- Molina Healthcare (St. Petersburg, FL)
- …+ Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM) or ... accuracy and meet established deadlines. + Ability to collaborate effectively with team members and internal departments. + Strong attention to detail with a… more
- Elevance Health (Tampa, FL)
- …an accommodation is granted as required by law. **Be Part of an Extraordinary Team ** A proud member of the Elevance Health family of companies, CarelonRx (formerly ... care management process through reviewing member profiles, recommending members for lock-in, case management or disease management. + Respond to and resolve issues… more
- Molina Healthcare (Jacksonville, FL)
- …Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM), ... readmission, and any opportunity identified by the payment Integrity analytical team ; makes decisions and recommendations pertinent to clinical experience. *… more
- CenterWell (New Smyrna Beach, FL)
- …Professional (RN): + Collaborates with market leadership, and quality improvement team to developand implement programs designed to increase the patient outcomes. ... + 3+ years of managed care experience + 3+ years of case management experienceBilingual; English and Spanish preferred, not required **Additional Information** +… more
- Sciolex Corporation (Tampa, FL)
- Overview What do you get when you bring together a team of bright individuals and place them into an environment where "work" means making a difference in the lives ... program budget. The contractor shall provide recommended COAs to the program manager and appropriate J3 POCs. Programming Support Specifics: + Provide decision… more
- CenterWell (Madison, FL)
- …that patients' concerns and questions are effectively conveyed to the medical team . * Manage schedules for all patients, including supervisory visits. * Schedule ... issues, and forward for approval. * Assist with weekly case conferences. * Receive calls from field staff and...of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing… more
- Henkel (Riviera Beach, FL)
- …to the excellent reputation of the company and the leadership team through professional, respectful interactions with all internal and external stakeholders ... of expense reports after each trip or event + Liaise with Operation Manager 's direct reports for meeting requests, workshop arrangement and assist with all… more
- Rising Medical Solutions (Tampa, FL)
- …+ Special projects as assigned by management Reports to: Program Manager Requirements Education/Training + High school diploma required; Associate's or Bachelor's ... resolutions skills + Ability to work independently and as part of a team a fast-paced, multi-faceted environment + Demonstrated persistence and attention to detail… more
- Northrop Grumman (Melbourne, FL)
- …is seeking a skilled and dedicated Principal Employee Relations Advisor to join our team . The successful candidate will play a key role in fostering a fair and ... on a wide range of employee relations issues, including manager /employee conflicts and/or complaints, managing challenging performance issues, and behavioral/… more
- CenterWell (Plantation, FL)
- …closely with primary care providers, kidney nurse navigators, and other care team members to integrate nephrology expertise into the patient's overall care plan. ... to identify high-risk individuals and intervene early. + Participate in case conferences, care huddles, and multidisciplinary planning sessions. + Collaborate in… more