• Oncology Prior Authorization Case Manager…

    University of Miami (Miami, FL)
    …this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . Utilization Review Case Manager RN - Full Time The University ... of Miami is currently seeking a Prior Authorization Nurse Case Manager. The incumbent purose is to conduct initial...incumbent purose is to conduct initial chart reviews for medical necessity and identify the need for authorization. The… more
    University of Miami (08/23/25)
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  • School Case Aveanna Healthcare Private Duty…

    Aveanna Healthcare (Lynn Haven, FL)
    School Case Aveanna Healthcare Private Duty Nurse LPN - Trach/Vent Pre-Teen ApplyRefer a FriendBack Job Details Requisition #: 207450 Location: Lynn Haven, FL 32444 ... First! Licensed Practical / Vocational Nurse - LPN/LVN *School Case - Nurse Will go to School with Patient*...state of residence within 90 days + Current CPR certification (with hands-on component)- Aveanna can assist in obtaining… more
    Aveanna Healthcare (08/21/25)
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  • Registered Nurse RN - Case Manager

    Ascension Health (Pensacola, FL)
    **Details** + **Department: Case Management** + **Schedule: Monday-Friday 8AM-5PM** + **Hospital: Ascension Sacred Heart Emerald Coast** + **Location: Pensacola, ... effective implementation of health plan. + Act as a resource for adequate medical record documentation, appropriateness of services as they relate to diagnoses, and… more
    Ascension Health (08/23/25)
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  • RN Case Manager

    Ascension Health (Jacksonville, FL)
    **Details** + **Department:** Case Management + **Schedule:** Full Time, Day Shift + **Hospital:** Ascension St. Vincent's Southside + **Location:** Jacksonville, FL ... effective implementation of health plan. + Act as a resource for adequate medical record documentation, appropriateness of services as they relate to diagnoses, and… more
    Ascension Health (08/13/25)
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  • Human Services Counselor III

    MyFlorida (Orlando, FL)
    …+ Experience conducting program assessments and home visits. + Current HIV 500/501 certification . + Current Medical Case Management AETC Southeast AIDS ... health services agency in lieu of an Associate's degree. + Completion of Medical Case Management AETC Southeast AIDS Education course within 30 days of hire. +… more
    MyFlorida (07/09/25)
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  • Medical Assistant - 1 1 1

    MyFlorida (Sarasota, FL)
    …Total Compensation Estimator Tool (https://compcalculator.myflorida.com/) Join Our Team as a Case Management Medical Assistant! Are you passionate about making ... Join us for an exciting role that combines meaningful case management with dynamic clinic support! What You'll Do...of EHR + Basic computer knowledge Qualifications: Minimum- + Certification as a medical assistant + One… more
    MyFlorida (06/19/25)
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  • Chief Medical Officer

    HCA Healthcare (Ocala, FL)
    …corporate to train and support quality improvement, risk management, patient safety, case management, medical staff affairs, and physician relations activities. ... in 21 states and the United Kingdom. We are looking for a Chief Medical Officer for our HCA Florida Ocala Hospital team where excellence creates excellence.… more
    HCA Healthcare (08/21/25)
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  • Medical Director - Radiation Oncology

    Elevance Health (Tampa, FL)
    medical necessity decisions. + Brings to their supervisors attention, any case review decisions that require Medical Director review or policy ... + Minimum of 1 year of experience with clinical case reviews for medical necessity. _The minimum...specialties only; Cardiology, Oncology, and Interventional Pain specialties. Board certification in a medical specialty required._ Please… more
    Elevance Health (08/21/25)
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  • Telephonic Counselor

    Medical Mutual of Ohio (Fort Myers, FL)
    Founded in 1934, Medical Mutual is the oldest and one of the largest health insurance companies based in Ohio. We provide peace of mind to more than 1.2 million ... and /or face to face counseling, coaching, resource coordination, and case management for Employee Assistance Program members who call for immediate… more
    Medical Mutual of Ohio (08/14/25)
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  • Medical Director, Clinical Services

    Highmark Health (Tallahassee, FL)
    …a Health Insurance Plan; strong knowledge of managed care industry **LICENSES AND CERTIFICATION ** **Required** + Medical Doctor or Doctor of Osteopathic Medicine ... standards. The incumbent reviews escalated cases electronically and using Medical Policy criteria sets to evaluate the medical...treatment of service. Depending on the nature of the case , telephonic peer to peer discussions may be required.… more
    Highmark Health (07/29/25)
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