- Bank OZK (Apollo Beach, FL)
- …Scope Responsible for performing complex fraud incident investigations and case management , including collaboration with internal and external stakeholders ... for instances described within the Bank's Fraud Risk Management Program. + Performs complex fraud investigations derived from escalated fraud alerts and other… more
- Banner Health (FL)
- …Looking for a motivated, experienced **Inpatient Facility | Acute Care | Remote Medical Complex Coder, with CPC or CCS and/or RHIT or RHIA Certifications,** to join ... of accounts for specific patient types and specialties in combination with the Case Mix Index and case financial information to formulate productivity standards,… more
- Veterans Affairs, Veterans Health Administration (Daytona Beach, FL)
- …comprehensive gender specific care, under the PACT model and intensive case management to a panel of patients with complex chronic medical conditions managed ... team to closely follow their patients through care coordination and intensive case management utilizing a multi-disciplinary team approach to work towards… more
- ChenMed (Miami, FL)
- …and we need great people to join our team. The Supervisor, Post Acute Complex Care is a multi-market leader that oversees the Post Acute Care Coordinators. The ... is determined by their team's ability to manage timely completion of daily census, and management of post acute patients until they return to the care of PCP to… more
- The Hartford (Lake Mary, FL)
- …help shape the future. This is a visible and important role within our Complex Claims Unit (CCU) Hartford Global Specialty (HGS) Claims Division. As a Claims ... claims will involve both primary and excess coverages and often involve complex fact patterns requiring analysis of contracts between parties to determine indemnity… more
- AdventHealth (Land O' Lakes, FL)
- …minimal supervision and perform the following seven essential activities of Case Management : Appropriateness of Setting, Assessment, Planning, Implementation, ... to patient safety, effectiveness, cost and impact on practice in the delivery of Case Management services. Introduce self to patient/family within 72 hours of… more
- Elevance Health (Miami, FL)
- …critical thinking skills and nursing judgment and experience. + Collaborates with case management nurses on discharge planning, ensuring patient has appropriate ... Nurse** will be responsible for review of the most complex or challenging cases that require nursing judgment, critical...about plan benefits and physicians and may assist with case management . + Collaborates with leadership in… more
- 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, ... you will own sales execution and drive revenue for Datavant's Health Information Management (HIM) product suite across an assigned geographic Zone. This role blends… more
- Safran (Sarasota, FL)
- SUPPLIER PERFORMANCE MANAGEMENT (SPM) Company : Safran Electrical & Power Job field : Purchasing Location : Sarasota , Florida , United States Contract type : ... collaborating across internal teams and supplier leadership. * Support crisis management and recovery for underperforming suppliers to protect customer delivery… more
- Elevance Health (Tampa, FL)
- … and determines appropriate area to refer or assign case (utilization management , case management , QI, Med Review). + Provides information regarding ... enrolled in Medicaid and/or Medicare programs in Florida. **Title** : Medical Management Specialist I **Virtual:** This role enables associates to work virtually… more