• Supervisor, Behavioral Health Utilization…

    Centene Corporation (Tallahassee, FL)
    …this leadership role, you'll provide guidance and oversight to a team of Utilization Review Clinicians focused on behavioral health prior authorizations.** **If ... you have experience in managed care, behavioral health utilization review , and leadership, we want to...healthcare outcomes - all from the flexibility of your home .** **Must Reside in Florida.** **Position Purpose:** Supervises the… more
    Centene Corporation (05/15/25)
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  • Coordinator, Utilization Management

    Evolent (Tallahassee, FL)
    …mission. Stay for the culture. **What You'll Be Doing:** The **Coordinator, Intake Utilization Management** at Evolent will serve as a point of contact for ... and client contractual agreements. **Collaboration Opportunities** : The Coordinator, Intake Utilization Management reports directly to the Manager, Utilization … more
    Evolent (05/03/25)
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  • Utilization Management Registered Nurse

    Wellpath (Fort Lauderdale, FL)
    …memberships and product discounts * Preferred banking partnership and discounted rates for home and auto loans *Eligibility for perks and benefits varies based ... education, and point of care support. **How you make a difference** The Utilization Management Registered Nurse works under the guidance of the Utilization … more
    Wellpath (05/14/25)
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  • Utilization & Disease Management…

    CenterWell (Tallahassee, FL)
    …member service or customer service telephone experience desired + Experience with Utilization Review and/or Prior Authorization, preferably within a managed care ... Administration Coordinator - Phone Intake contributes to administration of utilization management. The UM Administration Coordinator performs varied activities and… more
    CenterWell (05/16/25)
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  • Non-Clinical Coding and OASIS Review…

    BAYADA Home Health Care (Orlando, FL)
    …should be available Monday-Friday from 8:30am-5:00pm. _Medicare, Coder, OASIS Review , Utilization Review , Quality Assurance, Remote, Home Health Coding_ ... Review and Coding Manager. The OASIS and Coding Review Manager provides support to all BAYADA Home...+ This role is **fully remote,** candidates may be based anywhere in the US + Base Salary: $… more
    BAYADA Home Health Care (04/02/25)
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  • Clinical Coding and OASIS Review Manager

    BAYADA Home Health Care (Orlando, FL)
    …with an industry leader. Apply now for immediate consideration. OASIS Review , Utilization Review , Quality Assurance, Remote, Home Health Coding, Coder, ... considered, there is no flexibility around this requirement.** BAYADA Home Health Care has an immediate opening for a...immediate opening for a **Full Time,** OASIS and Coding Review Manager with OASIS and Coding certification to work… more
    BAYADA Home Health Care (04/02/25)
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  • Clinical Manager, Home Health

    CenterWell (The Villages, FL)
    …review of clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates and ... delivery, and documentation requirements. + Responsible for the QA/PI activities. Works with Utilization Review staff relative to data tracking for performance … more
    CenterWell (05/11/25)
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  • Home Care Supervisor, RN

    BayCare Health System (Largo, FL)
    …within the area of responsibility + Ensure quality assurance program and utilization review is followed in accordance with Home Care protocol + Oversees and ... the Tampa Bay area. Our network consists of 16 community- based hospitals, a long-term acute care facility, home...Participates with Case Manager on initial Plan of Care review with a focus on quality, utilization … more
    BayCare Health System (03/04/25)
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  • Home Care Supervisor, RN

    BayCare Health System (Dunedin, FL)
    …the area of responsibility. + Ensure quality assurance program and utilization review is followed in accordance with Home Care protocol. + Oversees and ... the Tampa Bay area. Our network consists of 16 community- based hospitals, a long-term acute care facility, home...Participates with Case Manager on initial Plan of Care review with a focus on quality, utilization … more
    BayCare Health System (04/16/25)
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  • Customer Service Specialist-Citigold - Bilingual…

    Citigroup (Jacksonville, FL)
    …- must read, write & speak both languages fluently** **Train on site/ Home Office Program:** **This position requires you to complete training on site at ... you may have the option to participate in our Home Office Program where you will work from ...for assisting with customer service inquiries and providing solutions based on client needs in coordination with the Customer… more
    Citigroup (04/24/25)
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