• Family Navigator

    MyFlorida (Jacksonville, FL)
    …system of care partners including the child protective investigator, child welfare case manager, and other subject matter experts who become engaged in assessment ... stable families. + Actively establish relationships with Child Protective Investigator, Case Management and provider staff and support these workers in understanding… more
    MyFlorida (08/12/25)
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  • Director, Prospective + Concurrent Risk Adjustment…

    Datavant (Tallahassee, FL)
    …rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, ... hiring, mentoring, performance management, and scaling organizations to deliver complex healthcare technology solutions. + Solid understanding of clinical… more
    Datavant (08/08/25)
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  • Client Coding Project Manager - Full Time - Remote

    Datavant (Tallahassee, FL)
    …rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, ... (Work at Home) operations. + Exceptional interpersonal skills, proven success in complex and ambiguous environments. + Ability to work independently, with high… more
    Datavant (07/26/25)
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  • Employee Relations Specialist

    Orlando Utilities Commission (Orlando, FL)
    …issues, workplace disputes, and more. + Conduct initial investigations and escalate complex cases appropriately. + Assist with counseling and termination meetings. + ... resolution + Applying employment laws and organizational policies + Using HRIS, case management, or ERP systems + Experience supporting technical, craft, or skilled… more
    Orlando Utilities Commission (07/24/25)
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  • Payment Integrity Subrogation Manager - REMOTE

    Molina Healthcare (St. Petersburg, FL)
    …role requires experience across a wide range of subrogation case types-including automobile-related claims (eg, no-fault/PIP), workers' compensation, general ... compliance departments to ensure coordination and alignment on recovery efforts. + Monitor case outcomes and vendor performance to ensure recovery goals are met or… more
    Molina Healthcare (07/23/25)
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  • Director of Client Success, Payer Risk Adjustment

    Datavant (Tallahassee, FL)
    …rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, ... and fosters engaged, productive, and loyal employees. + Translate complex project and performance data into clear, actionable updates...reviewed by Datavant Human Resources and determined on a case -by- case basis. Depending on the state in… more
    Datavant (07/18/25)
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  • Registered Nurse-RN Hospitalist

    AdventHealth (Kissimmee, FL)
    …Hospitalist MD/Provider and the Care Management Team to manage escalated issues and complex cases in an effort to help facilitate patient throughput and appropriate ... AND EXPERIENCE PREFERRED** : + Acute care experience + Experience in Case Management, Managed Care, Discharge Planning and Utilization Management + Case more
    AdventHealth (08/23/25)
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  • Senior Child Protective Investigator

    MyFlorida (Orlando, FL)
    …less experienced CPIs build increased capacity in investigative skills; * Provides case consultation and advises and/or co-investigates complex cases with other ... parents, relatives, neighbors, and other parties associated with the case ; * Engages families, identifies needs and determines the...based on needs assessment. Provides recommendations for development of case plan to Case Manager. * Conducts… more
    MyFlorida (08/22/25)
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  • Chief Medical Officer

    HCA Healthcare (Ocala, FL)
    …reports and recommendations regarding how to reduce the variable cost per case while maintaining and enhancing clinical effectiveness. + Creates a data-driven ... Offers clinical support for appeals and denials process, discharge planning, case management, and utilization review/management. + Consults with facility-level staff… more
    HCA Healthcare (08/21/25)
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  • Behavioral Health Consultant Ops

    MyFlorida (Daytona Beach, FL)
    …The BHC works directly with Child Protective Investigators (CPIs) and dependency case managers to enhance recognition of behavioral health concerns, improve family ... Responsibilities include: + Consult and collaborating with CPI and dependency case managers to help frontline staff identify behavioral health disorders particularly… more
    MyFlorida (08/20/25)
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