- Elevance Health (Tampa, FL)
- …coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum. Perform duties telephonically or on-site ... will make an impact:** + Ensures member access to services appropriate to their health needs. + Conducts assessments to identify individual needs and a specific care… more
- Elevance Health (Tampa, FL)
- …coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum. Performs duties telephonically. **How you ... will make an impact:** + Ensures member access to services appropriate to their health needs. + Conducts assessments to identify individual needs and a specific care… more
- Elevance Health (Miami, FL)
- …coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum. Performs duties telephonically. **How you ... will make an impact:** + Ensures member access to services appropriate to their health needs. + Conducts assessments to identify individual needs and a specific care… more
- Elevance Health (Tampa, FL)
- …of the care management plan and modifies as necessary. + Interfaces with Medical Directors and Health Professionals on the development of care management ... coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum. Performs duties telephonically. **How you… more
- CVS Health (Tallahassee, FL)
- At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... health care. As the nation's leading health ...prepayment environment - Investigates to prevent payment of fraudulent claims committed by insured's, providers, claimants, etc. - Researches… more
- Elevance Health (Tampa, FL)
- …coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum. Performs duties telephonically or on-site ... are not limited to: + Ensures member access to services appropriate to their health needs. + Conducts assessments to identify individual needs and a specific care… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …MCG(R) screening criteria. Responsibilities: + Manages appropriate cases that require medical necessity review such as home care, elective inpatient and outpatient ... requests. + Reviews cases referred by the prior-authorization non-clinical medical management coordinator and pre-certification technician staff according to member… more
- Veterans Affairs, Veterans Health Administration (Gainesville, FL)
- …the Veteran and the best value for the government. Independently examines clinical health records and claims folders to determine eligibility and entitlement for ... the Prosthetic Service Line at the North Florida/South Georgia VA Healthcare System Medical Center and/or Community Base Outpatient Clinic (CBOC). This is a critical… more
- CVS Health (Tallahassee, FL)
- At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... health care. As the nation's leading health ...+ Handle incoming calls from members and providers regarding claims status, benefits and eligibility, PPO participation, etc +… more
- CVS Health (Tallahassee, FL)
- At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... health care. As the nation's leading health ...operations teams using a variety of platforms. We service medical , pharmacy, sales, product and call center support models… more