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Direct- RN Case Manager – Utilization Review; Miami
Job in
Miami, Miami-Dade County, Florida, 33222, USA
Listed on 2026-07-27
Listing for:
AppleOne Employment Services
Full Time
position Listed on 2026-07-27
Job specializations:
-
Nursing
Healthcare Nursing, RN Nurse
Job Description & How to Apply Below
Apple One Employment Services seeks an experienced RN Case Management professional for a direct hire opportunity in Miami, FL within the insurance industry. This role is ideal for a Florida-licensed Registered Nurse who enjoys clinical review, utilization management, patient and provider communication, and careful interpretation of medical guidelines and policy terms.
The successful candidate will conduct pre-certification reviews, assess cases per MCG guidelines, and maintain clear documentation
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