• Care Review Clinician

    Molina Healthcare (St. Petersburg, FL)
    …(RN) license in good standing. **Preferred Experience** Previous experience in Hospital Acute Care , ER or ICU, Prior Auth, Utilization Review / Utilization ... team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care ,… more
    Molina Healthcare (06/20/25)
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  • Care Review Clinician

    Molina Healthcare (Orlando, FL)
    …team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care , ... staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of… more
    Molina Healthcare (06/27/25)
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  • Utilization Review Clinician

    Centene Corporation (Tallahassee, FL)
    review process preferred. Experience working with providers and healthcare teams to review care services related to mental health and substance abuse ... **+Florida License Required Florida Residency Required **Position Purpose:** Performs a clinical review and assesses care related to mental health and substance… more
    Centene Corporation (07/24/25)
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  • Assistant Professor of Clinical - OBGYN, Pediatric…

    University of Miami (Miami, FL)
    …Functions + Direct care to PAG patients in the outpatient and inpatient setting. + Consultation for nonservice unit patients by telephone. + PAG consultation for ... faculty or staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The Department of… more
    University of Miami (07/24/25)
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  • Per Diem Staff Physician - Pediatrics, Hospital…

    University of Miami (Miami, FL)
    …Newborn inpatient wards. He/she/they will provide direct in-patient medical care to pediatric and newborn patients. He/she/they will also provide in-patient and ... faculty or staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . Transforming Lives The… more
    University of Miami (07/05/25)
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  • Director, Physician Leadership - Medical Directors…

    Humana (Tallahassee, FL)
    …key enterprise leader, with responsibility for evolving Humana's Utilization Management of medical review by physician or nurse, with a focus on our 5+ million ... you will need to be well versed in CMS knowledge of outpatient, inpatient and appeal criteria including regulation and policies. You much also be passionate… more
    Humana (07/18/25)
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  • Assistant or Associate Professor of Clinical…

    University of Miami (Miami, FL)
    …pediatrics units, students and residents are active participants in our multidisciplinary care . Our faculty are highly dedicated clinician educators committed to ... faculty or staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . Academic Pediatric Hospitalist… more
    University of Miami (07/16/25)
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  • Physician (Pulmonary Disease)

    Veterans Affairs, Veterans Health Administration (Orlando, FL)
    …according to procedure and is actively engaged with the primary team or clinician in collaborating on the patient's care and management. Records the ... who want to contribute to the achievement of quality care standards, as well as the growth & development...VHA Education Loan Repayment Services program office after complete review of the EDRP application VA offers a comprehensive… more
    Veterans Affairs, Veterans Health Administration (05/24/25)
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