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Maximus - Miami,FL
RN Clinical Assessor - (Hybrid Remote - Somerset County, Maine) Essential Duties and Responsibilities: - Responsible for completing medical and/or behavioral health assessments within contract requirements - Conducts......
4/18/2026
Conduent - Miami,FL
Job Description Summary The Utilization Review Registered Nurse is responsible for reviewing medical services to ensure they meet evidence-based guidelines and member benefit plans. This includes......
4/14/2026
PRESBYTERIAN MEDICAL SERVICES - Miami,FL
Job Description JOB CATEGORY: REGISTERED NURSE / COMMUNITY HEALTH CENTER / WELLNESS POSITION SUMMARY: This position works directly with Contact Center agents to assess and triage......
4/07/2026
Renown Health - Miami,FL
Position Purpose The Transfer Center & Virtual Care RN provides leadership, accountability, and comprehensive nursing services to ensure optimal patient care, resource utilization, and seamless patient flow. This role is challenged......
4/07/2026
Molina Healthcare - Miami,FL
Job Description JOB DESCRIPTION This role provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with......
4/20/2026
Hireops Staffing Llc - Miami,FL
The position is work from home with field visits. JOB PURPOSE: This position is responsible for conducting medical management and health education programs for customers on government health care programs. Accountabilities include......
4/14/2026
Vivian Health - Miami,FL
Registered Nurse - Remote- Telehealth- part time We're unique. You should be, too. We're changing lives every day. For both our patients and our team members. Are you innovative and entrepreneurial minded? Is your work......
4/09/2026
Metropolitan Jewish Health System - Miami,FL
Overview The challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in......
4/14/2026
Providence Service - Miami,FL
Description Utilization Review RN - Remote Providence Health Plan caregivers are not simply valued – they're invaluable. Join our team at Providence Health Plan Partners and thrive in our culture of......
4/14/2026
Carilion Clinic - Miami,FL
Employment Status: Full timeShift: Day (United States of America)Facility: 2301 Brambleton Ave SW - RoanokeRequisition Number: R159495......
4/18/2026
