Registered Nurse, Utilization Management Job at Baptist Health (Florida) (Jacksonville)

Case Manager, Registered Nurse

Remote case manager position working intensely as a telephonic case manager with...

Location

United States , Remote

Salary:

54095.00 - 155538.00 USD / Year

CVS Health

Expiration Date

Until further notice

Requirements

5+ years’ experience as a Registered Nurse
1+ year of experience in a hospital setting
Active, unrestricted RN license in state of residence
Willingness to receive multi-state/compact privileges
1+ years' experience documenting electronically using a keyboard
1+ years' current or previous experience in Oncology, Transplant, Specialty Pharmacy, Pediatrics, Medical/Surgical, Behavioral Health/Substance Abuse or Maternity/Obstetrics experience

Job Responsibility

Work as a telephonic case manager with patients and their care team
Application and/or interpretation of applicable criteria and clinical guidelines
Assess benefits and/or member's needs to ensure appropriate administration of benefits
Incorporate strategies designed to reduce risk factors and barriers
Address complex health and social indicators which impact care planning
Consult with supervisor and others in overcoming barriers
Utilize case management processes in compliance with regulatory requirements
Utilize motivational interviewing skills for member engagement
Identify and escalate member's needs appropriately
Actively reach out to members to collaborate/guide their care

What we offer

Affordable medical plan options
401(k) plan with matching company contributions
Employee stock purchase plan
Wellness screenings
Tobacco cessation programs
Weight management programs
Confidential counseling
Financial coaching
Paid time off
Flexible work schedules

Fulltime

Outpatients Registered Nurse

To ensure that standards of patients care are consistently maintained at all tim...

Location

United Kingdom , Chelmsford

Salary:

Not provided

Phoenix Hospital Group

Expiration Date

Until further notice

Requirements

Registered Nurse with 2+ years post qualification experience
Presently working in a hospital environment – essential
Experience in a private hospital environment – desirable
Experience in mentoring colleagues and HCA’s
Enthusiastic, committed and flexible team player, sensitive to patient needs

Job Responsibility

Assess, implement and evaluate nursing care with an evidence based approach, providing a high standard of clinical and customer care to all patients
Assist with the creation and review of patient centred standards of care
Promote an environment receptive to change
Attend and participate in department meetings
Participate in the mentorship of HCA’s and new starters
Provide a supportive staff environment
Support colleagues and work co-operatively to promote good team morale on the ward
Identify areas for personal and professional development
Support junior staff in their professional development journey
Maintain and expand professional knowledge participating in nursing / hospital educational programs

Fulltime

Wellness Registered Nurse

The Fox Hill Village Health & Wellness Center is a Nurse Led model that provides...

Location

United States , Westwood

Salary:

110000.00 USD / Year

Fox Hill Village

Expiration Date

Until further notice

Requirements

Holistic approach to nursing practice
Strong assessment, triage, and judgement skills
Demonstrated client and family education skills
Strong interpersonal, written, clinical documentation and oral communication abilities
Strong listening skills, while being approachable and articulate
Demonstrated effective collaboration and organizational skills
Exceptional computer skills, with proficiency with Microsoft Office (Windows, Outlook, Excel)
Ability to work weekends, holidays, and be on call for emergencies
Minimum of a Bachelor’s degree in Nursing
Five years of experience as a Registered Nurse, with two or more years’ experience in Gerontology preferred

Job Responsibility

Works collaboratively with Fox Hill Village health professionals to provide optimum nursing services to the residents of Fox Hill Village
Demonstrates the competencies of the gerontological registered nurse as described in the Standards of Gerontological Nursing Practice
Utilizes a holistic approach in providing nursing services to residents
Develops individualized wellness plans and goals with individual residents to maximize health and well-being and help residents attain their highest level of functioning
Uses Evidence-Based Practice methods in providing care to residents
Utilizes comprehensive assessment skills in triage of residents seeking care for health problems, minor illnesses and injuries and in performing wellness assessments
Includes family members when requested by residents or when otherwise appropriate
Implements treatments and other elements of care prescribed by a physician’s order or by the primary care provider
Maintains competency in Point of Care (CLIA-waived) Testing conducted in the Health & Wellness Center
Manages and performs periodic health maintenance/health monitoring activities as requested or needed by residents, such as blood pressure readings, weight measurement, etc

