• Utilization Management Behavioral Health RN

    Humana (Tallahassee, FL)
    …skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management ... (inpatient outpatient, psych, substance use) + 1 year of Medical Surgery, Heart, Lung or Critical Care Nursing experience...+ Bilingual is a plus **Workstyle:** Remote work at home **Location:** Must reside in a state that participate… more
    Humana (09/04/25)
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  • Physical Therapist Care Manager

    AdventHealth (Ormond Beach, FL)
    …Therapist (PT) Care manager is a professional therapist who coordinates and directs the home care patient's services based on individual patient needs. The PT ... ** Home Health Physical Therapy Care Manager Nonexempt -...care providers including goals to improve or stabilize patient's medical condition, functional abilities and promote independence. Considers the… more
    AdventHealth (08/07/25)
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  • UM Nurse

    Humana (Tallahassee, FL)
    …skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management ... CGX experience. + MCG certification. **Additional Information** + **Workstyle:** Home . Home workstyle is defined as remote...reside in Florida. + **Travel:** no more than 5% based on business needs. + **Typical Work Days/Hours:** Monday… more
    Humana (09/04/25)
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  • Clinical Pharmacist

    Option Care Health (Pensacola, FL)
    …suitability for home care in accordance with Option Care policies. Medical condition and prescribed medication therapy suitable for home care services ... of patients and makes appropriate recommendation. + Modifies the pharmacy care plans for home care patients based on evaluation of monitoring data and other… more
    Option Care Health (08/26/25)
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  • Clinical Liaison LPN

    HCA Healthcare (Fort Myers, FL)
    …We have an exciting opportunity for you to join HCA Florida Healthcare at Home which is part of the nation's leading provider of healthcare services, HCA Healthcare. ... **Benefits** HCA Florida Healthcare at Home , offers a total rewards package that supports the...colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no… more
    HCA Healthcare (08/01/25)
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  • PRN RN

    HCA Healthcare (Sarasota, FL)
    …in your current role? We invest in what matters most to nurses like you - at home , at work, and at every stage in your career. We have an exciting opportunity for ... you to join HCA Florida Healthcare at Home which is a part of the nation's leading...colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no… more
    HCA Healthcare (06/21/25)
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  • Bilingual Telephonic UM Coordinator

    Humana (Tallahassee, FL)
    …orders and arrange a safe facility discharge. + Work with UM Nurses, Pharmacy, Medical Directors and other Departments. + During downtime make calls to UM Nurses, ... EST, must have ability to work Nights, Weekends and Holidays based on business needs. **Preferred Qualifications** + Proficient utilizing documentation programs.… more
    Humana (08/16/25)
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  • Senior Provider Contracting Professional

    Humana (Tallahassee, FL)
    …within a tracking system. May assist with identifying and recruiting providers based on network composition and needs. Makes decisions on moderately complex to ... Degree + Experience with ACO/Risk Contracting + Experience with Value Based Contracting **Additional Information** This role is considered "remote/work at … more
    Humana (09/03/25)
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  • Provider Contracting Executive

    Humana (Tallahassee, FL)
    …within a tracking system. May assist with identifying and recruiting providers based on network composition and needs. Advises executives to develop functional ... highly preferred + Experience with ACO/Risk Contracting + Experience with Value Based Contracting **Additional Information** This role is "remote/work at home ",… more
    Humana (08/19/25)
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  • Telephonic Behavior Health Care Manager

    Humana (Hallandale Beach, FL)
    …health issues. + Monitor and maintain awareness of utilization and conducts outreach based on acuity to assess medical /social/BH needs and addresses gaps in ... offering a variety of professional onsite, field, or remote based opportunities for a period up to 11 weeks....for a period up to 11 weeks. + **Workstyle:** Home . Home workstyle is defined as remote… more
    Humana (07/15/25)
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