- CVS Health (Tallahassee, FL)
- …providers, claimants, etc. - Researches and prepares cases for clinical and legal review . - Documents all appropriate case activity in case tracking system. - ... to our competitive wages, our great benefits include: + **Affordable medical plan options,** a **401(k) plan ** (including matching company contributions), and… more
- Molina Healthcare (Miami, FL)
- …works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, ... required. This can vary based on the individual State Plan . + Must be able to travel within applicable...Hospital Acute Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual /… more
- Molina Healthcare (Miami, FL)
- …works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, ... may be required. This can vary based on the individual State Plan . **JOB QUALIFICATIONS** **Required Education** Graduate from an Accredited School of Nursing.… more
- Molina Healthcare (St. Petersburg, FL)
- …works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, ... required. This can vary based on the individual State Plan . + Must be able to travel within applicable...Hospital Acute Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual /… more
- Molina Healthcare (Jacksonville, FL)
- …works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, ... + Provides telephone, clerical, and data entry support for the Care Review team. + Provides computer entries of authorization request/provider inquiries, such as… more
- MUFG (Tampa, FL)
- …portfolios to identify deterioration or negative management control trends and review compliance with policies, guidelines, and regulations. + Prepare periodic Risk ... Serve as Examiner-In-Charge (EIC) for complex portfolios or processes. As EIC, effectively plan , coordinate and oversee all aspects of on-site activities. + Focus on… more
- Terracon (Winter Park, FL)
- …per its contracted scope; monitor progress and performance against the project plan . Troubleshoot and recommend or resolve operational problems and minimize delays. ... scale and complex project. + Perform building enclosure design review , inspections, and testing. + Works with client or...the work + Design, communicate, and implement a project plan for completing a project. + Leads safety efforts… more
- Terracon (Jacksonville, FL)
- …plans and specifications, observation and inspection, and the writing, preparation, and review of related reports for the services provided. Identify, evaluate and ... for both small and large projects including quality control review of proposals written by others. + Evaluates complex...Work under the supervision of a Terracon Authorized Project Reviewer (APR) and licensed Professional Engineer (PE) + Begin… more
- Molina Healthcare (Jacksonville, FL)
- **JOB DESCRIPTION** ARIZONA RESIDENCY REQUIRED** This position will support the Arizona state Plan . We are seeking a candidate with an Arizona RN/and or a compact ... members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across...required. This can vary based on the individual State Plan . + Must be able to travel within applicable… more
- Molina Healthcare (FL)
- …works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, ... may be required. This can vary based on the individual State Plan . **JOB QUALIFICATIONS** **Required Education** Graduate from an Accredited School of Nursing.… more