What we offer

401(k)
401(k) matching
Dental insurance
Employee assistance program
Flexible schedule
Flexible spending account
Health insurance
Life insurance
Paid time off
Referral program

Fulltime

Registered Nurse

At CVS Health, we're building a world of health around every consumer and surrou...

Location

United States , Norfolk

Salary:

60522.00 - 129615.00 USD / Year

CVS Health

Expiration Date

April 16, 2026

Requirements

Active Registered Nurse (RN) Licensure in good standing with the applicable state
BLS Certification
Electronic Medical Record (EMR) experience
Ability to maintain patient confidentiality and process information in a confidential manner
US work authorization
Ability to assess patients without face-to face interaction, strong communication and assessment skill

Job Responsibility

Build strong relationships with Oak Street Health patients by coordinating their care and providing a seamless experience
Use an integrated approach toward achieving desired patient outcomes by utilizing standards, guidelines and pathways for care delivery
Provide competent nursing care in a timely manner through clinical assessment, intervention and education
Drive quality care and incorporate data and information to improve care and enhance patient outcomes
Create an engaging and welcoming environment through team communication and delegation
Respond to incoming telephonic requests
Provide clinically competent triage and symptom management
Utilize standardized protocols for medication management, prescription refills and prior authorizations
Conduct thorough and accurate reviews of patient medications
Provide comprehensive education and direct patient care around chronic conditions

What we offer

Competitive benefits
Paid vacation/sick time
Generous 401K match with immediate vesting
Health benefits
Affordable medical plan options
Employee stock purchase plan
No-cost wellness screenings
Tobacco cessation and weight management programs
Confidential counseling and financial coaching
Flexible work schedules

Fulltime

Registered Nurse- Progressive Care

Are you an experienced RN seeking a new challenge with an award-winning, non-pro...

Location

United States , Fort Myers; Cape Coral

Salary:

30.27 - 40.86 USD / Hour

Lee Health

Expiration Date

Until further notice

Requirements

Graduate of an accredited school of professional nursing required
Associates or Bachelors preferred
Experience required
Proof of American Heart Association Healthcare Provider Basic Life Support (BLS), current for a minimum of 90 days after hire date
Currently licensed in the State of Florida
Communication and interpersonal skills, basic computer skills, and customer service skills required

Job Responsibility

Responsible for the safe delivery and documentation of patient care through the nursing process of assessment// diagnosing// planning// implementation// and evaluation
Performs responsibilities in five areas of nursing practice utilizing critical thinking// management// problem solving and differentiation of urgency in the role of: clinician// teacher// researcher// leadership and professional development
Responsible for directing and coordinating nursing care for patients based on established clinical nursing practice standards subscribed to by American Nursing Association and in accordance with the Florida Nurse Practice Act and other regulatory standards
Collaborates with other professional disciplines to ensure effective and efficient patient care delivery and the achievement of desired patient outcomes
Supports the organization vision and mission
Uses knowledge of patient's age and cultural diversity into the provision of patient care
Contributes to the provision of quality nursing care through excellence in customer service and performance improvement techniques that demonstrate positive outcomes in patient care

What we offer

Up to $15,900 in Incentives/Relocation
$6 per hour differential for night shifts
Comprehensive and affordable benefits, including family coverage and retirement match
Education assistance and a professional career ladder
Opportunities for advancement

Registered Nurse

We are seeking a dedicated and skilled Registered Nurse for our Intensive Care U...

