• Readmissions Registered Nurse

    AdventHealth (Port Charlotte, FL)
    …etc.). Maintains current information on community resources, third-party payors, and managed care environment. Knowledgeable of changing rules and regulations, ... for** **:** AdventHealth Port Charlotte AdventHealth Port Charlotte, we care for the whole you in body, mind and...mind and spirit. Were honored to bring our leading-edge care and state-of-the-art technology to Floridas Suncoast. Our 254-bed… more
    AdventHealth (08/16/25)
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  • Quality Improvement RN

    CenterWell (Tampa, FL)
    …Office applications **Preferred Qualification** + Bachelor's Degree in Nursing + 3+ years of managed care experience + 3+ years of case management experience + ... responsible for the development, implementation and management oversight of the Primary Care Organization's Stars Program in the North Florida market. The Stars… more
    CenterWell (08/13/25)
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  • Referrals Team Supervisor - Broward County

    ChenMed (North Lauderdale, FL)
    …data and making decision based of the data + Experience working in Medicare managed care environment We're ChenMed and we're transforming healthcare for seniors ... your kindness and joy? We're different than most primary care providers. We're rapidly expanding and we need great...all times. + Manages, coaches and provides training to Care Coordinators; ensures they are following company processes. Training… more
    ChenMed (07/29/25)
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  • Medical Collections Specialist

    HCA Healthcare (Jacksonville, FL)
    …preferred. (ie ambulatory surgery center, hospital, doctors office) preferred + Knowledge of managed care payers and medical terminology is preferred Consider a ... team. Grow your career with an organization committed to delivering respectful, compassionate care , and where the unique and intrinsic worth of each individual is… more
    HCA Healthcare (08/26/25)
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  • Quality Improvement Supervisor, Clinical

    CenterWell (Port St. Lucie, FL)
    …applications **Preferred Qualification** + Bachelor's degree in nursing + 3+ years of managed care experience + 3+ years of leadership experience or equivalent ... for supporting the development, implementation and oversight of the Primary Care Organization's in-clinic Stars Program. The Supervisor, Stars Improvement, Clinical… more
    CenterWell (08/08/25)
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  • Collections Specialist

    HCA Healthcare (Sarasota, FL)
    …preferred. (ie ambulatory surgery center, hospital, doctors office) preferred + Knowledge of managed care payers and medical terminology is preferred Consider a ... we are committed to caring for patients with purpose and integrity. We care like family! Jump-start your career as a(an) Collections Specialist today with Surgery… more
    HCA Healthcare (06/21/25)
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  • Mental Health Licensed Clinical Social Worker LCSW

    Valor Health (Fort Pierce, FL)
    …clinical reminders "due" at the time of each patient visit. + Assists in co- managed care collaboration with non-VA providers, and facilities. + Provides patient ... VA medical centers. Our comprehensive set of services includes primary care , diagnostics, laboratory, telehealth, behavioral health, and more. About Our Benefits… more
    Valor Health (06/05/25)
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  • Associate Market Clinical Director

    ChenMed (Hallandale Beach, FL)
    …knowledge and skills: + Excellent clinical skills. + Knowledge and experience in a managed care delivery system. + Knowledge of clinical outcomes and quality ... your kindness and joy? We're different than most primary care providers. We're rapidly expanding and we need great...a portion of their time allocated to direct patient care as a PCP and/or other clinical duties. The… more
    ChenMed (08/27/25)
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  • Registered Nurse-RN Hospitalist

    AdventHealth (Kissimmee, FL)
    …PREFERRED** : + Acute care experience + Experience in Case Management, Managed Care , Discharge Planning and Utilization Management + Case Management training ... The Hospitalist RN partners with the contracted Hospitalist MD/Provider and the Care Management Team to manage escalated issues and complex cases in an… more
    AdventHealth (08/23/25)
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  • Manager, HCS Operations Support

    Molina Healthcare (Miami, FL)
    …Experience** 3+ years of healthcare or health plan supervisory experience. Managed Care operations experience. Prior Medical Assistant experience. **Preferred ... team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care ,… more
    Molina Healthcare (08/16/25)
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