- Centers Plan for Healthy Living (Margate, FL)
- …guidance and plans they need for healthy living. JOB SUMMARY: The Utilization Management Care Coordinator works within a multidisciplinary care team to ... in completing authorization updates as needed based on the care plan of the member + Coordinates...Strong multi-tasking abilities Preferred: + Experience working within a managed care environment Specific Technical Skills Preferred:… more
- CenterWell (The Villages, FL)
- …hard-working and dedicated Referral Coordinator , to prepare and process all managed care referral paperwork, schedules and pre-registers patients for exams ... procedures with specialists and providers outside of the primary care physician's office. The Referral Coordinator performs...**This position is Onsite** + Prepares and processes all managed care referral paperwork. + Gathers pertinent… more
- Help at Home (Sarasota, FL)
- …organization, CSI may be the right fit for you._ **Job Summary:** As a Care Coordinator , you'll play a key role in ensuring clients receive high-quality, ... and ensure every client's experience is compassionate, efficient, and well- managed . **As a People Leader:** **_You lead with empathy,...Assigns caregivers based on client needs and the established Plan of Care . + Monitors caregiver performance… more
- HCA Healthcare (Sunrise, FL)
- …156,000 hours volunteering in our communities. As a Marketing Events and Communication Coordinator with HealthTrust Workforce Solutions you can be a part of an ... and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. +...resources for emotional, physical and financial wellbeing + 401(k) Plan with a 100% match on 3% to 9%… more
- Humana (Tallahassee, FL)
- …+ Experience with Utilization Review and/or Prior Authorization, preferably within a managed care organization + Proficient utilizing electronic medical record ... caring community and help us put health first** The UM Administration Coordinator contributes to administration of utilization management. The UM Administration … more
- Cardinal Health (Tallahassee, FL)
- …long- and short-range changes in the reimbursement environment including Medicare, Medicaid, Managed Care , and Commercial plans while planning for various ... Patient Support helps specialty pharmaceutical manufacturers remove barriers to care so that patients can access, afford and remain...Medical, dental and vision coverage + Paid time off plan + Health savings account (HSA) + 401k savings… more
- Humana (Tallahassee, FL)
- …with Utilization Review and/or Prior Authorization, preferably within a managed care organization. **Additional Information** **Language Proficiency Testing** ... treatment, care or services for members. Bilingual Telephonic UM Coordinator + Primarily receive calls from Providers, Hospitals, Skilled Nursing Facilities and… more
- Centene Corporation (Tallahassee, FL)
- …or equivalent. + 3+ years of pharmacy experience required, preferably in a managed care environment. + Medicare and/or Medicaid experience preferred. Prior ... competitive benefits including a fresh perspective on workplace flexibility. **Pharmacy Coordinator (Appeals) - Florida** **Location:** Remote Florida only - Must… more
- Evolent (Tallahassee, FL)
- …in processing appeals is preferred. + 3 years of experience within a health plan , managed care organization or third-party administrator is preferred. + ... and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented...we seek to connect the pieces of fragmented health care system and ensure people get the same level… more
- Centene Corporation (Tallahassee, FL)
- …diploma or equivalent. 3+ years of pharmacy experience, preferably in a managed care environment. Medicare and/or Medicaid experience preferred. Prior experience ... pharmacy department in the development, coordination and maintenance of the health plan 's pharmacy program. + Receive and respond to provider and pharmacy calls… more