• Utilization Review Spec Sr

    BayCare Health System (Clearwater, FL)
    …consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians. With the support of ... remote) + **On Call:** No **Certifications and Licensures:** + Required RN (Registered Nurse ) + Preferred ACM (Case Management) + Preferred CCM (Case Manager )… more
    BayCare Health System (08/22/25)
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  • Hospital Care Coordinator - RN Case Management

    BayCare Health System (Tampa, FL)
    …Nursing **Experience:** + Required 2 years in Acute Care + Required 2 years Registered Nurse **Benefits:** + Benefits ( Health , Dental, Vision) + Paid time off + ... consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians. With the support of… more
    BayCare Health System (07/19/25)
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  • Hospital Care Coordinator - RN Case Management

    BayCare Health System (St. Petersburg, FL)
    …Nursing **Experience:** + Required 2 years in Acute Care + Required 2 years Registered Nurse **Benefits:** + Benefits ( Health , Dental, Vision) + Paid time off + ... consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians. With the support of… more
    BayCare Health System (07/12/25)
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  • Home Health Director

    PruittHealth (Jacksonville, FL)
    **Director of Home Health Services** Home is where the heart is! That's why PruittHealth @ Home is committed to caring for our patients and residents, as well as ... responsible for the overall operation and supervision of our growing Home Health division. **KEY RESPONSIBILITIES:** * Operational Oversight * Direct all day-to-day… more
    PruittHealth (07/22/25)
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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 ... Please be advised that Elevance Health only accepts resumes for compensation from agencies that...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
    Elevance Health (08/30/25)
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  • Outreach Care Specialist II

    Elevance Health (Miami, FL)
    …: Monday - Friday 8:00am - 5:00pm PST** A proud member of the Elevance Health family of companies, Carelon Behavioral Health , formerly Beacon Health Options, ... followed on moderately complex cases and for proactively identifying ways to improve the health of our members and meet quality goals. **How you will make an impact… more
    Elevance Health (08/23/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (FL)
    …recommendations. **Minimum Requirements:** + Requires current, active, unrestricted Registered Nurse license in applicable state(s). + Requires a minimum of ... + One or more of the following certifications are preferred: Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA),… more
    Elevance Health (08/23/25)
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  • 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 ... and New York In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package,...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
    Elevance Health (08/20/25)
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  • Hospital Care Coordinator - RN Case Management

    BayCare Health System (St. Petersburg, FL)
    …consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians. With the support of ... Occasional + **On Call:** No **Certifications and Licensures:** + Required RN (Registered Nurse ) + Preferred ACM (Case Management) + Preferred CCM (Case Manager )… more
    BayCare Health System (08/16/25)
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  • Certified Pediatric Medical Assistant 2 (Float)

    University of Miami (Miami, FL)
    …and healing environment. The Pediatric Medical Assistant (MA) 2 works directly with the Nurse Manager / Nurse Supervisor/Charge Nurse and/or the Designee ... healing environment. The MA 2 works directly with the Nurse Manager / Nurse Supervisor/Charge Nurse...with all State and Federal regulatory guidelines to include Health Insurance Portability and Accountability Act (HIPAA). Meets diverse… more
    University of Miami (08/12/25)
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