- The Cigna Group (Tallahassee, FL)
- …and claims processing, you might be the perfect fit to join our team as a Care Navigator Representative. As a Care Navigator , you'll proactively support ... Work, etc.) appropriately. + Investigate and resolves escalations, determine barriers to care , and help to resolve complaints by reviewing policies and procedures.… more
- Centene Corporation (Tallahassee, FL)
- …must reside in the state of Florida. Experience in Pediatrics, Foster Care or Adoptions is highly preferred. _** **Position Purpose:** Develops, assesses, and ... coordinates care management activities based on member needs to provide...Develops or contributes to the development of a personalized care plan/service plan for members and educates members and… more
- Cardinal Health (Tallahassee, FL)
- **_What Individualized Care contributes to Cardinal Health_** Clinical Operations is responsible for providing clinical specialties support and expertise in the ... areas of advice and consulting, research and patient care to internal business units and external customers. Individualized... to internal business units and external customers. Individualized Care provides care that is planned to… more
- PruittHealth (Tallahassee, FL)
- …1. Fluent with all regulatory agencies, reimbursement systems and levels of care . 2. Must be knowledgeable of private insurance, Medicare and Medicaid coverage ... communicate both verbally and in writing with the different disciplines in the health care field. 3. Ability to identify and develop new referral sources. 4. Ability… more