• Utilization Review Nurse

    Actalent (Sunrise, FL)
    …issues. + Communicate denial determinations to providers when indicated. + Perform evaluation and concurrent monitoring of appropriate utilization of resources. ... InterQual and Milliman Criteria. + Knowledge of Florida Medicaid Program and CMS Guidelines. + Proficient in word processing...and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this… more
    Actalent (06/28/25)
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  • Care Management Coordinator

    CVS Health (Tallahassee, FL)
    …and more compassionate. And we do it all with heart, each and every day. ** Program Summary** Join our Aetna care management team as we lead the way in providing ... in preventive and health maintenance care. **Key Responsibilities** + **Member Evaluation :** Conduct the annual Health Risk Survey to support needs identification… more
    CVS Health (06/27/25)
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  • Medical Assistant II Certified

    AdventHealth (Orlando, FL)
    …from Day One - Paid Days Off from Day One - Student Loan Repayment Program - Career Development - Whole Person Wellbeing Resources - Mental Health Resources and ... Stewardship, and Teamwork as outlined in the organization's Performance Excellence Program . . Fills various clinical positions as assigned within scope of… more
    AdventHealth (06/26/25)
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  • Government Analyst I

    MyFlorida (Orlando, FL)
    …Requirements: * Previously demonstrated professional work experience of one (1) year with program planning, program research, evaluation and / or ... with public records requests, which includes, but is not limited to, monitoring the requests, conducting research, retrieving documents from OnBase, Versa, and other… more
    MyFlorida (06/25/25)
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  • Manager, Fuel Portfolio Management & Contracts

    Orlando Utilities Commission (Orlando, FL)
    …The role also includes leading risk assessments, supporting long-term planning, and monitoring the Electric and Water Production (EWP) budget. The ideal candidate ... insurance premiums with no probationary period. + OUC's Hybrid Retirement Program includes a fully-funded cash balance account, defined contribution with employer… more
    Orlando Utilities Commission (06/25/25)
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  • Project Manager - Operational Compliance

    Travel + Leisure Co. (Orlando, FL)
    …+ Leisure to facilitate the planning, implementation, coordination, and compliance monitoring of various building code and operational compliance projects. The ... various mediums. Ensures training materials are provided for operations. + ** Evaluation ** : Accomplishes project objectives by planning, performing and evaluating… more
    Travel + Leisure Co. (06/24/25)
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  • Director of Quality Management - Inpatient Rehab

    Select Medical (Miami, FL)
    …tools. Oversight/coordination of operations of the Infection Control & Employee Health Program based upon hospital size and configuration. + Assists with the design ... on Quality Improvement. + Assists clinical areas in developing criteria, monitoring and reporting mechanisms and action documentation related to the hospital's… more
    Select Medical (06/24/25)
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  • RN Trauma Injury Prevention Outreach Coord

    HCA Healthcare (Aventura, FL)
    …assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program (paid time off, ... as indicated by departmental needs. The Trauma Coordinator is responsible for monitoring and maintaining compliance with State of Florida Trauma Center Standards,… more
    HCA Healthcare (06/21/25)
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  • GCO Senior Risk Advisor I

    Truist (Orlando, FL)
    …management of risks and controls as well as its execution of risk program requirements. Execute, facilitate and/or monitor execution of Risk Program requirements ... and strengthen compliance with applicable regulations, policies, procedures and risk program requirements. 2. Partner with first and second line defense teammates… more
    Truist (06/21/25)
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  • Security Generalist/F-35/Eglin AFB - Level 1

    Lockheed Martin (Eglin AFB, FL)
    …5 years from the investigation Closed date or confirmed enrollment within the Continuous Evaluation \(CE\) program \. Must be able to obtain and maintain access ... Beach, Florida, and will support the F\-35 Lightning II Program \. This position will perform duties as a Security...and storage of classified documents and electronic media, and monitoring compliance with COMSEC and COMPUSEC \(act as COMSEC… more
    Lockheed Martin (06/21/25)
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