- Sharecare (Tallahassee, FL)
- …/ new hire plan selection, claims issues, ID card issues, grievances/appeals, utilization management (UM) status, including but not limited to medical, ... the Family Health Advocate is an exciting and innovative remote role newly created to provide meaningful support to...+ Claims adjustments + Grievances and appeals submissions + Utilization management intake or status + Complex… more
- AdventHealth (Maitland, FL)
- **Care Management Social Worker AdventHealth PHSO Resources** **All the benefits and perks you need for you and your family:** + Benefits from Day One + Paid Days ... we are even better. **Schedule: Monday-Friday** **Shift** : 8:00AM-5:00PM **Location:** Remote **The role you'll contribute:** Promotes the psychosocial health and… more
- Humana (Tallahassee, FL)
- …+ Comprehensive knowledge of Power BI, QikBase, QikView (QV) + Knowledge of Medicaid Utilization Management + Certified Nurse Assistant or Medical Assistant ... notice of adverse benefit determination and approval letters for Medicaid Utilization Management (UM) authorization determinations in compliance with… more
- Bluestone Physician Services (Orlando, FL)
- …with primary care teams to ensure high quality team-based care + Use utilization management tools to facilitate appropriate transitional care management ... position allows for great work-life balance, with approximately 20% remote and 80% of the time allowing you to...Nurse + 3-5 years of experience in case/care management or care coordination + Experience working directly with… more
- Humana (Hallandale Beach, FL)
- …and requirements to achieve and/or maintain optimal wellness state in a remote telephonic environment. The Behavioral Health Care Manager guides members and/or ... employers offering a variety of professional onsite, field, or remote based opportunities for a period up to 11...and engage formerly acquired skillsets to: + Perform care management of pediatric members (under 21) who utilize Applied… more
- ChenMed (Miami, FL)
- …PRN is responsible for diagnostic patient care primarily through virtual, remote consultation via video conference or telephone. Providing on-call coverage, the ... trends in patient conditions and develops, documents and implements a patient management plan based on interpretation of findings. Aids in the development of… more
- Teleflex (Orlando, FL)
- …today, from our world-class brands including: + LMA(R) and Rusch(R) airway management devices designed to help reduce the risk of airway-related complications. + ... Arrow pain management products designed to improve patients' post-operative pain experience. Join a dynamic, growing team that offers healthcare providers advanced… more
- J&J Family of Companies (Jacksonville, FL)
- …TA and/or Immunology. + Must be familiar with Microsoft Word, Excel, PowerPoint, and utilization of computers and remote technologies. + Reside in or near ... their skills in agility, applying the competencies of Change Management , Time Management and Innovation. The Sr....PharmD, PhD, MD, or other advanced medical degree NP ( Nurse Practitioner), PA (Physician Assistant), with +3 years relevant… more