, during, and after... ...care plans.Verify surgical consent, review medications, and prepare patients...Contract workFlexible hoursShift work- ...: Must reside in an authorized state (FL, GA, PA, NC, SC, TN, or TX) FTE:... ...financial services, revenue integrity, managed care, utilization review, and patient access. Serves as a... ...nursing as a Registered Nurse (RN) or Licensed Practical Nurse (LPN) in the...Full timeWork at officeRemote work
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to RN Care Review & Utilization Specialist (FL). Be the first to apply!
- neuro icu registered nurse Jacksonville, FL
- new grad rn Jacksonville, FL
- nicu rn Jacksonville, FL
- registered nurse nursing home Jacksonville, FL
- new grad rn residency Jacksonville, FL
- rn observation unit Jacksonville, FL
- rn hospice Jacksonville, FL
- outpatient registered nurse Jacksonville, FL
- rn evening shift Jacksonville, FL
- home health rn case manager Jacksonville, FL



