- 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 (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 (Tallahassee, FL)
- …skills to support the coordination, documentation, and communication of medical services and/or benefit administration determinations. The Utilization Management ... care/health plan experience **Preferred Qualifications** + Experience with utilization review process + Experience with behavioral change, health promotion, coaching… more
- Public Consulting Group (Tallahassee, FL)
- …Scale assessment is preferred. + Experience with Home and Community Based Services waivers preferred. + Knowledge of medical terminology, behavioral support, ... to receive services from one of three Virginia DD- Home and Community Based Services Medicaid Waivers...Waivers + An IRQR (Internal Interviewer Reliability and Qualification Review ) is a process used by AAIDD (American Association… more
- Humana (Tallahassee, FL)
- …Management Pharmacist is a clinical expert responsible for conducting medical necessity and comprehensive medication reviews for prescriptions requiring prior ... This role involves evaluating complex clinical scenarios and applying evidence- based criteria to ensure appropriate medication use. The pharmacist addresses… more
- HCA Healthcare (Tallahassee, FL)
- …This position is incentive eligible. **Job Summary and Qualifications** HCA Graduate Medical Education (GME) is the largest sponsor of residency and fellowship ... hospitals, we are building a leading network of innovative, patient-centered graduate medical education programs. We believe graduate medical education is much… more
- Carnival Cruise Line (Miami, FL)
- …team to assess fitness for duty per International Maritime Health guidelines. + **Crew Medical Claims Management** + Review crew cases of high risk and escalate ... care coordination, communication with crew regarding the care they receive at home or at centers of excellence. Key responsibilities include reviewing care plans,… more
- CenterWell (Leesburg, FL)
- …coordination with local food bank) and health care providers (eg, coordinate visits, review annual wellness visits, and education materials, and engage people on the ... healthcare providers for further evaluation and treatment. + Outreach and Home Visits: Conducting community outreach activities, including home visits,… more
- Concentrix (Tallahassee, FL)
- …Representative (Remote) Job Description The Technical Support Representative (Remote) works from home and interfaces with customers via inbound calls. You would be ... The Technical Support / Customer Service Representative (Remote) works from home and interfaces with customers via inbound/outbound calls and/or via the… more
- HCA Healthcare (Davie, FL)
- …and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low ... health coverage as well as free telemedicine services and free AirMed medical transportation. + Additional options for dental and vision benefits, life and… more