• RN Medical Claim Review Nurse

    Molina Healthcare (Orlando, FL)
    …CERTIFICATION, ASSOCIATION:** Certified Clinical Coder, Certified Medical Audit Specialists, Certified Case Manager , Certified Professional Healthcare ... and refers members with special needs to the appropriate Molina Healthcare program per policy/protocol. **JOB QUALIFICATIONS** Graduate from an Accredited School… more
    Molina Healthcare (05/21/25)
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  • Case Manager RN - PRN

    Community Health Systems (Naples, FL)
    …from admission to discharge. Acts as a liaison between patient/family and healthcare personnel to ensure necessary care is provided promptly and effectively. Relies ... on experience and judgment to plan and accomplish goals. Performs a variety of tasks. A certain degree of creativity and latitude is required. Typically reports to a head of a department/unit. Appropriate nursing degree and licensure in a specialty area with… more
    Community Health Systems (04/20/25)
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  • Clinical Appeals Nurse (RN)

    Molina Healthcare (Orlando, FL)
    …and unrestricted Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager + Certified Professional Healthcare Management + ... Certified Professional in Healthcare Quality + other healthcare certification To all current Molina employees: If you are interested in applying for this… more
    Molina Healthcare (05/16/25)
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  • Supervisory Social Worker - Post 9/11 Military 2…

    Veterans Affairs, Veterans Health Administration (Gainesville, FL)
    …a need for care or case management receive those services from a VA case manager . Duties include but are not limited to: Plans, develops, implements, and ... serves as the facility Post 9/11 Military 2 VA Case Management Program Manager . Responsibilities Total-Rewards-of-an-Allied-Health-VA-Career-Brochure.pdf Social… more
    Veterans Affairs, Veterans Health Administration (05/02/25)
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  • Care Manager - Licensed Master Social…

    Molina Healthcare (FL)
    …level of the assigned members, particular state-specific regulations, or whether the Case Manager position is located within Molina's Central Programs unit. ... Licensed Clinical Social Worker (LCSW), Advanced Practice Social Worker (APSW), Certified Case Manager (CCM), Certified in Health Education and Promotion (CHEP),… more
    Molina Healthcare (04/12/25)
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  • Care Manager (RN) (Must Reside in CA)

    Molina Healthcare (FL)
    …health settings. Preferred License, Certification, Association Active, unrestricted Certified Case Manager (CCM) Preferred languages (Korean/English) To all ... **JOB DESCRIPTION** **Job Summary** Molina Healthcare Services (HCS) works with members, providers and...per regulated timelines and determines who may qualify for case management based on clinical judgment, changes in member's… more
    Molina Healthcare (04/12/25)
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  • Care Manager , LTSS

    Molina Healthcare (FL)
    …services. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** Active and unrestricted Certified Case Manager (CCM) Active, unrestricted State Nursing license ... members on Waiver program. This position will have a case load and manage members enrolled in this program....PM EST (No weekends or Holidays **Job Summary** Molina Healthcare Services (HCS) works with members, providers and multidisciplinary… more
    Molina Healthcare (05/23/25)
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  • Operations Manager

    Maxim Healthcare Services (Gainesville, FL)
    Maxim Healthcare Group is currently seeking an Operations Manager . The Operations Manager is responsible for successfully managing and leading the complete ... operations of a Maxim branch office. The Operations Manager has an integral role in the ongoing education...integral role in the ongoing education of clients, physicians, case managers and community members regarding the functions and… more
    Maxim Healthcare Services (05/17/25)
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  • Market Business Development Manager

    Maxim Healthcare Services (Boynton Beach, FL)
    …area healthcare programs, local insurance payers, physician groups, and case management groups. The Market Business Development Manager manages with ... Development Manager has a responsibility to sell Maxim's full suite of healthcare services. The Market Business Development Manager will collaborate with all… more
    Maxim Healthcare Services (05/07/25)
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  • Data Science Manager , Life Sciences…

    Deloitte (Miami, FL)
    Data Science Manager , Healthcare & Life Sciences - SFL Scientific Our Deloitte Strategy & Transactions team helps guide clients through their most critical ... programs that transform our clients' businesses. We are hiring a Data Science Manager to support the technical design, development, and deployment of novel AI… more
    Deloitte (05/24/25)
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