- Molina Healthcare (St. Petersburg, FL)
- …and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care, for members with high need potential. HCS staff ... qualify for case management based on clinical judgment, changes in member's health or psychosocial wellness, and triggers identified in the assessment. + Develops… more
- Humana (Tallahassee, FL)
- **Become a part of our caring community and help us put health first** The Corporate Medical Director (CMD) relies on medical background to review health claims ... Qualifications** + Medical utilization management experience + Working with health insurance organizations, hospitals and other healthcare providers, patient… more
- Pfizer (Tallahassee, FL)
- …Pfizer Retirement Savings Contribution, paid vacation, holiday and personal days, paid caregiver /parental and medical leave, and health benefits to include ... a variety of responsibilities, ranging from promoting Pfizer's product portfolio to health care providers and specialists, to educating members of the healthcare… more
- Pfizer (Tampa, FL)
- …Pfizer Retirement Savings Contribution, paid vacation, holiday and personal days, paid caregiver /parental and medical leave, and health benefits to include ... be responsible for quarterly realignments, FF mapping and proactive territory health for Commercial CFCs including Sales, Account Management, Patient and… more
- HCA Healthcare (Port Charlotte, FL)
- …HCA Florida Fawcett Hospital offers a total rewards package that supports the health , life, career and retirement of our colleagues. The available plans and programs ... cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.… more
- Humana (Tallahassee, FL)
- **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... experience in prior authorization, claims, and/or utilization management in healthcare, health insurance, evaluating medical necessity and appropriateness of care + … more
- HCA Healthcare (Loxahatchee, FL)
- …Florida Palms West Hospital, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The available plans and programs ... cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.… more
- Humana (Tallahassee, FL)
- **Become a part of our caring community and help us put health first** The Compliance Nurse 2 reviews utilization management activities and documentation to ensure ... difficulties in a remote environment. **Preferred Qualifications** + BSN + Behavioral Health Utilization Management + Health Plan experience working with large… more
- HCA Healthcare (Tampa, FL)
- …Florida South Tampa Hospital, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The available plans and ... a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and...+ Maintain proactive and effective communication with patients and caregiver colleagues to include the radiologist + Check the… more
- Humana (Tallahassee, FL)
- **Become a part of our caring community and help us put health first** The Associate Actuary, Valuation is responsible for estimates of short term and long term ... for non-Actuarial audiences **Preferred Qualifications** + 3 or more years of relevant health -related actuarial work experience + 3 or more years of experience with… more