• Utilization Management Representative I

    Elevance Health (FL)
    …and post service requests. + Refers cases requiring clinical review to a Nurse reviewer. + Responsible for the identification and data entry of referral requests ... of gender, race, or any other category protected by federal , state, and local pay equity laws. * The...acceptable explanation. Elevance Health will also follow all relevant federal , state and local laws. Elevance Health is an… more
    Elevance Health (08/20/25)
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  • Special Investigation Unit (SIU) Coding Review…

    CVS Health (Tallahassee, FL)
    …medical records. This role requires a strong focus on meeting state, federal , and company requirements while identifying concerning billing patterns or trends. ... + Assist with investigative research related to coding questions, state and federal policies, and identify potential billing errors, abuse, and fraud. + Identify… more
    CVS Health (08/08/25)
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  • Adult Protective Investigator

    MyFlorida (Orlando, FL)
    …Assistant Behavioral Health Technician Family Intervention Specialist Home Health Aide Nurse (LPN or RN) or similar profession Nursing Facility Assistant EMT ... rules, regulations, policies, and requirements applicable to state and federal laws or procedures. + We hire only US...but not be limited to, fingerprinting for State and Federal criminal records checks through the Florida Department of… more
    MyFlorida (08/30/25)
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  • Clinical Fraud Investigator II

    Elevance Health (Tampa, FL)
    …**Preferred Skills, Capabilities, and Experiences:** + Coding Certificate or Registered Nurse strongly preferred + Law Enforcement dealing with Healthcare Fraud ... provide an acceptable explanation. Elevance Health will also follow all relevant federal , state and local laws. Elevance Health is an Equal Employment Opportunity… more
    Elevance Health (08/30/25)
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  • Certified or Registered Medical Assistant

    Adecco US, Inc. (Bradenton, FL)
    …and interventions regarding patient's age under the leadership of the Clinical Nurse Leader * Knowledgeable regarding all medical forms (PE, work excuses, proof ... Paid Sick Leave or other paid leave required by Federal , State, or local law, as well as Holiday...applicants with arrest and conviction records in accordance with federal , state, and local laws, and/or security clearance requirements,… more
    Adecco US, Inc. (08/28/25)
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  • Clinical Research Coordinator II RN Tri Research

    AdventHealth (Orlando, FL)
    …approved informed consent (IC) document, according to current FDA, state, federal and institutional regulations with study candidates and/or legal representative; ... SOPs, as well as all applicable local, state, and federal regulations._ _Coordinates the work of support staff, laboratory...Current, active State of Florida license as a Registered Nurse + BLS + **Preferred qualifications:** + Bachelor's degree… more
    AdventHealth (08/28/25)
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  • Law Enforcement Investigator II

    MyFlorida (Orlando, FL)
    …Organization and Mission: The Office represents the State of Florida in state and federal civil and criminal courts, from trial courts to the Supreme Court of the ... by a licensed physician, physician assistant, or licensed advanced practice registered nurse , based on specifications established by the commission. In order to be… more
    MyFlorida (08/27/25)
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  • Adult Protective Investigator

    MyFlorida (Fort Myers, FL)
    …Assistant Behavioral Health Technician Family Intervention Specialist Home Health Aide Nurse (LPN or RN) or similar profession Nursing Facility Assistant EMT ... but not be limited to, fingerprinting for State and Federal criminal records checks through the Florida Department of...through the Florida Department of Law Enforcement (FDLE) and Federal Bureau of Investigation (FBI) and may include local… more
    MyFlorida (08/22/25)
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  • VP Quality AdventHealth Central Florida Division…

    AdventHealth (Altamonte Springs, FL)
    …national brand reputation. Responsible for executive oversight of state (AHCA) and federal (CMS) requirements for Institutes to ensure compliance across CFD. This ... public speaking, team building, staff development, communication Knowledge of state/ federal regulatory agencies, accreditation standards and national society clinical… more
    AdventHealth (08/07/25)
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  • Medical Assistant 2 (H)

    University of Miami (Miami, FL)
    …patient population and assignments. Ensures compliance with all State and Federal regulatory guidelines to include Health Insurance Portability and Accountability ... professionally within their clinical scope of practice skills utilizing State, Federal , and University of Miami's standards, guidelines, relevant statues, rules, and… more
    University of Miami (08/04/25)
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