- Elevance Health (Miami, FL)
- **Outreach Care Specialist ** **Location : Virtual -** This role enables associates to work virtually full-time, with the exception of required in-person training ... insightful analytics to improve the delivery of care. The **Outreach Care Specialist ** is responsible for ensuring that appropriate member treatment plans are… more
- Houston Methodist (FL)
- At Houston Methodist, the Clinical Documentation Specialist is responsible for improving the overall quality and completeness of clinical documentation. This ... experience preferred **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure and/or Compact State Licensure within 60 days… more
- MyFlorida (St. Petersburg, FL)
- …Excellence in all aspects of their work. The OPS Advanced Practice Registered Nurse Specialist is responsible for providing comprehensive health care to clients, ... OPS ADVANCED PRACTICE RN SPECIALIST - 64952403 Date: Aug 9, 2025 The...+ Makes appropriate referrals for specialty care. + Provide case management and consultation for staff. + Coordinate patient… more
- AdventHealth (New Smyrna Beach, FL)
- …**Preferred qualifications:** + Bachelor's of Nursing Preferred + Certified Wound Ostomy Nurse (CWON) Preferred + Certified Wound Specialist (CWS) Preferred + ... PALMETTO ST, New Smyrna Beach, 32168 **The role you'll contribute:** The Registered Nurse Wound Care is accountable for providing direct patient care and is… more
- AssistRx (Orlando, FL)
- …system data entry quality. Within this role, the Quality Assurance Specialist serves customers by identifying, analyzing, and developing improvements in ... quality, internal team relationships, and customer service. The Quality Assurance Specialist regularly provides support to the department managers and director to… more
- Sedgwick (Tallahassee, FL)
- …Fortune Best Workplaces in Financial Services & Insurance Disability Clinical Specialist **PRIMARY PURPOSE** : To perform clinical evaluations, consult providers and ... employees; to provide case direction; and to ensure medical information substantiates the...change the duties of the position at any time. \# nurse #casemanagementspecialist Sedgwick is an Equal Opportunity Employer and… more
- Travelers Insurance Company (Orlando, FL)
- …with insured based on application of policy information to facts or allegations of each case . + Consults with Manager on use of Claim Coverage Counsel as needed. + ... as strategically appropriate. + Completes outside investigation as needed per case specifics. + Actively engages in the identification, selection and direction… more
- Molina Healthcare (Tampa, FL)
- …+ Active and unrestricted Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager + Certified Professional Healthcare Management ... outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse (RN) performs clinical/medical reviews of previously denied cases… more
- Travelers Insurance Company (Tampa, FL)
- …with insured based on application of policy information to facts or allegations of each case . + Consults with Manager on use of Claim Coverage Counsel as needed. + ... activities required to effectively evaluate claims, such as Subrogation, Risk Control, nurse consultants, and fire or fraud investigators, and other experts. +… more
- Travelers Insurance Company (Tampa, FL)
- …with insured based on application of policy information to facts or allegations of each case . + Consults with Manager on use of Claim Coverage Counsel as needed. + ... activities required to effectively evaluate claims, such as Subrogation, Risk Control, nurse consultants, and fire or fraud investigators, and other experts. +… more
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