• RN Clinical Appeals Nurse

    Molina Healthcare (Orlando, FL)
    …Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager + Certified Professional Healthcare Management + Certified Professional in ... Chief Medical Officer on denial decisions. + Resolves escalated complaints regarding Utilization Management and Long-Term Services & Supports issues. +… more
    Molina Healthcare (09/26/25)
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  • Mission Control RN Tier1 Transfer Center FT…

    AdventHealth (Orlando, FL)
    …Obtains pre-authorization and provides information to the Utilization Review Specialist, Utilization Review Case Manager and the Clinical Support ... to the transfer and placement of all patients. Proactively initiates steps, including utilization of the hospital and physician chain of command, to prevent EMTALA… more
    AdventHealth (09/24/25)
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  • Child Protective Investigator Supv-SES

    MyFlorida (Daytona Beach, FL)
    …Support Worker Group Home Worker Teacher's Assistant/Aide Family Intervention Specialist EMT Case Manager Other welfare, education or professional jobs that ... plan and direct workloads, work flows, deadlines, work objectives and time utilization of subordinate staff in the delivery of protecting children, working with… more
    MyFlorida (09/24/25)
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  • Social Work Specialist

    AdventHealth (New Smyrna Beach, FL)
    …for each position may vary based on geographical location. **Category:** Case Management **Organization:** AdventHealth New Smyrna Beach **Schedule:** Full-time ... Specialist is under the general supervision of the Care Management Supervisor or Manager and is responsible...physicians and the interdisciplinary team on issues related to utilization of resources, medical necessity, CMS CoP for Discharge… more
    AdventHealth (08/27/25)
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  • Occupational Therapist OT Home Health

    AdventHealth (Deland, FL)
    …. Recent, relevant experience in a Medicare-certified home health agency as a case - manager . Certified Case Manager . Certificate for OASIS Specialist - ... the home care patient's services based on individual patient needs. The OT Care Manager is responsible for independent management of the Home Health patient… more
    AdventHealth (09/28/25)
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  • Physical Therapist PT Home Health

    AdventHealth (Sebring, FL)
    …the home care patient's services based on individual patient needs. The PT Care Manager is responsible for independent management of the Home Health patient ... + Recent, relevant experience in a Medicare-certified home health agency as a case - manager + Certificate for OASIS Specialist - Clinical + Home Health… more
    AdventHealth (08/07/25)
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  • Occupational Therapist OT Home Health

    AdventHealth (Sebring, FL)
    …the home care patient's services based on individual patient needs. The OT Care Manager is responsible for independent management of the Home Health patient ... Degree + Recent, relevant experience in a Medicare-certified home health agency as a case - manager + Certificate for OASIS Specialist - Clinical + Home Health … more
    AdventHealth (08/07/25)
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  • Associate Medical Director

    CenterWell (Daytona Beach, FL)
    …our primary care team, combining clinical practice with leadership and operational management to ensure high-quality patient care and alignment with Value-Based Care ... adapt responsibilities as needed and demands a unique blend of clinical management , financial/business acumen, and strategic partnership to optimize patient care and… more
    CenterWell (09/11/25)
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  • Associate Medical Director

    CenterWell (Jacksonville, FL)
    …our primary care team, combining clinical practice with leadership and operational management to ensure high-quality patient care and alignment with Value-Based Care ... adapt responsibilities as needed and demands a unique blend of clinical management , financial/business acumen, and strategic partnership to optimize patient care and… more
    CenterWell (07/22/25)
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  • Human Services Counselor III

    MyFlorida (Orlando, FL)
    …health services agency in lieu of an Associate's degree. + Completion of Medical Case Management AETC Southeast AIDS Education course within 30 days of hire. ... visits. + Current HIV 500/501 certification. + Current Medical Case Management AETC Southeast AIDS Education certification....and refer clients with higher acuity to an Intensive Case Manager within the timeframes established by… more
    MyFlorida (07/09/25)
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