- UNUM (Tallahassee, FL)
- …applications) across Unum US product lines. The incumbent provides high quality , timely, and efficient medical consultative services to the Benefits Center. ... The Medical Consultant adheres to current regulatory, claim process, and internal...area of specialty + Minimum of five years of clinical experience in medical specialty + Strong team and… more
- CVS Health (Tallahassee, FL)
- …Utilization Management. AHH delivers flexible medical management services that support cost-effective quality care for members. + Work in clinical telephone ... additional information for prior authorization review. + This candidate will utilize clinical skills to coordinate, document and communicate all aspects of the… more
- CVS Health (Tallahassee, FL)
- …working from home anywhere in the US. **Position Summary** + Utilizes clinical experience and skills in a collaborative process to implement, coordinate, monitor ... and evaluate medical review cases. + Applies the appropriate clinical criteria/guideline and plan language or policy specifics to render a medical determination to… more
- CVS Health (Tallahassee, FL)
- …work schedules will include weekends, holidays, and evening hours._ + Utilizes clinical experience and skills in a collaborative process to assess, plan, implement, ... to facilitate appropriate healthcare services/benefits for members. + Gathers clinical information and applies the appropriate clinical criteria/guideline,… more
- US Tech Solutions (Hialeah, FL)
- …healthcare costs and improve healthcare program/operational efficiency involving clinical issues + Determines medical necessity/ appropriateness Facilitates optimal ... outcomes Identifies and follow through with continuous quality / compliance opportunities . + May also include identification of aberrance's and initiation of… more
- US Tech Solutions (Tallahassee, FL)
- …healthcare costs and improve healthcare program/operational efficiency involving clinical issues + Determines medical necessity/ appropriateness Facilitates optimal ... outcomes Identifies and follow through with continuous quality / compliance opportunities . May also include identification of aberrance's and initiation of… more
- Wolters Kluwer (Tampa, FL)
- …Manager/Senior Clinical Content Specialists to plan and deliver high quality NCLEX Review services by identifying and assessing client needs and developing ... person. + Run evaluations, send to facilitator PreView & ReView Content Management Consultant /Senior Clinical Content Specialist and file. + Collaborate with the… more
- Insight Global (Orlando, FL)
- Job Description The Assistant Vice President, Pharmacy Operations & Clinical Nutrition is responsible for developing, implementing, and sustaining pharmacy and ... clinical nutrition programs. The assistant vice president (AVP) has...(AVP) has core accountabilities for the following: (a) safety, quality , and risk; (b) patient and population health advocacy;… more
- KBR (Hurlburt Field, FL)
- Title: Special Operations Licensed Clinical Social Worker (1 SOW/Hurlburt Field, FL) THIS POSITION OFFERS RELOCATION. A career at KBR can change the world - and ... for service people and astronauts. We are looking for a Special Operations Licensed Clinical Social Worker to join the team who is responsible for integrating the… more
- KBR (Niceville, FL)
- Title: Special Operations Licensed Clinical Social Worker (Eglin AFB, FL) THIS POSITION OFFERS RELOCATION. Belong. Connect. Grow. with KBR! KBR is a company of ... astronauts. We are looking for a Special Operations Licensed Clinical Social Worker to join the team who is...treatment evaluations. Essential Duties & Responsibilities: + Engage all quality improvement and staff meetings , conferences + Conduct… more