- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …terms, the type and level of work performed and responsibilities held by the team member (s). Duties described are not to be interpreted as being all-inclusive ... cases that require medical necessity review such as home care , elective inpatient and outpatient service requests. + Reviews...or specific to any individual team member . No Third Party Agencies or… more
- AmeriHealth Caritas (Jacksonville, FL)
- …timely, professional, and courteous manner. This includes inbound and outbound member and/or provider phone calls or correspondence regarding benefits, eligibility, ... to new members and conducts Health Risk Assessment Surveys as needed. Provides member education and assists members with PCP selection and assignments. Assists with… more
- Centene Corporation (Tallahassee, FL)
- …members as a clinical professional on our Medical Management/Health Services team . Centene is a diversified, national organization offering competitive benefits ... on workplace flexibility. **Position Purpose:** Performs a clinical review and assesses care related to mental health and substance abuse. Monitors and determines if… more
- Walmart (Port St. Lucie, FL)
- …club meets the member 's expectations. **What you'll do ** + **Be a Team Member :** Collaborates with cross functional teams and helps educate other associates ... Summary ** As a Cake Decorator you will drive member service in your area to deliver to our...working in a style that is respectful, supportive and team oriented. + Complies with company policies, procedures, and… more
- Walmart (Sanford, FL)
- **Position Summary ** **What you'll do ** Processes member purchases by operating a cash registers and related hardware and using appropriate procedures for ... maintaining and securing paperwork forms and other required documentation Provides patient member service in the Pharmacy area by acknowledging the member … more
- Walmart (Miramar, FL)
- …completing, maintaining, and securing paperwork, forms, and required documentation. Provides Member service by acknowledging the Member , identifying Member ... needs, assisting with purchasing decisions, locating merchandise, resolving Member issues and concerns, and promoting products and services, while maintaining a… more
- AdventHealth (Orlando, FL)
- …our staff. We highly value our nurses personal and professional goals and support each team member to meet them. Many of our nurses participate in the ... and World Report as the best hospital for womens care in Florida! ** Team Culture: We** work...members on a weekly basis and recognize one staff member each month with the Surgical Angel of the… more
- BayCare Health System (St. Petersburg, FL)
- …the conduct and performance of Cardiac Ultrasound / Doppler diagnostic testing. + This team member is required to assist the physician and other related ... care throughout the communities we serve. Our extraordinary team delivers clinical excellence and compassion that makes a...Work:** **Occasional** **On Call:** **Yes** **How often will this team member be working remotely?** Never Equal… more
- Humana (Tallahassee, FL)
- …the policies and procedures ensuring best and most appropriate treatment, care or services for members. Bilingual Outbound Telephonic UM Administration Coordinator ... after the authorizations + Document all calls and requests. + Process and email member letters (Letter of Agreements, Approvals, Denials etc.) + Assist the team … more
- Walmart (Fort Walton Beach, FL)
- …total club meets the member 's expectations. **What you'll do ** Be a Team Member Collaborates with cross functional teams and helps educate other associates ... Summary ** As a Cake Decorator you will drive member service in your area to deliver to our...working in a style that is respectful supportive and team oriented Complies with company policies procedures and standards… more