• Hybrid Patient Services

    TEKsystems (Sunrise, FL)
    …regarding plan benefits and eligibility. This position emphasizes member education, customer service and front line problem solving. 1-2 Call center experience, use ... issues. 13. Prepares documentation and reports for review by the Member Services Director and Supervisor. 14. Maintains confidentiality per HIPAA guidelines. Skills:… more
    TEKsystems (09/11/24)
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  • LTSS Service Coordinator - Bilingual

    Elevance Health (Hialeah, FL)
    **LTSS Service Coordinator** _Location:_ This is primarily a field based position. Candidate would work from home and meet face to face with patients and providers. ... to worksite and other locations as necessary. The **LTSS Service Coordinator** is responsible for conducting service ...to ensure cost effective and efficient utilization of long-term services and supports. + At the direction of the… more
    Elevance Health (09/11/24)
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  • Customer Care Representative I/II…

    Elevance Health (Miami, FL)
    **C** **ustomer Care Representative I** **- Bilingual ** (English/Spanish) Spanish/English Bilingual Speakers needed Location: Must live within 50 miles from the ... extraordinary team Are you looking to Elevate your customer service experience and make a difference? Are you looking...doctor, offer support for members with cancer, ease a patient 's financial stresses, and more. Our Customer Care teams… more
    Elevance Health (09/11/24)
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  • Outreach Specialist ( Bilingual Korean…

    Elevance Health (Miami, FL)
    **Title: Outreach Specialist** **Location:** This position will work a hybrid model (remote and office). Ideal candidates will live within 50 miles of one of our ... Provides timely and accurate resolution of inquiries and issues regarding benefits, services and policies. + Supports and promotes State Sponsored Programs through… more
    Elevance Health (09/17/24)
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  • STARS Improvement Lead

    Humana (Fort Lauderdale, FL)
    Hybrid Home/Office associates' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the ... Health Plans is seeking a Stars Improvement Lead of Patient / Member experience to implement provider, member and...+ Prior experience in the health solutions industry + Bilingual in Spanish + Prior experience in a fast-paced… more
    Humana (08/30/24)
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  • Manager I Utilization Management

    Elevance Health (Miami, FL)
    …5411 SKY CENTER DR. This position will take part in Elevance Health's hybrid workforce strategy which **includes virtual work and 1-2 days physically in office ... in Miami or Tampa, FL. Elevance Health supports a hybrid workplace model with PulsePoint sites used for collaboration,...Works in conjunction with other UM staff to improve service quality initiatives, develop audit tools, and meet NMIS… more
    Elevance Health (09/17/24)
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  • Employment Specialist LTSS-Foster Care

    Elevance Health (Miami, FL)
    …5411 SKY CENTER DR. This position will take part in Elevance Health's hybrid workforce strategy which **includes virtual work and 1-2 days physically in office ... office (PulsePoint) in Miami or Tampa, FL. Elevance Health supports a hybrid workplace model with PulsePoint sites used for collaboration, community, and connection.… more
    Elevance Health (09/17/24)
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  • Community Transition Specialist

    Elevance Health (Miami, FL)
    …behalf of the member, and help resolve case or broader systems issues. Support service coordination teams and connect members with those who can provide insight and ... but are not limited to: + Coordinates with the Service Coordinator and nursing facility to develop a transition...**Required Qualifications** + Requires a BS/BA in Health, Social Services or related field; or any combination of education… more
    Elevance Health (09/17/24)
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  • Outreach Care Specialist - Florida

    Elevance Health (Hollywood, FL)
    …+ Recommends treatment plan modifications and determines need for additional services , in conjunction with case management and provider. + Coordinates identification ... + BS/BA degree in a related field preferred. + Bilingual communication skills in English and Spanish preferred. +...to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by… more
    Elevance Health (09/11/24)
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