• Facility Coding Inpatient DRG Coding Quality Acute

    Banner Health (FL)
    …Requires a level of education as normally demonstrated by a bachelor 's degree in Health Information Management or experience equivalent to same. ... reflected in uploaded resume);** + **DRG and PCS experience preferred;** + ** Bachelors degree in HIMS or equivalent experience;** + **Certified Coders, as defined… more
    Banner Health (10/16/25)
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  • Pharmacist, Utilization Management (UM)…

    Molina Healthcare (Tampa, FL)
    …the pharmacy benefit changes for the upcoming year. + Works with the Case Management department as part of a member-centered interdisciplinary care team. ... **JOB DESCRIPTION** **Job Summary** Molina Pharmacy Services/ Management staff work to ensure that Molina members have access to all medically necessary prescription… more
    Molina Healthcare (10/16/25)
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  • Site Manager 2

    Huntington Ingalls Industries (Altoona, FL)
    …Time/Salaried/Exempt Anticipated Salary Range: $83,926.00 - $120,000.00 Security Clearance: Secret Level of Experience: Management This opportunity resides with ... of readiness. HII supports the Department of Energy's national security mission through the management and operation of its sites, as well as the safe cleanup of… more
    Huntington Ingalls Industries (10/21/25)
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  • Utilization Management Administration…

    CenterWell (Tallahassee, FL)
    …and administrative staff to resolve issues, clarify requirements, and ensure efficient case management . + Provide clear, concise, and courteous information ... our caring community and help us put health first** The Utilization Management (UM) Administrative Coordinator 2 is responsible for providing high-quality support to… more
    CenterWell (10/17/25)
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  • Utilization Review RN

    BayCare Health System (Tampa, FL)
    …No **Certifications and Licensures:** + Required RN (Registered Nurse) + Preferred ACM ( Case Management ) + Preferred CCM ( Case Manager) **Education:** + ... agents and all other related parties to ensure appropriate level of care through comprehensive concurrent review for medical...in Utilization Review or + Required 2 years in Case Management or + Required 3 years… more
    BayCare Health System (10/10/25)
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  • RN Carceral Care Manager Remote

    Molina Healthcare (Miami, FL)
    …facility knowledge/work experience are highly preferred. Candidates must have previous case management , discharge planning or care coordination experience. ... assessments of members per regulated timelines and determines who may qualify for case management based on clinical judgment, changes in member's health or… more
    Molina Healthcare (10/18/25)
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  • Senior Enterprise Legal Management

    RELX INC (Boca Raton, FL)
    …using the best model from today's top model creators for each individual legal use case . About the role We are seeking a highly experienced Senior Enterprise Legal ... Management (CounselLink) Account Manager who possesses a demonstrated ability...relationships both internally and externally, fostering collaboration. Qualifications: + Bachelor 's degree + 7+ years of extensive experience in… more
    RELX INC (10/08/25)
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  • Package Solution Management Manager

    Deloitte (Boca Raton, FL)
    …to ensure seamless service delivery. + Monitor performance metrics and service level agreements (SLAs) to maintain high-quality standards. + Partner with client ... understand business needs and co-create transformation roadmaps. Client Engagement & Relationship Management + Serve as the primary point of contact for clients… more
    Deloitte (10/08/25)
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  • DVOP/Lver Government Op Consult II

    MyFlorida (Key West, FL)
    …Veterans Program Letter (VPL) 03-14 and VPL 03-14 Changes 1 & 2 through a case management process including: + Consults with federal, state, and local officials ... by the JVSG program at the local and State level and confers with management to identify...to sustained careers and lasting self-sufficiency. + Provides individualized case management to eligible veterans and their… more
    MyFlorida (10/10/25)
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  • Pre-Enrollment Supervisor

    MyFlorida (Daytona Beach, FL)
    …subtleties of group dynamics. This position with APD will serve staff and management across the Agency. Your work will impact the workplace culture, our community, ... Pre-Enrollment staff to ensure compliance with Agency operating procedure related to case closure. Monitors completion of iConnect steps in consumer record prior to… more
    MyFlorida (10/14/25)
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