- Veterans Affairs, Veterans Health Administration (Sarasota, FL)
- …https://www.va.gov/ohrm/QualificationStandards/. Preferred Experience: 3-5 Years, BSN preferred, Primary Care, Case Management , Urgent Care or Acute Care ... determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply.… more
- MyFlorida (Bunnell, FL)
- …to meet the most current DOH goals. Performs the duties of the Family Planning case management , networking with the clerical staff on recalls for client due for ... annual exams, implant removals and insertions. The Registered Nurse will provide case management for the sterilization program and the breast and cervical cancer… more
- University of Miami (Coral Gables, FL)
- …audits. Maintains logs of system issues and approved enhancements. Supports vendor case management and troubleshoots application issues. Develops and implements ... 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 University of… more
- Elevance Health (Tampa, FL)
- …the medical necessity of requests using clinical criteria. + Performs physician-level case review of musculoskeletal utilization requests. + Conducts ... preferred. + Extensive spine surgery experience preferred. + Experience with utilization management , especially with CMS guidelines preferred. + **Orthopedic… more
- Customs and Border Protection (Orlando, FL)
- …of this position include, but are not limited to: Reviewing network utilization statistics and performance measures; ensuring network stability, quality and maximum ... or conflict with performance of your official duties. Please review further details via the following link. DHS uses...the federal service) by 08/12/2025. The Office of Personnel Management (OPM) must authorize employment offers made to current… more
- Elevance Health (Miami, FL)
- …**Carelon Medical Benefits Management ** **Post Acute Care Benefit Utilization Management ** **Schedule: 10:00-7:00 Central Time** **** **Virtual:** This ... policies when making medical necessity decisions. + Brings to their supervisors attention, any case review decisions that require Medical Director review or… more
- MyFlorida (Orlando, FL)
- …+ Attains a high proficiency/skill level as demonstrated through the competent utilization of the program's hardware, software, system applications and web pages. + ... as assigned by the supervisor. + Knowledge, skills and abilities, including utilization of equipment, required for the position: Knowledge of theories and practice… more
- Molina Healthcare (Orlando, FL)
- …leadership and expertise in the performance of prior authorization, inpatient concurrent review , discharge planning, case management and interdisciplinary ... Molina Medical Director + Demonstrated experience in Utilization /Quality Program management + Previous leadership experience + Peer review , medical… more
- BJs Wholesale Club (Boynton Beach, FL)
- …results of investigations and provide updates to leadership based upon facts of each case . + Conduct weekly CCTV review per the Asset Protection calendar. + ... results. Exhibit strategic thinking and sound decision-making thorough knowledge and utilization of business data. + Lead through change. Model leadership… more
- Military Sealift Command (Pensacola, FL)
- …will ensure the effective communication of operating procedures to users to promote full utilization of the C4S capabilities. You will review and provide input ... COOP planning and engineering meetings as directed. You will provide life cycle management of all system projects or initiates following implementation at MNOC. You… more