- Elevance Health (Miami, FL)
- ** Medical Management Clinician Associate** **Locations:** Tampa, FL or Miami, FL + 5411 Sky Center Drive, Tampa, FL 33607 + 11430 NW 20TH Street, STE 300, ... one weekend (Saturday & Sunday) about once every 3 months. The ** Medical Management Clinician Associate** is responsible for ensuring appropriate, consistent… more
- Devereux Advanced Behavioral Health (Deland, FL)
- …building, behavioral techniques, grief counseling, interviewing of family members, stress management techniques, etc. Based on the clinician 's assessment, ... to join our team as a Mobile Crisis Services Clinician ._ **Being a Placement Stability Team Clinician ...**Retirement** - 403(b) through TIAA + **Quality Low-Cost Benefits** ( medical , dental, vision), pet insurance, plus student loan debt… more
- City of Boca Raton (Boca Raton, FL)
- Mental Health Clinician Print (https://www.governmentjobs.com/careers/bocaratonfl/jobs/newprint/5097409) Apply Mental Health Clinician Salary $31.23 - $40.00 ... field of behavioral health issues, crisis intervention, and risk assessment and management ; does related work as required. Work is performed under regular… more
- Elevance Health (Sarasota, FL)
- **LTSS Service Coordinator- Clinician ** **Location** _:_ This is primarily a field based position. Candidate would need to reside in one of the following counties: ... by law._ **Schedule** _:_ Monday-Friday 8am-5pm EST The **LTSS Service Coordinator- Clinician ** , working under the direction/supervision of an RN, with overall… more
- Owens & Minor (Lakeland, FL)
- …better, breathe better, heal faster, and thrive longer_ **JOB SUMMARY** The Respiratory Clinician provides the treatment and management of patients with clinical ... success starts with our teammates. Owens & Minor teammate benefits include: + Medical , dental, and vision insurance, available on first working day + 401(k),… more
- Highmark Health (Tallahassee, FL)
- …and retrospective claims review basis. Review process includes a review of medical documentation, itemized bills, and claims data to assure appropriate level of ... or if necessary involve Special Investigation Unit or the Utilization Management area. **ESSENTIAL RESPONSIBILITIES** + Implement the pre-payment and retrospective… more
- Datavant (Tallahassee, FL)
- …computer skills, Word, Excel, Outlook, experience working in a health plan medical management documentation system a plus. Minimum Education: LVN/LPN + ... utilization of available health services, review of admissions for medical necessity and necessity of continued stay in the...as it relates to job function as delegated by management Ideal candidate should be a Licensed Practical Nurse… more
- Molina Healthcare (Orlando, FL)
- …Looking for a RN with experience with appeals, claims review, and medical coding. JOB DESCRIPTION Job SummaryProvides support for clinical member services review ... * Processes requests within required timelines. * Refers appropriate cases to medical directors (MDs) and presents them in a consistent and efficient manner.… more
- Molina Healthcare (FL)
- …* Processes requests within required timelines. * Refers appropriate cases to medical directors (MDs) and presents them in a consistent and efficient manner. ... teams to promote the Molina care model. * Adheres to utilization management (UM) policies and procedures. Required Qualifications * At least 2 years… 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 ... status of Applied Behavioral Analysis (ABA) services provided to determine medical appropriateness. Monitors clinical effectiveness and efficiency of member's care… more