• LVN Delegation Oversight Nurse Remote

    Molina Healthcare (Tampa, FL)
    …+ Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM) or ... submitted to the Eastern US Quality Improvement Collaborative (EQIC) and/or utilization management committees. + Participates as needed in joint operation committees… more
    Molina Healthcare (11/13/25)
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  • Plan Performance Medical Director- New York…

    Elevance Health (FL)
    …providers to discuss review determinations. + May conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering providers to discuss ... state or territory of the United States when conducting utilization review or an appeals consideration and cannot be...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
    Elevance Health (11/01/25)
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  • Home Care Supervisor, RN

    BayCare Health System (Dunedin, FL)
    …education regarding the Emergency Management program for office and agency staff + Participates with Case Manager on initial Plan of Care review with a focus on ... area of responsibility + Ensure quality assurance program and utilization review is followed in accordance with Home Care...quality, utilization and individual patient care goals **Required Experience:** +… more
    BayCare Health System (10/10/25)
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  • Associate Medical Director

    CenterWell (Daytona Beach, FL)
    …in patient experience, quality of care, clinical outcomes, and avoidable utilization *Periodically review clinician charts to identify opportunities in care, ... coaching initiatives are precise *Identify critical issues for high-risk patients during case reviews & other forums, and modeling and driving clinical excellence… more
    CenterWell (09/11/25)
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  • Med Mgmt Nurse (US)

    Elevance Health (Tampa, FL)
    …thinking skills and nursing judgment and experience. + Collaborates with case management nurses on discharge planning, ensuring patient has appropriate equipment, ... Educates members about plan benefits and physicians and may assist with case management. + Collaborates with leadership in enhancing training and orientation… more
    Elevance Health (11/19/25)
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  • Area Arch Specialist

    Terumo Aortic (Sunrise, FL)
    …+ Creates account specific strategies by geography to drive market acceptance and utilization of Thoracic devices. + Assists with new implanters of Thoracic devices, ... namely Thoraflex, to include in-servicing and initial case support. + Maintains a network of ...strategy in conjunction with Clinical Marketing, Downstream Marketing, and Manager of Medical Education + Actively involved in sales… more
    Terumo Aortic (10/24/25)
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  • Project Engineer

    Baker Construction (Fort Lauderdale, FL)
    …wage, workforce utilization , MBE/SBE participation, etc., and advises the Project Manager of issues + Interfaces with Safety and Risk Management in establishing ... field activities and spends a majority of time working with the Project Manager supporting project administration on multiple small projects, or one medium to… more
    Baker Construction (11/15/25)
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  • Director Care Management

    AdventHealth (Orlando, FL)
    …of Stay, Excess days, Avoidable Days, Value Based Care partnerships, Care Manager 's roles in Multidisciplinary Rounds, Care Transitions, team member engagement, team ... Facility Director leads, manages, and supervises all activities of the Care Management Manager , Team Leads, Care Managers, Social Workers and Care Manager … more
    AdventHealth (09/25/25)
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  • Transplant Nurse II (US)

    Elevance Health (Miami, FL)
    …12pm-8:30pm EST The **Transplant Nurse II** will be responsible for providing case and/or medical management for members receiving transplant services. Continue to ... preparation for advancement to the senior level. Within the case management role will within the scope of licensure...claims or service issues. + Assists with development of utilization /care management policies and procedures. + Within the medical… more
    Elevance Health (11/22/25)
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  • Sales Consultant, Foot & Ankle - Tampa, FL…

    J&J Family of Companies (Tampa, FL)
    …a level of expertise and competence to present, demonstrate, and ensure proper utilization of DePuy Synthes' products. This person must be able to continually ... geography, the F&A Sales Consultant actively collaborates with the Regional Sales Manager to create the business plan, targeting and overall market strategy relative… more
    J&J Family of Companies (11/15/25)
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