- Elevance Health (Miami, FL)
- …by law._ **Schedule** : Monday - Friday, 8:00AM - 5:00PM Eastern Time The ** Medical Management Clinician Senior** is responsible for ensuring appropriate, ... Med Management Clinician Senior- Licensed Nurse **Location:**...efficiency and effectiveness of the utilization reviews within the medical management processes. + Assesses and applies… more
- Elevance Health (Tampa, FL)
- ** Medical Management Clinician ** - Licensed Nurse **Locations:** Tampa, FL **Hybrid 1** : This role requires associates to be in-office 1-2 days a month, ... : Monday - Friday, 8:00AM - 5:00PM Eastern Time The ** Medical Management Clinician ** is responsible for ensuring appropriate, consistent administration… more
- Devereux Advanced Behavioral Health (Orlando, FL)
- …building, behavioral techniques, grief counseling, interviewing of family members, stress management techniques, etc. Based on the clinician 's assessment, ... health field? If you answered YES, then Devereux's BRU Clinician role is the perfect fit for you!_** BRU...**Retirement** - 403(b) through TIAA + **Quality Low-Cost Benefits** ( medical , dental, vision), pet insurance, plus student loan debt… more
- City of Boca Raton (Boca Raton, FL)
- Mental Health Clinician Print (https://www.governmentjobs.com/careers/bocaratonfl/jobs/newprint/5097409) Apply Mental Health Clinician Salary $31.23 - $40.00 ... field of behavioral health issues, crisis intervention, and risk assessment and management ; does related work as required. Work is performed under regular… more
- Elevance Health (Sarasota, FL)
- **LTSS Service Coordinator- Clinician ** **Location** _:_ This is primarily a field based position. Candidate would need to reside in one of the following counties: ... by law._ **Schedule** _:_ Monday-Friday 8am-5pm EST The **LTSS Service Coordinator- Clinician ** , working under the direction/supervision of an RN, with overall… more
- Owens & Minor (Lakeland, FL)
- …better, breathe better, heal faster, and thrive longer_ **JOB SUMMARY** The Respiratory Clinician provides the treatment and management of patients with clinical ... success starts with our teammates. Owens & Minor teammate benefits include: + Medical , dental, and vision insurance, available on first working day + 401(k),… more
- Highmark Health (Tallahassee, FL)
- …and retrospective claims review basis. Review process includes a review of medical documentation, itemized bills, and claims data to assure appropriate level of ... or if necessary involve Special Investigation Unit or the Utilization Management area. **ESSENTIAL RESPONSIBILITIES** + Implement the pre-payment and retrospective… more
- Molina Healthcare (Orlando, FL)
- …Looking for a RN with experience with appeals, claims review, and medical coding. JOB DESCRIPTION Job SummaryProvides support for clinical member services review ... * Processes requests within required timelines. * Refers appropriate cases to medical directors (MDs) and presents them in a consistent and efficient manner.… more
- Molina Healthcare (FL)
- …* Processes requests within required timelines. * Refers appropriate cases to medical directors (MDs) and presents them in a consistent and efficient manner. ... teams to promote the Molina care model. * Adheres to utilization management (UM) policies and procedures. Required Qualifications * At least 2 years… more
- Actalent (Deland, FL)
- Job Title: Medical AssistantJob Description This Medical Assistant position is based in Winter Springs and requires a flexible, dedicated, and professional ... perform quality team-based patient care under the direct supervision of a clinician . This includes both clinical and administrative functions to promote health and… more
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