• New York Licensed Nurse Case Manager

    Public Consulting Group (Tallahassee, FL)
    …patients to keep track of their progress and to ensure satisfaction + Records case information, complete accurately all necessary forms and produce statistical ... status and treatment options + Develops effective working relations and cooperate with medical team throughout the entire case management process + Interacts… more
    Public Consulting Group (07/19/24)
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  • Analyst, Case Management - Must reside…

    CVS Health (Tallahassee, FL)
    …and coordinating all case management activities with members to evaluate the medical needs of the member to facilitate the member's overall wellness. Case ... hours. We are seeking self-motivated, energetic, detail oriented, highly organized, tech-savvy Case Management Coordinator to join our Case Management team. This… more
    CVS Health (08/23/24)
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  • Case Manager RN

    CVS Health (Tallahassee, FL)
    …and coordinating all case management activities with members to evaluate the medical needs of the member to facilitate the member's overall wellness. + Develops ... overcoming barriers in meeting goals and objectives, presents cases at interdisciplinary case conferences. + Utilizes case management processes in compliance… more
    CVS Health (08/25/24)
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  • Medical Director - Southeast Region

    Humana (Tallahassee, FL)
    **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The ... data requires an in-depth evaluation of variable factors. **Job Profile** The Medical Director actively uses their medical background, experience, and judgement… more
    Humana (08/20/24)
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  • Medical Director - Florida

    Humana (Tallahassee, FL)
    **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The ... of situations or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement… more
    Humana (08/16/24)
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  • Medical Director - Mid West Region

    Humana (Tallahassee, FL)
    …The Medical Director's work includes reviewing of all submitted medical records , synthesizing complex hospital-based clinical scenarios, and providing expert ... a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make… more
    Humana (07/25/24)
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  • Medical Director - PRN

    Humana (Tallahassee, FL)
    …a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make ... reference materials, internal teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and Medicare Advantage requirements, and… more
    Humana (08/20/24)
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  • Short Term Disability Claims Specialist

    Lincoln Financial Group (Tallahassee, FL)
    …for conducting initial and ongoing interviews with claimants, obtaining, and reviewing medical records and making timely and ethical claim determinations. You'll ... and e-mail to gather information regarding the Short Term Disability claim. + Collaborating with fellow case ...make appropriate and timely claim determinations. + Reviewing complex medical records and effectively leveraging a variety… more
    Lincoln Financial Group (08/20/24)
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  • Medical Director Midsouth Market

    CVS Health (Tallahassee, FL)
    …NC license without encumbrances and willing to obtain the other. In the Medical Director role you will provide oversight for medical policy implementation. ... in the development, implementation, and evaluation of clinical / medical programs and expand Aetna's medical management...clinical, coding, and reimbursement expertise as well as directing case management when necessary. In this role you will… more
    CVS Health (08/23/24)
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  • Family Clinical Advocate - Remote

    Sharecare, Inc. (Tallahassee, FL)
    …into practice. + Ability to extrapolate information from a variety of sources, including medical records , to create concise records that accurately depict ... motivational interviewing preferred. + Strong familiarity with technology inclusive of Electronic Medical Records , Microsoft Suite, and basic computer skills. +… more
    Sharecare, Inc. (08/10/24)
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  • Physician Assistant - Child Protection Team…

    University of Florida (Leon County, FL)
    …personnel. + Participates on the CPT Statewide quality assurance team: Participates with Medical Record Review, Video Conferencing and training for 1 to 2 ... appropriate medical service for the child Prepares medical reports. + Consults with Case Coordinators,...recording medical information in the CPT electronic medical record (currently being beta tested). +… more
    University of Florida (08/15/24)
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  • Adv Practice Registered Nurse - Child Protection…

    University of Florida (Leon County, FL)
    …to consult with CPT, per state statute. Determines situations requiring a medical examination or further testing/ hospital services/ record reviews and in ... Director. Takes patient histories, conducts physical examinations, and records the data in the patient's record ;...and summaries noting pertinent positive and negative findings. Prepares medical reports. + Consults with Case Coordinators,… more
    University of Florida (08/01/24)
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  • Behavioral Health Counselor - Community Integrated…

    State of Georgia (Thomas County, GA)
    …of records relating to client's treatment. Monitor, evaluate, and record client progress according to measurable goals described in treatment and care ... recovery goals; assessments and evaluations; crisis plans; suicide assessment; case management; medication monitoring; and provides individual counseling as needed.… more
    State of Georgia (08/12/24)
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  • Community Health Worker Field- Tampa

    CVS Health (Tallahassee, FL)
    …+ Accompany members to appointments as needed. + Enter and maintain member records in electronic health record system, compile reports and complete other ... maintain positive working relationships with the Aetna members, providers, nurse case managers, agency representatives, supervisors and office staff, from diverse… more
    CVS Health (08/23/24)
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  • Community Health Worker Field- Miami Area

    CVS Health (Tallahassee, FL)
    …and reporting). Accompany members to appointments as needed. Enter and maintain member records in electronic health record system, compile reports and complete ... maintain positive working relationships with the Aetna members, providers, nurse case managers, agency representatives, supervisors and office staff, from diverse… more
    CVS Health (08/23/24)
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  • Group Claims Specialist - West Coast (MST/PST)

    Lincoln Financial Group (Tallahassee, FL)
    …for conducting initial and ongoing interviews with claimants, obtaining and reviewing medical records , and making timely and ethical claim determinations. You'll ... for administering and managing requests relating to Short Term Disability , the Family and Medical Leave Act...make appropriate and timely claim determinations. + Reviewing complex medical records and effectively leveraging a variety… more
    Lincoln Financial Group (08/20/24)
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  • Care Management Associate, Engagement Hub

    CVS Health (Tallahassee, FL)
    …Microsoft Word, Outlook, and Excel - data entry and documentation within member records preferred. - Familiarity with basic medical terminology and concepts used ... Associate is responsible for direct member outreach and engagement, facilitating case assignment, and connecting identified members to care managers immediately… more
    CVS Health (08/23/24)
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  • RN Home Health Full Time

    CenterWell (Thomasville, GA)
    …Manager, preparing and completing needed clinical documentation. + Prepare appropriate medical documentation on all patients, including any case conferences, ... As a **Home Health Registered Nurse** , you will: + Provide admission, case management, and follow-up skilled nursing visits for home health patients. + Administer… more
    CenterWell (07/19/24)
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  • Pediatric Care Manager RN

    CVS Health (Tallahassee, FL)
    …the law, unless they are approved for a reasonable accommodation based on disability , medical condition, religious belief, or other legally recognized reasons ... care management activities with members to ensure that their medical and behavioral health needs are met and to...assessments of member's needs and recommends an approach to case resolution by meeting needs in alignment with their… more
    CVS Health (08/23/24)
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  • Personnel Security Specialist - Remote

    Pearl Interactive Network (Tallahassee, FL)
    …Competitive Compensation and Benefits package to include:** + Salary: $55K - $60K + Medical , Dental, Vision, and Life Insurance + Paid time off, Paid holidays + 401K ... background information, such as credit bureau reports, local agency checks, criminal records , and other violation reports. + Inspect security paperwork for accuracy… more
    Pearl Interactive Network (08/14/24)
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