- Sedgwick (Tallahassee, FL)
- …plans. + Works closely with team members to ensure smooth transition from medical case management into job placement. + Prepares reports to document ... as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Return-to-Work Specialist **PRIMARY PURPOSE** : To negotiate, facilitate and… more
- AdventHealth (Tampa, FL)
- …in credentialing within a large practice setting, PHO, health plan and/or medical staff service setting with responsibilities overseeing and managing ... Required. . Certified Provider Credentialing Specialist (CPCS) Required or Certified Professional Medical Staff Management (CPMSM) Required or Ability to obtain… more
- Centene Corporation (Tallahassee, FL)
- …changes everything for our 28 million members as a clinical professional on our Medical Management /Health Services team. Centene is a diversified, national ... of member's care and health status of Applied Behavioral Analysis (ABA) services provided to determine medical appropriateness. Monitors clinical effectiveness… more
- Immigration and Customs Enforcement (Miami, FL)
- …State or Federal health facility surveyors and in collaboration with IHSC Medical Quality Management Unit. Requirements Conditions of Employment Qualifications ... and Customs Enforcement (ICE), Enforcement and Removal Operations (ERO), ICE Health Service Corps (IHSC), Office of Deputy Assistant Director of Clinical Services… more
- Centene Corporation (Tallahassee, FL)
- …changes everything for our 28 million members as a clinical professional on our Medical Management /Health Services team. Centene is a diversified, national ... Interacts with BH healthcare providers as appropriate to discuss level of care and/or services + Engages with medical directors and leadership to improve the… more
- WM (FL)
- …Since our founding over 30 years ago, we have grown from a small start-up in medical waste management into a leader across a range of increasingly complex and ... with Benefits on Day 1** Stericycle is a US based business-to-business services company and leading provider of compliance-based solutions that protects people and… more
- Deloitte (Jacksonville, FL)
- …prepare results to share with clients + Create models to calculate ROI for medical management and other health plan initiatives + Prepare IBNR modeling ... for this role ends on October 31, 2025. Work you'll do As a Consultative Services Health Actuary Sr. Consultant in Deloitte's Human Capital group, you will assist in… more
- Highmark Health (Tallahassee, FL)
- …service + Certified Provider Credentialing Specialist (CPCS) **OR** Certified Professional Medical Services Management (CPMSM) **_Disclaimer:_** _The job ... to include appointment, reappointment and ongoing verification activities of the Medical Staff and Allied Health Professional Staff of AHN entities. Responsible… more
- Centene Corporation (Tallahassee, FL)
- …changes everything for our 28 million members as a clinical professional on our Medical Management /Health Services team. Centene is a diversified, national ... with network practitioners to provide education on best practice models and utilization management processes + Interact with the Medical Director, or designee,… more
- HCA Healthcare (Lehigh, FL)
- …location, and duration using standardized clinical measures. + Provide outpatient medical management of neuromuscular disorders, musculoskeletal trauma, acute ... use non- medical therapies + Coordinate physical medicine and rehabilitation services with other medical activities. + Prescribe physical and/or occupational… more