• Triage Nurse I - CareBridge - Virtual

    Elevance Health (FL)
    …customers to help improve health outcomes for members. + Works in collaboration with medical management and care management associates to identify issues, ... summary following department standards strongly preferred. + Basic knowledge of the medical management and care management process and role preferred. Please… more
    Elevance Health (09/04/25)
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  • Sr. Disability Representative

    Sedgwick (Orlando, FL)
    …of ERISA regulations, required offsets and deductions, disability duration and medical management practices and Social Security application procedures + ... Sr. Disability Representative **PRIMARY PURPOSE** : To provide disability case management and claim determinations based on complex medical documentation… more
    Sedgwick (09/04/25)
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  • Disability Representative Sr

    Sedgwick (Orlando, FL)
    …of ERISA regulations, required offsets and deductions, disability duration and medical management practices and Social Security application procedures + ... Employer Disability Representative Sr **PRIMARY PURPOSE** : Provides disability case management and complex claim determinations based on medical documentation… more
    Sedgwick (09/02/25)
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  • Claims Specialist Sr - Commercial Coverage…

    Sedgwick (Tallahassee, FL)
    …and deductions, claim and disability duration, cost containment principles including medical management practices and Social Security application procedures as ... Specialist **PRIMARY PURPOSE** **:** To analyze complex or technically difficult medical malpractice claims; to provide resolution of highly complex nature and/or… more
    Sedgwick (07/10/25)
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  • Bilingual RN Care Manager

    Somatus (Orlando, FL)
    …Success** + Provider Relationships. + Dialysis Interventions monitoring and coordination. + Medical Management . Qualifications Required + 1+ years of nursing ... be the best version of themselves, including: + Subsidized, personal healthcare coverage ( medical , dental vision) + Accrual of 3 weeks' Vacation (PTO) + Professional… more
    Somatus (07/24/25)
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  • Major Case Unit Claims Specialist

    The Hartford (Lake Mary, FL)
    …Resolution and Settlement Strategies, Efficient, Timely and Accurate Investigations and Medical Management are responsibilities of this position. The position ... Possess superior analytical and critical thinking skills, expert knowledge of complex medical terms, excellent time management abilities + Properly apply… more
    The Hartford (08/20/25)
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  • RN Nurse Navigator Interventional Pulmonology at

    AdventHealth (Celebration, FL)
    …Navigator, and referring providers in navigating patients from treatment planning, medical management , and surveillance assuring patients have appropriate, ... education resource for patients and families on treatment planning and medical management . + Assists in obtaining necessary authorizations for oncology visits… more
    AdventHealth (09/06/25)
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  • Nurse Practitioner (Acute Care), Physician…

    Cleveland Clinic (Port Saint Lucie, FL)
    …care units under the direction of physicians, including admission H&Ps, ongoing medical management , ordering medications and treatments, special procedures such ... leading and developing educational programs. **Responsibilities:** + Conducts thorough medical histories, performs complete physical examinations (where indicated), initiates… more
    Cleveland Clinic (07/10/25)
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  • Health Services Administrator (O-6 Billet)…

    Immigration and Customs Enforcement (Miami, FL)
    …services, laboratory services, biological and hazardous waste disposal services, air management services, medical and dental equipment inspection and ... and mental health care, and public health services. IHSC provides medical case management and oversight for an additional 22,600 detainees housed at… more
    Immigration and Customs Enforcement (08/21/25)
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  • Surgical Nurse Practitioner

    AdventHealth (Ocala, FL)
    …The Advanced Registered Nurse Practitioner functions as a member of the medical care management team for physician practice patients (surgical). The ... an NG tubes and wound care, and provides system management of Surgical practice patients as per medical... management of Surgical practice patients as per medical staff privilege delineation. . Provides Direct Patient Care… more
    AdventHealth (08/07/25)
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