• UM Administration Coordinator

    Humana (Tallahassee, FL)
    …service or customer service telephone experience desired. + Experience with LTSS Utilization Review and/or Prior Authorization, preferably within a managed care ... our caring community and help us put health first** The UM Administration Coordinator 2 provides non-clinical support for the policies and procedures ensuring best… more
    Humana (09/30/25)
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  • Pharmacy Coordinator

    Highmark Health (Tallahassee, FL)
    …and efficient delivery of pharmacy call center services. The Pharmacy Coordinator is responsible for supporting Highmark Wholecare's pharmacy programs with a ... address medication-related issues, promote adherence, and ensure appropriate medication utilization . **ESSENTIAL RESPONSIBILITIES** + Communicate effectively with physicians and… more
    Highmark Health (09/19/25)
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  • Pharmacy Coordinator

    Centene Corporation (Tallahassee, FL)
    …providers on the health plan's pharmacy process + Assist with the pharmacy utilization review and reporting process + Collaborate with Quality Improvement ... pharmacy calls regarding the prior authorization and formulary process + Perform review of pharmacy and override process in compliance with pharmaceutical related… more
    Centene Corporation (09/28/25)
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  • LPN Care Coordinator

    Intermountain Health (Tallahassee, FL)
    …patients and/or patient's family, caregivers, and/or legal representatives socio-economic review and screening to support coordination of care. Plans interventions ... team to provide care coordination for preventative care and utilization mitigation. Identifies appropriate resources, including transportation, housing, healthcare,… more
    Intermountain Health (09/03/25)
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  • Inventory Coordinator , Perioperative…

    University of Miami (Doral, FL)
    …staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . Work Shift: ... JOB F UNCTIONS + Maintains a system for proper control, maintenance, and utilization of all supplies, in accordance with Joint Commission and other relevant… more
    University of Miami (09/05/25)
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  • Special Operations Physical Therapist 7th SFG(A),…

    KBR (Elgin AFB, FL)
    …the development and utilization of required databases. + Conduct peer (record) review s for the HP Staff as directed by governing credentialing body and local ... and as directed by local HP program manager and/or coordinator . + Document work performed, utilization , encounters, referrals, and all other information in the… more
    KBR (07/22/25)
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  • Certified Athletic Trainer

    General Dynamics Information Technology (Key West, FL)
    …and administrative tasks as assigned by the HP program Manager and/or Coordinator . + Documents care provided, work performed, utilization , referrals, and ... scope of practice. + Participates in periodic meetings to review the care provided to patients to identify opportunities...Serves as advisor to the HP program Manager and/or Coordinator in matters related to injury prevention, sports medicine,… more
    General Dynamics Information Technology (08/22/25)
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  • Physical Therapist

    General Dynamics Information Technology (Eglin AFB, FL)
    …and required documentation. + If directed by HP program Manager and/or Coordinator , directly supervise the PT Tech, PT Assistant, and/or Certified Athletic Trainer ... as an advisor to the HP program Manager and/or Coordinator in matters related to injury prevention, Sports Medicine...of care. + Provide input for the development and utilization of required databases. + Conduct peer (record) reviews… more
    General Dynamics Information Technology (08/01/25)
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  • RN Case Manager

    HCA Healthcare (Tallahassee, FL)
    …position if current and compliant** + **Certification in Case Management, Nursing, or Utilization Review , preferred** + **Three years of nursing experience in ... supporting a balance of optimal care and appropriate resource utilization . The RN CM Care Coordinator will...to apply for our RN Case Manager opening. We review all applications. Qualified candidates will be contacted by… more
    HCA Healthcare (09/21/25)
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  • RN Case Manager PRN

    HCA Healthcare (Tallahassee, FL)
    …position if current and compliant** + **Certification in Case Management, Nursing, or Utilization Review , preferred** + **Three years of nursing experience in ... supporting a balance of optimal care and appropriate resource utilization . The RN CM Care Coordinator will...appropriate resource utilization . The RN CM Care Coordinator will identify potential barriers to patient throughput and… more
    HCA Healthcare (09/19/25)
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