- Humana (Tallahassee, FL)
- **Become a part of our caring community and help us put health first** The Utilization Management Registered Nurse 2 utilizes clinical nursing skills to support ... communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are varied and frequently require… more
- SAP (Miami, FL)
- …partner program consisting of SAP PartnerEdge program Guide and SAP Global Channel Policy ; and * Project management including managing of deliverables including ... T4PM-1** **Additional Locations:** Original Posting Date: 06/23/2025 Job Title: Partner Management Senior Specialist Location: Miami, FL Work Model: Hybrid work… more
- Humana (Tallahassee, FL)
- **Become a part of our caring community and help us put health first** The UM Administration Coordinator contributes to administration of utilization management . ... appropriate treatment, care or services for members utilizing Home Health and Skilled Nursing Facility services. This team sits...or DSL Connection in Exceptions, Section 7.0 in this policy .) + Humana will not pay for or reimburse… more
- Headquarters, Air Force Reserve Command (Patrick AFB, FL)
- …OR Specialized Experience Progressively responsible analytical /administrative, or clinical management /supervisory experience in the health care field. This ... Specialized experience is experience which includes analytical or administrative, or clinical management or supervisory experience in the health care field. This… more
- CenterWell (Orlando, FL)
- …Provide admission, case management , and follow-up skilled nursing visits for home health patients. + Administer on-going care and case management for each ... part of our caring community and help us put health first** Make a meaningful impact every day as...physician's orders and initial patient assessment. Provide hands-on care, management and evaluation of the care plan and teaching… more
- CenterWell (Gainesville, FL)
- …Provide admission, case management , and follow-up skilled nursing visits for home health patients. + Administer on-going care and case management for each ... part of our caring community and help us put health first** Make a meaningful impact every day as...physician's orders and initial patient assessment. Provide hands-on care, management and evaluation of the care plan and teaching… more
- MyFlorida (St. Petersburg, FL)
- …One year of experience working with STD/STI programs + One year of case management or counseling experience Florida Department of Health Mission, Vision, and ... HEALTH SERVICES REPRESENTATIVE - 64029132 1 Date: Aug...Provides partner services in accordance with current STI Program Policy to a wide variety of individuals infected with… more
- Humana (Tallahassee, FL)
- **Become a part of our caring community and help us put health first** The Encounter Data Management Professional ensures data integrity for claims errors. The ... Encounter Data Management Professional work assignments are varied and frequently require...or other related fields + X12 experience + Prior health insurance industry experience + Working knowledge of Microsoft… more
- CenterWell (The Villages, FL)
- …and automobile liability insurance. + Minimum of 2 years of healthcare operations management experience, preferably in Home Health + Home health ... **Become a part of our caring community and help us put health first** $10K Sign-On Bonus Relocation assistance offered for this role Work Schedule: Full-time/40… more
- Highmark Health (Tallahassee, FL)
- **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This job works collaboratively riskacross Highmark Health clinical areas to support clinical ... Analyst is responsible for monitoring and analyzing medical and utilization management activities to ensure compliance with internal policies, state, CMS, and… more