- Centene Corporation (Tallahassee, FL)
- …everything for our 28 million members as a clinical professional on our Medical Management /Health Services team. Centene is a diversified, national organization ... to provide education on best practice models and utilization management processes + Interact with the Medical ...utilization management processes + Interact with the Medical Director, or designee, to discuss clinical authorization questions… more
- Centene Corporation (Tallahassee, FL)
- …everything for our 28 million members as a clinical professional on our Medical Management /Health Services team. Centene is a diversified, national organization ... reviews related to mental health and substance abuse to determine medical appropriateness in accordance with regulatory guidelines and criteria + Performs… more
- VCA Animal Hospitals (Coconut Creek, FL)
- …work environment and maintain our strong hospital culture + Work cohesively with hospital management and medical teams to aid in the progression of the hospital ... firsthand experience + Mentoring technicians within the department + Medical supplies ordering and inventory management +...department + Medical supplies ordering and inventory management + Controlled substances management + … more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …in utilization of resources, avoidable days/denials. Works in collaboration with Appeals Management / Medical Director in the appeals process. + Responsible for ... assessments of members' behavioral and mental health status, including psychosocial and medical needs. + Develop and implement individualized care plans, with an… more
- AdventHealth (Zephyrhills, FL)
- … Group Zephyrhills **The role you'll contribute:** Functions as a member of the medical care management team. Provides medical treatment under the ... supervision of the attending physician. This medical care will be provided within the framework of...family, and health team members Demonstrates sensitivity to pain management by alleviating and reducing pain to level acceptable… more
- Highmark Health (Tallahassee, FL)
- …+ Certified Provider Credentialing Specialist (CPCS) **OR** Certified Professional Medical Services Management (CPMSM) **_Disclaimer:_** _The job description ... to include appointment, reappointment and ongoing verification activities of the Medical Staff and Allied Health Professional Staff of AHN entities. Responsible… more
- Banfield Pet Hospital (Gainesville, FL)
- …at Banfield Pet Hospital Practice Managers play a pivotal role in our hospitals. Your medical practice management skills will be put to use to drive business ... a professional relationship with other stakeholders, including the veterinary medical team, field leadership, our corporate headquarters and PetSmart(R) associates… more
- AdventHealth (Maitland, FL)
- …Cycle Department or related area (registration, finance, collections, customer service, medical , or contract management + Two-year of supervisory/ management ... Cycle Department or related area (registration, finance, collections, customer service, medical , or contract management + Two-year of supervisory/ management… more
- Healthpeak Properties, Inc. (Miami, FL)
- …Administrator to assist in directing and coordinating activities of on-site outpatient medical property management . This person will assist in effectively ... delivery. Our impressive portfolio includes nearly 50 million square feet of medical outpatient buildings, lab and life science facilities and Senior Assisted Living… more
- CVS Health (Tallahassee, FL)
- …in claim processing and customer service that impact customer satisfaction, medical cost management , and operational efficiency. Consults cross-functionally with ... regarding training needs, quality controls, and procedures to senior management . + Takes direction to execute techniques, processes, and responsibilities.… more