Management Jobs in Florida

Description The RN, Pre-Authorization Nurse 2 reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. The RN, ..

Description Healthcare isn't just about health anymore. It's about caring for family, friends, finances, and personal life goals. It's about living life fully. At Family Physicians Group (FPG), we want to ..

... providers on utilization and medical management processes. Enters and maintains pertinent ... clinical information in various medical management systems. Decisions are typically related ... disciplinary action. 2 years of..

Description The Compliance Nurse 2 reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The Compliance Nurse ..

Description The Care Management Support Assistant 2 (CMSA2) contributes to administration of care management. Provides non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or maintain ..

Job Information Humana Care Coach 1 - Bilingual English/Spanish - Orange County, FL in Altamonte Springs Florida Description The Care Coach 1 assesses and evaluates member's needs and requirements to achieve ..

Job Information Humana Care Coach 1 - Bilingual English/Spanish - Orange County, FL in Winter Park Florida Description The Care Coach 1 assesses and evaluates member's needs and requirements to achieve ..

Job Information Humana Care Coach 1- English/Spanish (Geriatric/Case Management/or Social Services exp. Travel 75%) Palm Beach - FL in West Palm Beach Florida Description The Care Coach 1 assesses and evaluates ..

Description The Care Management Support Assistant 2 contributes to administration of care management. Provides non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or maintain optimal ..

Job Information Humana Care Coach 1- English/Spanish (Geriatric/Case Management/or Social Services exp. Travel 75%) Palm Beach - FL in Palm Beach Gardens Florida Description The Care Coach 1 assesses and evaluates ..

Job Information Humana Care Coach 1 - Bilingual English/Spanish - Orange County, FL in Oviedo Florida Description The Care Coach 1 assesses and evaluates member's needs and requirements to achieve and/or ..

Description Healthcare isn't just about health anymore. It's about caring for family, friends, finances, and personal life goals. It's about living life fully. At Conviva, a wholly-owned subsidiary of Humana, Inc., ..

Description The Compliance Nurse 2 reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The Compliance Nurse ..

Description The Utilization Management Behavioral Health Professional 2 utilizes ... benefit administration determinations. The Utilization Management Behavioral Health Professional 2 work ... of action. Responsibilities The Utilization Management Behavioral Health..

Barbas, Nunez, Sanders, Butler & Hovsepian seeks a bilingual (Spanish) Personal Injury Litigation Paralegal for our Tampa office. Please provide comprehensive information/resume outlining experience, as well as salary requirements and any ..

Description CenterWell Senior Primary Care, a subsidiary of Humana Inc., is the new brand for a primary care medical group practice with centers open or opening in Florida, Georgia, Kansas, Louisiana, ..

Job Information Humana Care Coach 1 - Bilingual (English/Spanish) - Tampa, FL in Tampa Florida Description The Care Coach 1 assesses and evaluates member's needs and requirements to achieve and/or maintain ..

Job Information Humana Care Coach 1 - Bilingual English/Spanish - Orange County, FL in Kissimmee Florida Description The Care Coach 1 assesses and evaluates member's needs and requirements to achieve and/or ..

Description The Behavioral Health Lead utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services and/or benefit administration determinations. The Behavioral Health Lead works on ..

Job Information Humana Care Coach 1 - Bilingual English/Spanish - Orange County, FL in Orlando Florida Description The Care Coach 1 assesses and evaluates member's needs and requirements to achieve and/or ..

Description The Utilization Management Nurse 2 utilizes clinical nursing ... benefit administration determinations. The Utilization Management Nurse 2 work assignments are ... training and by leader. Utilization Management Nurse 2..

Description The Workforce Management Representative 4 applies and integrates ... staffing, learning and development, talent management, diversity and human resource compliance). ... human resource compliance). The Workforce Management Representative 4..

Description The Account Management Professional 2 is responsible for ... with client accounts. The Account Management Professional 2 work assignments are ... of action. Responsibilities The Account Management Professional 2..