Utilization Review Clinician

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Performs a clinical review and assesses care related to mental...

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Performs a clinical review and assesses care related to mental...

Senior RN Utilization Review/Management (Acute InPatient) JR116937 Location: Must be within 50 miles / 1 hour commute of Tampa or Miami, FL offices. This is primarily a remote position but may be required to go in for meetings/training. MUST RESIDE IN THE STATE OF FLORIDA. Work Hours: 8am - 5pm, Monday - Friday. 2 Holidays per year and ...

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Performs concurrent reviews, including determining member's...

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. ** Applicants for this role have the flexibility to work remotely from their...

Job DescriptionAECOM is seeking a Utility Coordinator to be based in Florida. This position will be supporting infrastructure projects throughout the State of Florida. Preferred locations include Tampa, Orlando, Lakeland, Jacksonville, Fort Myers, West Palm Beach, Tallahassee, or West Palm Beach.The UC will coordinate utility work between various clients...

Develops, manages and directs the Utilization Management programs for the primary care clinics. The key objective is to drive cost-effective, high-quality care with high provider and patient satisfaction. Develops and manages data-driven programs that emphasize appropriate admissions as well as concurrent and retrospective review of care. Responsible for...

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. NOTE: This fully remote role involves reviewing provider disputes and...

Overview: We are currently seeking a Senior Utility Coordinator with a minimum of 4 years experience to be part of our TransportationDivision. This position will be based in one of WGIs Florida offices in Jacksonville, Tallahassee, Tampa, Orlando, West Palm Beach, Miami or Fort Lauderdale. The successful candidate must be able to read and interpret FDOT...

At Moffitt Cancer Center, we strive to be the leader in understanding the complexity of cancer and applying these insights to contribute to the prevention and cure of cancer. Our diverse team of over 9,000 are dedicated to serving our patients and creating a workspace where every individual is recognized and appreciated. For this reason, Moffitt has been...

Posting Details Job Details Description The Medical Billing Specialist is responsible for the timely and accurate submission of insurance claims, reviewing and updating denied claims for resubmission and performing reconciliations to ensure timely billing for services provided. The Medical Billing Specialist collaborates with patients, revenue...

Job Title: LIS AnalystJob Summary: We are seeking a skilled LIS Analyst to join our healthcare organization's IT department. The LIS Analyst will be responsible for the implementation, maintenance, and support of Laboratory Information Systems (LIS). The ideal candidate should have strong technical expertise in LIS software, a solid understanding of...

The Company is currently seeking a Land Project Manager to manage site investigation and evaluation, construction plan preparation and approval process, and the status of all lots under control in a Division. At Brightland Homes, LTD. we pride ourselves on our culture and our ability to make our company a place where employees enjoy coming to work each day....

Job description: Hands-on technical lead with 10+ Years of experience developing and designing high performance designs for Java and Full Stack applications.Strong in designing solutions as well as write code to implement such designs. Coordinate with multiple teams across the project for implementing generic solutions / utility framework and take full...

AdventHealth Information Technology All the benefits and perks you need for you and your family: Benefits from Day One Career Development Whole Person Wellbeing Resources Award-winning IT Department Our promise to you: Joining AdventHealth is about being part of something bigger. It's about belonging to a community that believes in the wholeness of each...

POSITION CONCEPT: The Battery & Energy Storage System (BESS) specialist's primary focus shall be to supporting the development, implementation and administering an industry best practice approach to cost effectively achieving the highest level of performance from Tampa Electric's commercial and utility scale BESS facilities and provide maintenance support...

We have a Permanent for Manager Case Management for our client Orange Park, FL Please let me know if you or any of your friends would be interested in this position. Position Title: Manager Case Management- Orange Park, FL Location : Orange Park, FL 32073 Project Duration : Full Time/Permanent Full Time - Days 7-10 Hrs/Weekdays Only Sign-On Bonus: Up To...

JOB SUMMARY: We are seeking experienced Surgical Sales Executives for our South Florida market who will play a pivotal role driving the awareness and adoption of Humaycte's portfolio of products while delivering excellence in execution, maximizing revenue and achieving assigned growth targets. This is an incredible opportunity for someone who is passionate...

Job Title: Clinical Operations Medical Director Company: Carelon Benefits Management The job is for a Clinical Operations Medical Director to support the Medical Oncology team at Carelon Benefits Management, a leader in benefit-management in Illinois part of the Elevance Health family of companies. Job Summary: Perform physician-level case review, following...

Job title : Dot Net DeveloperLocation : Tampa, FL 33607Job Description :Develop micro services using gRPC protocol and package them as NuGet packages.Design and implement REST APIs to handle PwC applications, ensuring seamless client integration.Utilize Entity Framework for efficient CRUD operations within SQL databases.Manage MongoDB collections to access...