- The Robison Group (Fort Lauderdale, FL)
- …FOR GROWTH WITHIN THE COMPANY INCLUDE: SIU work, Field Supervisor, Field Operations Manager , Case Management , etc. Department Surveillance Employment Type ... the position will be expected to perform investigations of workers compensation claims , liability investigations, multi-line insurance claims , criminal and civil… more
- Molina Healthcare (Tampa, FL)
- …to leading a team of investigators and analysts, the Team Lead will ensure the Manager is aware of any major case developments, and ensure cases are being ... **JOB DESCRIPTION** **Job Summary** Under direct supervision of the Manager , SIU, the Team Lead is responsible to lead...utilization by providers and recipients. The position will review claims data, medical records, and billing data from all… more
- Elevance Health (Tampa, FL)
- …care management process through reviewing member profiles, recommending members for lock-in, case management or disease management . + Respond to and ... of the CarelonRx pharmacy program, including Prior Authorizations, Medication Therapy Management (MTM), Lock-in, and Drug Utilization Review (DUR) programs. **How… more
- Air National Guard Units (Jacksonville, FL)
- …abnormal studies with the member's treating provider. Services involve direct management of occupational/preventive medicine practices including, but not limited to, ... Convalescent Leave (CONLV), Disability Evaluation System (DES) Wing fitness questionnaires. Management of fly and non-fly waivers and assignment disability codes… more
- CenterWell (Tampa, FL)
- …for day-to-day coordination of telephone / personnel communication systems, overall management of agency supplies / mail, and processing of accounts payables. ... discharge / transfer summary / episode detail summary and Case Conference / 60 Day summary to the physician...to ensure other billing requirements are satisfied to release claims timely. + Adhere to and participate in Agency's… more