• Case Manager, Registered Nurse - Fully Remote

    CVS Health (Tallahassee, FL)
    …within time zone of residence.** American Health Holding, Inc (AHH) is a medical management company that is a division within Aetna/CVS Health. Founded in 1993, ... Management, Disease Management and Utilization Management. AHH delivers flexible medical management services that support cost-effective quality care for members.… more
    CVS Health (08/15/25)
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  • Registered Nurse 2 REI

    University of Miami (Doral, FL)
    …and maintains accurate records related to medications and treatments as per regulatory bodies, policies, procedures, and physician orders. + Communicates plan of ... family, as well as the appropriate team members, ensuring compliance with all regulatory guidelines (ie, HIPAA). Uses best practices for transition of patient care.… more
    University of Miami (08/12/25)
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  • Recovery Coordinator 1 (UM Laora) (h)

    University of Miami (Miami, FL)
    …ensures organ recovery activities are in accordance with all applicable regulatory standards and operating procedures. Also, this employee provides preservation ... relationships and customer service. Ensures recovery was done in accordance with regulatory agencies' policies. + Ensures compliance with all OSHA and HIPPA… more
    University of Miami (08/08/25)
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  • Senior Outpatient Coder

    Houston Methodist (FL)
    …surgery and observation encounters based upon documentation within the electronic medical record while maintaining compliance with established rules and ... regulatory guidelines. **PEOPLE ESSENTIAL FUNCTIONS** + Interacts and communicates...physician identification number and procedure date correctly in the medical record abstracting system. + Reviews medical more
    Houston Methodist (07/31/25)
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  • Administrator in Charge, Nursing Support Services…

    University of Miami (Miami, FL)
    …across clinical and non-clinical departments. The AIC will collaborate closely with medical staff, nursing staff and other key hospital departments to ensure the ... and service quality + Supports the implementation of emerging technologies and regulatory changes + Addresses issues and escalates in real-time Ensure compliance… more
    University of Miami (07/18/25)
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  • Senior Risk & Compliance Analyst

    Highmark Health (Tallahassee, FL)
    …Senior Risk Compliance Analyst is responsible for monitoring and analyzing medical and utilization management activities to ensure compliance with internal policies, ... insights and guidance to internal departments. The Analyst conducts audits of Medical Directors, Utilization Management (UM) and Case Management (CM) processes and… more
    Highmark Health (07/04/25)
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  • VP Quality

    HCA Healthcare (Pensacola, FL)
    …and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low ... health coverage as well as free telemedicine services and free AirMed medical transportation. + Additional options for dental and vision benefits, life and… more
    HCA Healthcare (09/05/25)
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  • Aviation Safety Inspector (AW), Air Carrier…

    Federal Aviation Administration (Miramar, FL)
    …record keeping system; and have facilities and procedures that meet all regulatory requirements. Regularly visits the organization's stations and other offices to ... and revisions thereto. Assures that manuals and revisions comply with regulatory requirements, prescribe safe practices, and furnish clear and specific instructions… more
    Federal Aviation Administration (09/05/25)
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  • Pulmonary APRN/PA Ahmg

    AdventHealth (Zephyrhills, FL)
    …GALL BLVD, Zephyrhills, 33542** **The community you'll be caring for:** AdventHealth Medical Group Zephyrhills **The role you'll contribute:** Functions as a member ... of the medical care management team. Provides medical treatment...meets criteria for core measure, charges, PI, and all quality/ regulatory standards as measured by chart audits. Assists in… more
    AdventHealth (09/04/25)
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  • Credentialing and Privileging Specialist

    Highmark Health (Tallahassee, FL)
    Medical Staff and Allied Health Professional Staff according to the Medical Staff Bylaws and all federal/state regulatory and/or accrediting agencies. (15%) ... to include appointment, reappointment and ongoing verification activities of the Medical Staff and Allied Health Professional Staff of AHN entities. Responsible… more
    Highmark Health (08/27/25)
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