- Travelers Insurance Company (Tallahassee, FL)
- …policy interpretation/coverage analysis skills including drafting coverage opinions with case law included. + Develop/strengthen the ability to negotiate ... with a minimum of 20 days Paid Time Off annually, plus nine paid company Holidays. + **Wellness Program:** The Travelers wellness program is comprised of tools,… more
- Travelers Insurance Company (Tampa, FL)
- …protocols to be referred timely to next level claim professional or Major Case Unit. + Reserving: + Establishes timely and maintains appropriate claim and expense ... with a minimum of 20 days Paid Time Off annually, plus nine paid company Holidays. + **Wellness Program:** The Travelers wellness program is comprised of tools,… more
- Humana (Fort Lauderdale, FL)
- …and of moderate complexity. **We are looking for motivated and dynamic case managers that reside in the following counties: Broward County, FLORIDA** This ... meet those needs + Coordinating services, and monitoring and evaluating the case management plan against the member's personal goals + Guides members/families… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- Onsite Position Position Purpose: Works in partnership with physicians, nurse case managers, and other disciplines to ensure the appropriateness for the ... of Utilization Resource Management, Transition of Care, Discharge Planning, and Case Management. + Reviews the appropriateness of Severity Index/Intensity of Service… more
- Humana (Boca Raton, FL)
- …straightforward and of moderate complexity. **We are looking for motivated and dynamic case managers that reside in the following areas: Palm Beach, Boca Raton and ... meet those needs + Coordinating services, and monitoring and evaluating the case management plan against the member's personal goals + Guides members/families… more
- Elevance Health (Miami, FL)
- …**How you will make an impact:** + Ensures timely completion of clinical case reviews for their board certified specialty. + Makes physician to physician calls ... and appeals appropriate for their specialty. + Ensures consistent use of company medical policies when making medical necessity decisions. + Brings to their… more
- Abbott (Miami, FL)
- …key decision makers. + Serve as primary resource for clinical support in case coverage, troubleshooting and in-service education for company products. + Educate ... have access to: + Career development with an international company where you can grow the career you dream.... The Clinical Specialist will primarily be responsible for case planning, case support coverage, and product… more
- Robert Half Legal (Miami Lakes, FL)
- …and support in handling cases and court proceedings. * Oversee paralegals and case managers, ensuring efficient case management and adherence to Standard ... Operating Procedures. * Use your expertise in personal injury law to guide case strategy and decision making. * Utilize a variety of case management software and… more
- Raymond James Financial, Inc. (St. Petersburg, FL)
- …litigation tasks, including assisting in organizing and analyzing documents and maintaining case files and preparing responses to subpoenas and researching, pulling ... case documentation. May serve as a technical advisor to...authentic selves, our organization, clients, and communities thrive. The Company is an equal opportunity employer and makes all… more
- US Tech Solutions (Hialeah, FL)
- …management processes in compliance with regulatory and accreditation guidelines and company policies and procedures. **Experience:** + Case management experience ... enable decision making at most appropriate level **Duties:** + Coordinates case management activities for Medicaid Long Term Care/Comprehensive Program enrollees. +… more
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