- CVS Health (Tallahassee, FL)
- …resolve member issues. -Explains member's rights and responsibilities in accordance with contract . -Processes claim referrals, new claim handoffs, nurse reviews, ... complaints (member/provider), grievance and appeals (member/provider) via target system. -Educates providers on our self-service options; Assists providers with credentialing and re-credentialing issues. -Responds to requests received from Aetna's Law Document… more
- GE Vernova (Pensacola, FL)
- …and prescription drug coverage; access to a Health Coach, a 24/7 nurse -based resource; and access to the Employee Assistance Program, providing 24/7 confidential ... a Sponsor's welfare benefit plan or program. This document does not create a contract of employment with any individual. GE Vernova offers a great work environment,… more
- AdventHealth (New Smyrna Beach, FL)
- …the surgical technologist are under the direct supervision of the perioperative registered nurse and operating surgeon **The value you'll bring to the team:** + ... assists others with minimal supervision. **_*Terms: 24-month Full-time Employment Contract Required for Sign-On and Relocation_** **Sign-on Eligibility:** +… more
- CoreCivic (Lake City, FL)
- …clinical staff, eg, psychiatrists, psychologists, mental health service provider's physicians, nurse , and social workers, in order to gather and provide information ... licensing in Florida. + A valid driver's license is preferred, unless required by contract or applicable statute. + Minimum age requirement: Must be at least 18… more
- Elevance Health (Miami, FL)
- …updates. + Establishes and maintains relationships with agencies identified in appropriate contract . + Serves as preceptor for new associates and participates in or ... Community Health Worker, Peer Support, Registered agency affiliated counselor, certified nurse assistant or certified medical assistant preferred. + BS/BA degree in… more
- GE Vernova (Melbourne, FL)
- …and prescription drug coverage; access to a Health Coach, a 24/7 nurse -based resource; and access to the Employee Assistance Program, providing 24/7 confidential ... a Sponsor's welfare benefit plan or program. This document does not create a contract of employment with any individual._ GE Vernova offers a great work environment,… more
- Amergis (Tampa, FL)
- …in an effective and efficient manner with the supervision of a Registered Nurse and in collaboration with the care team. Minimum Requirements: + Current LPN ... Questionnaire, PPD or chest x-ray if applicable + Current Health certificate (per contract or state regulation) + Must meet all federal, state and local requirements… more
- GE Vernova (Pensacola, FL)
- …and prescription drug coverage; access to a Health Coach, a 24/7 nurse -based resource; and access to the Employee Assistance Program, providing 24/7 confidential ... Sponsor's welfare benefit plan or program. This document does not create a contract of employment with any individual. **Additional Information** GE Vernova offers a… more
- Elevance Health (FL)
- …incoming calls or incoming post services claims work. + Determines contract and benefit eligibility; provides authorization for inpatient admission, outpatient ... and post service requests. + Refers cases requiring clinical review to a Nurse reviewer. + Responsible for the identification and data entry of referral requests… more
- CVS Health (Tallahassee, FL)
- …accordance with contract . + Process claim referrals, new claim handoffs, nurse reviews, provider complaints, grievance and appeals via target system. + Assists ... providers with credentialing/re-credentialing and contracting questions and issues. + Assist in compiling claim data for audits. Determines medical necessity, applicable coverage provisions and verifies member plan eligibility relating to incoming… more