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. ****NOTE: This is a fully remote role for applicants based in either Florida or...

Licensed Utilization Review Senior Location: While remote, candidate should reside within 50 miles of either Tampa or Miami, FL. The Licensed Utilization Review Senior is responsible for working with healthcare providers to help ensure appropriate and consistent administration of plan benefits through collecting clinical information required to preauthorize...

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 occasional...

Job description Toker's Guide ( tokersguide.com) is a rapidly growing cannabis start-up helping people find the best weed in their area by utilizing reviews from local connoisseurs. We are looking for cannabis connoisseurs who think they have what it takes to join our ranks as a reviewer of Florida marijuana dispensary products. This role is mostly remote...

Job Description KLDiscovery, one of the largest national eDiscovery providers, is currently seeking attorneys who are actively licensed in any U.S. jurisdiction who desire an engaging work environment where they are valued and respected. We have an ongoing need for Document Reviewers. Document Reviewers will review documents for complex litigation matters...

Job DescriptionJob Description Job Description: JOB TITLEClinicianPROGRAMRefugio Unaccompanied Children ShelterREPORTS TOCenter DirectorSALARY$71,473.00LOCATIONTampa, FLJOB TYPEFull-TimeWORK SCHEDULEFive Days per week, 40 Hours per week, 12 Months per yearGeneral DescriptionClinicians conduct mental health assessments for all Unaccompanied Children (UC) in...

Job DescriptionJob DescriptionTitle: Nurse Reviewer - Fraud, Waste, and Abuse Clinical Reviews Department: Claims Bargaining Unit: NBU Grade: N/A Position Type: Exempt Hours per Week: 40Position SummaryThe Nurse Reviewer - FWA Clinical Reviews is responsible for conducting clinical reviews to identify, investigate, and prevent healthcare fraud, waste, and...

Managed Care Coord - RN Clinician Description Location: The ideal candidate will live within 50 miles of a Florida Elevance Health Pulse Point office Shift: Monday - Friday; 8:00am - 7:00pm; some weekends; Schedule will flex The Managed Care Coordinator - RN Clinician is responsible for overall management of member's case within the scope of licensure;...

Job DescriptionJob DescriptionA Florida stablished Law Firm is looking for an ambitious attorney for its Tampa office, specifically for its First-Party Property division. Responsibilities:Handle a comprehensive caseload from initiation through post-trial.Participate in hearings, depositions, mediations, and trials.Draft pleadings, manage discovery and...

Job DescriptionJob DescriptionA Florida stablished Law firm is seeking an ambitious attorney in its Tampa office. The ideal candidate for the position must have a passion for insurance defense litigation.Responsibilities:Manage significant caseload from inception to post-trial.Attend hearings, depositions, mediations, and trials.Prepare pleadings,...

About UsWe are a leading provider of innovative surveying and engineering solutions with over 60 years of industry experience serving clients throughout the US and Caribbean.Our core values include:Safety First: We prioritize the well-being of our employees and clients.Outstanding Service: We strive to deliver exceptional results and exceed client...

Salary: $26.96 - $34.37 Hourly Location : PCB, FL Job Type: Full-time Job Number: 00417 Department: Utilities Division: Utilities Admin & Engineering Opening Date: 07/22/2024 Description This position is responsible for conducting inspections of city utilities projects to ensure compliance with plans and specifications. An incumbent in this position may be...

Job DescriptionJob DescriptionDescriptionCPH is a multi-disciplined Engineering and Architectural design firm that ranks in the nation’s Top 500 Design Firms by ENR Magazine. CPH is looking for a well-qualified professional in our Tampa, Florida office for the following position: Project Manager – Civil/Environmental Engineer (Utilities) - Must be a...

Job Overview This position involves responsible technical duties related to engineering planning, construction oversight, and compliance evaluations. The individual in this role will also be tasked with identifying, assessing, and condition coding utility assets to maintain an accurate inventory and status of these resources. Salary Min $41,808.00...

About the RoleBausch + Lomb is a leading global eye health company dedicated to protecting and enhancing the gift of sight for millions of people around the world. We are seeking a skilled Maintenance Equipment Specialist to join our team in Tampa, FL.Key ResponsibilitiesOperate and repair utility equipment, including boilers, chillers, pumps, hot water...

Job OverviewPOSITION SUMMARY:This advanced professional role, under the guidance of a Psychiatrist and Program Manager, focuses on delivering treatment services aimed at supporting individuals with mental health challenges through the prescription of psychotropic medications to help stabilize their conditions.QUALIFICATIONS:Master's or Doctorate in...

Job Opportunity at Foresight Mental HealthWe are seeking a skilled and compassionate Mental Health Therapist to join our team at Foresight Mental Health. As a leading provider of mental health services, we are committed to delivering high-quality care to our clients and fostering a supportive and collaborative work environment for our professionals.About the...

Job SummaryThe Medical Director is responsible for the coordination and oversight of all medical care and quality of services provided at the center level.Ensures proper functioning of day-to-day operations of the facility, in coordination with clinic staff, to provide consistent quality of care to patients.This role also provides delivery of medical...

Position Summary The Medical Director is responsible for the coordination and oversight of all medical care and quality of services provided at the center level. Ensures proper functioning of day-to-day operations of the facility, in coordination with clinic staff, to provide consistent quality of care to patients. This role also provides delivery of medical...

The High-Risk Program Medical Director (HR-MD) oversees the High-Risk program from a clinical standpoint for the most vulnerable, highest risk Level 4(a) and Level 4(b) patients for Healthcare group. These Level 4(a) and 4(b) patients represent patients with the greatest number of co-morbidities, polypharmacy and Social Determinant of Health (SDOH) factors...