- Molina Healthcare (Tampa, FL)
- …HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of ... Monitoring team responsible for prior authorizations, inpatient/outpatient medical necessity/utilization review , and/or other utilization management activities aimed at providing… more
- Centene Corporation (Tallahassee, FL)
- …ABA regulatory guidelines and criteria + Analyzes BH member data to improve quality and appropriate utilization of services + Interacts with BH healthcare providers ... health clinicians preferred. Behavioral health clinical knowledge and ability to review and/or assess ABA Treatment Plans required. Knowledge of ABA services… more
- UMB Bank (Tallahassee, FL)
- …Administration** team is responsible for company-wide credit oversight, including credit quality , policy, administration and credit related processes, with a focus ... under normal and stressed scenarios. Within Credit Administration, the **Appraisal Review ** team supports Commercial, Small Business and Consumer Lending. As a… more
- Molina Healthcare (South Florida, FL)
- …HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of ... social work or clinical counselor (for Behavioral Health Care Review Clinicians only). **Required Experience** 1-3 years of hospital...as LCSW, LPCC or LMFT (for Behavioral Health Care Review Clinicians only). Must be able to travel within… more
- MyFlorida (Tallahassee, FL)
- OPS OPERATIONS REVIEW SPECIALIST - 64858552 1 1 1 Date: Aug 23, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... . Requisition No: 854107 Agency: Department of Health Working Title: OPS OPERATIONS REVIEW SPECIALIST - 64858552 1 1 1 Pay Plan: Temp Position Number: 64858552… more
- MUFG (Tampa, FL)
- …enterprise-wide risk management practices. You will evaluate, monitor, and report on the quality of risk assets and effectiveness of the Bank's processes to control ... portfolios to identify deterioration or negative management control trends and review compliance with policies, guidelines, and regulations. + Prepare periodic Risk… more
- Cleveland Clinic (Weston, FL)
- …multi-disciplinary care team or with other specialty areas as necessary. + Participates in quality monitoring thru the review of records and treatment plans for ... medical and other healthcare team members regularly to ensure quality patient care. + Refers patients to specialists as...for prescribing privileges the candidate will be subject for review for eligibility for hiring within our system. +… more
- Cleveland Clinic (Vero Beach, FL)
- …+ Performs research follow-up studies. + Assists in data analysis. + Participates in quality monitoring thru the review of records and treatment plans for ... medical and other healthcare team members regularly to ensure quality patient care + Refers patients to specialists as...from applicable state, the candidate will be subject for review for eligibility for hiring within our system. +… more
- Truist (St. Augustine, FL)
- …Loan Fulfillment with client, attorney, or appraiser document follow-up as determined through quality control or post-closing review . 6. Stay up to date and ... English (Required) **Work Shift:** 1st shift (United States of America) **Please review the following job description:** Serves as the direct sales manager of… more
- Cleveland Clinic (Port Saint Lucie, FL)
- …multi-disciplinary care team or with other specialty areas as necessary. + Participates in quality monitoring thru the review of records and treatment plans for ... medical and other healthcare team members regularly to ensure quality patient care. + Refers patients to specialists as...for prescribing privileges the candidate will be subject for review for eligibility for hiring within our system. +… more