- AdventHealth (Riverview, FL)
- …orthopedic and womens care . **The role you'll contribute:** The RN Care Manager in collaboration with the patient/family, social workers, nurses, physicians ... care coordination and progression through the continuum of care . The RN Care Manager ...physicians and the interdisciplinary team on issues related to utilization of resources, medical necessity, CMS CoP for Discharge… more
- AdventHealth (Port Charlotte, FL)
- …pediatric units in Charlotte County. **The role you'll contribute** **:** The RN Care Manager in collaboration with the patient/family, social workers, nurses, ... care coordination and progression through the continuum of care . The RN Care Manager ...physicians and the interdisciplinary team on issues related to utilization of resources, medical necessity, CMS CoP for Discharge… more
- Molina Healthcare (Miami, FL)
- …bills, and claims data to ensure appropriate payment levels, optimize resource utilization , and maintain compliance with state and federal laws. All reviews must ... with a consistent focus on promoting the quality, accuracy, and efficiency of review services. + Serve as a resource and subject matter expert to colleagues… more
- Crane Aerospace & Electronics (Fort Walton Beach, FL)
- …Aerospace and Electronics** has an exciting opportunity for a **Test Engineering Manager ** at our **Fort Walton beach, FL** location. **About Crane:** **Crane ... and requirements. + Ensure accurate program accounting is achieved through effective utilization of project records and data management. + Define and manage… more
- Amergis (Gainesville, FL)
- …and local requirements + Must be at least 18 years of age + Experience with Utilization Review Benefits At Amergis, we firmly believe that our employees are the ... Salary: $1800 / Week The RN Case Manager is responsible for coordinatingcontinuum of care...Case Manager is responsible for coordinatingcontinuum of care activities for assigned patients and ensuring optimumutilization of… more
- Brunswick (Edgewater, FL)
- …will help transform vision into reality:** **Position Overview** The Customer Experience Manager role will lead the charge in overseeing customer service as well ... + Set and communicate goals, action plans, and key metrics for customer care and technical teams in different customer tiers with different levels of customer… more
- AdventHealth (Maitland, FL)
- …and Multi-state Physician Contract Administration team. This team is responsible for contract review ; as well as, the building and maintenance of rates and terms ... within Patient Financial Services (PFS), Physician Practice leadership and Managed Care staff regarding contract interpretation and the implementation and operation… more
- MyFlorida (Orlando, FL)
- …members, co-workers and community partners. Ability to use computer systems. Ability to review compliance of foster care providers' licensed capacity. Ability to ... LICENSING SPECIALIST - CHILD CARE OPS - 60932023 Date: Aug 8, 2025...eligibility and makes recommendations for licensure to supervisor/regional program manager . + Investigates complaints on licensed providers and illegal… more
- ChenMed (Jacksonville, FL)
- …and explain nurse practitioner role. + Facilitates patient/family conferences to review treatment goals, optimize resource utilization , provide family education ... your kindness and joy? We're different than most primary care providers. We're rapidly expanding and we need great...practice. + Other duties as assigned and modified at manager 's discretion. KNOWLEDGE, SKILLS AND ABILITIES: + Demonstrated record… more
- AdventHealth (Orlando, FL)
- …patient tower and 80 new private rooms designed to enhance the holistic care experience + Annual number of emergency cases: 89,018 **The role you'll contribute:** ... pharmacy, and/or satellite pharmacy areas. Oversees and ensures appropriate utilization of medication automation, technology, and computer systems. Accurately… more