Location

United States , Sierra Vista

Salary:

Not provided

Grace HealthPros

Expiration Date

Until further notice

Requirements

current state RN license
Associate’s Degree from an accredited nursing school
BLS and ACLS certifications are required within 90 days of hire
One year of experience in an Acute Care setting preferred

Job Responsibility

Provide comprehensive nursing care to critically ill patients in the ICU setting
Monitor vital signs, assess patient conditions, and implement appropriate interventions
Administer medications, IV infusions, and treatments as prescribed by physicians
Collaborate with healthcare professionals to develop and implement individualized care plans
Perform advanced procedures such as suturing, catheterization, and airway management
Maintain accurate medical documentation in compliance with HIPAA regulations
Educate patients and families on health management and post-discharge care
Participate in quality improvement initiatives and adhere to NCQA standards
Utilize electronic health record (EHR) systems for patient management and documentation

Registered Nurse, Esophageal and Airway Treatment Center

At Boston Children’s Hospital, the quality of our care – and our inclusive hospi...

Location

United States , Boston

Salary:

50674.00 - 109115.50 USD / Year

Boston Children's Hospital

Expiration Date

Until further notice

Requirements

Clinical reasoning, which includes clinical decision making, critical thinking, and a global grasp of the situation, coupled with nursing skills acquired through a process of integrating formal and experiential knowledge
The ongoing process of questioning and evaluating practice and providing informed practice. Creating practice changes through research utilization and experiential learning
Constellation of nursing activities that are responsive to the uniqueness of the person that creates a compassionate and therapeutic environment, with the aim of promoting comfort and preventing unnecessary suffering. Caring behaviors extend to all members of the care team
Sensitivity to recognize, appreciate, and incorporate differences and preferences into the provision of care. Differences may involve patients/family and members of the healthcare team
Working on another’s behalf and representing the concerns of the patient/family/community
serving as a moral agent in identifying and helping to resolve ethical and clinical concerns within the clinical setting
Ability to facilitate patient, family and staff learning across the care continuum. Contributes to a learning environment characterized by safe discourse, mentoring and team development
Working with others patients/families/healthcare providers/community to promote and encourage each person’s contributions toward achieving optimal and realistic patient goals. Collaboration involves interdisciplinary work with colleagues and ability to negotiate and resolve conflict
Body of knowledge that allows the nurse to manage whatever environmental and system resources that exist for the patient and family, within or across healthcare systems

What we offer

flexible schedules
affordable health, vision and dental insurance
child care and student loan subsidies
generous levels of time off
403(b) Retirement Savings plan
Pension
Tuition and certain License and Certification Reimbursement
cell phone plan discounts
discounted rates on T-passes

Parttime

Director of Nursing

Our client is reputable provider of home care and hospice services in the South....

Location

United States , Baton Rouge

Salary:

Not provided

Above All Talent Solutions

Expiration Date

Until further notice

Requirements

Current Registered Nurse (RN) licensure in the State of Louisiana
Minimum of three years experience as a Registered Nurse, one of these years must be full-time in providing direct patient care in a home health or hospice setting
One year supervisory and administrative experience
Attend annual review and in-services
Actively participate in organization’s performance improvement activities
Maintains regulatory requirements, including all federal, state, local regulations and accrediting organization standards
Comply with all organizational policies regarding ethical business practices
Resolve staff concerns, utilizing the grievance process as required
Must have current, unrestricted license, in state of practice

What we offer

Excellent pay
Company Car Option
Increased Earning Potential
Mileage Reimbursement
Cell Phone Allowance
Complete Benefits Package including Health, Dental, Vision & Life Insurance
Paid Time Off (PTO)
401K
Free CEU online accreditation courses
Remarkable Career Advancement Opportunities

Registered Nurse, Utilization Management

Baptist Health (Florida)

Location:
United States , Jacksonville

Category:
Nursing

Contract Type:
Not provided

Salary:

Job Description:

Job Responsibility:

Requirements:

Nice to have:

Additional Information:

Job Posted:
January 09, 2026

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Registered Nurse, Utilization Management

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Location:United States , Jacksonville

Category:Nursing

Contract Type:Not provided

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Job Posted:January 09, 2026

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