• RN Clinical Risk Manager HCC

    PruittHealth (Milton, FL)
    **REGISTERED NURSE CLINICAL RISK MANAGER ** **Join the PruittHealth family, where the health and safety of our workforce is our top priority!** We're not only ... committed to your career, we're committed to the health and safety of all our nurses. Now is a great time to make a change and join one of the leading providers of post-acute care. **PruittHealth will help you conquer your career goals.** At PruittHealth, we… more
    PruittHealth (06/25/25)
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  • Risk Manager - Clinical

    BayCare Health System (Wesley Chapel, FL)
    …philosophy that's built on a foundation of trust, dignity, respect, responsibility, and clinical excellence. **Title:** Risk Manager - Clinical ... 8:00AM - 4:30PM **Weekend Work:** Occasional **Equal Opportunity Employer Veterans/Disabled** **Position** Risk Manager - Clinical Risk Management… more
    BayCare Health System (06/21/25)
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  • Clinical Risk Manager I

    Cleveland Clinic (Vero Beach, FL)
    Directs the organization's clinical risk management program on a day-to-day basis and implements clinical risk management initiatives to ensure ... others as appropriate to ensure compliance with all standards and favorable performance clinical risk management metrics. 1+ YEARS OF EXPERIENCE IN CLINICAL more
    Cleveland Clinic (06/25/25)
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  • Manager Risk Management

    HCA Healthcare (Fort Walton Beach, FL)
    …or limits? Our HCA Florida Fort Walton-Destin Hospital team is looking for a(an) Manager Risk Management. HCA Healthcare is an advanced healthcare network that ... by location._** HCA Healthcare is committed to research and clinical protocols. Do you want to impact standards of...save lives across the country? Apply today to our Manager Risk Management and be a part… more
    HCA Healthcare (06/21/25)
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  • Product Manager , Risk Adjustment…

    Datavant (Tallahassee, FL)
    …to realize our bold vision for healthcare. **Role Overview** As a Product Manager , Risk Adjustment Analytics Products, you will contribute to the strategy ... and execution of analytics capabilities that power Datavant's risk adjustment solutions. You'll drive the development of robust, scalable, and actionable analytics… more
    Datavant (06/06/25)
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  • Manager Clinical Pharmacy

    HCA Healthcare (Panama City, FL)
    …of each individual is recognized. Submit your application for the opportunity below: Manager Clinical PharmacyHCA Florida Gulf Coast Hospital **Benefits** HCA ... benefits may vary by location._** We are seeking a Manager Clinical Pharmacy for our team to...participates in the goals of the organization's quality improvement, risk management and patient safety program to include but… more
    HCA Healthcare (06/21/25)
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  • Lead Product & Strategy Manager

    Humana (Tallahassee, FL)
    …and help us put health first** We are looking for a dynamic Lead Product Manager to develop clinical solutions for our members and providers, with full ... accountability from strategy to execution. The Lead Product Manager partners across various multi-disciplinary teams at Humana to design, define and deliver … more
    Humana (06/14/25)
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  • Dialysis Clinical Manager Registered…

    Fresenius Medical Center (Plantation, FL)
    …the delivery of maximum quality care to all patients. + Must complete Clinical Manager training modules and ongoing developmental programs within the specified ... requirements. Ensure provision of quality patient care while maintaining cost-effective clinical operations in accordance with all legal, compliance, and regulatory… more
    Fresenius Medical Center (06/14/25)
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  • Clinical Account Manager - Georgia…

    Prime Therapeutics (Tallahassee, FL)
    …It fuels our passion and drives every decision we make. **Job Posting Title** Clinical Account Manager - Georgia PDL - Remote **Job Description** Innovative ... with pharmacy department or designated customer contacts. + Directs operations account manager in resolving customer service issues and actions supportive of the… more
    Prime Therapeutics (04/24/25)
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  • Clinical Case Manager Behavioral…

    CVS Health (Tallahassee, FL)
    clinical judgment to the incorporation of strategies designed to reduce risk factors and address complex clinical indicators which impact care planning ... standard business hours. No weekends and no holidays.** Utilizes advanced clinical judgment and critical thinking skills to facilitate appropriate member physical… more
    CVS Health (06/23/25)
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  • Clinical Case Manager Behavioral…

    CVS Health (Tallahassee, FL)
    clinical judgment to the incorporation of strategies designed to reduce risk factors and address complex clinical indicators which impact care planning ... late day until 7pm your local time.** **No holidays.** Utilizes advanced clinical judgment and critical thinking skills to facilitate appropriate member physical… more
    CVS Health (06/23/25)
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  • Clinical Case Manager Behavioral…

    CVS Health (Inverness, FL)
    …we do it all with heart, each and every day. **Position Summary** This Clinical Case Manager Behavioral Health position is with Aetna's Long-Term Services and ... benefit plan and available internal aid and external programs/services. - Identifies high risk factors and service needs that may impact member outcomes and care… more
    CVS Health (06/23/25)
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  • Risk Specialist - Risk Management…

    HCA Healthcare (Atlantis, FL)
    …or limits? Our HCA Florida JFK Hospital team is looking for a(an) Senior Risk Manager . HCA Healthcare is an advanced healthcare network that has committed ... lives across the country? Apply today to our Senior Risk Manager and be a part of...Summary and Qualifications** Responsible for the operation of the clinical risk and patient safety program on… more
    HCA Healthcare (06/21/25)
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  • System Director Risk Management

    Community Health Systems (Naples, FL)
    …Current RN Licensure in the State of Florida **(required)** + Licensed Healthcare Risk Manager (LHRM) **(required)** + Certified Professional in Healthcare ... Risk Management & Compliance** + Design and implement a comprehensive risk management program addressing clinical , operational, and facility-related risks. +… more
    Community Health Systems (04/09/25)
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  • Clinical Social Worker Licensed Part Time…

    AdventHealth (Orlando, FL)
    …Annual number of emergency cases: 89,018 **The role you'll contribute:** The Clinical Social Worker, Licensed, intervenes with patients who have complex psychosocial ... the development of a discharge plan of care for high- risk patient populations. This role will receive referrals for...nurses, and other members of the care team). The Clinical Social Worker, Licensed, , in collaboration with the… more
    AdventHealth (04/16/25)
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  • NICU Clinical Documentation Integrity…

    AdventHealth (FL)
    … Documentation Integrity and in some situations the supervision of the Clinical Documentation Integrity Manager , and in collaboration with physicians, nursing ... work and manage multiple priorities at once. . Experience with Clinical Documentation Reviews, Medicare risk adjustment, Hierarchical Condition Categories,… more
    AdventHealth (06/21/25)
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  • Senior Integrated Clinical Pharmacist…

    CenterWell (Tallahassee, FL)
    …and help us put health first** We are seeking an ambitious and goal-oriented Clinical Pharmacist with over 5 years of experience to join our primary care ... team. The role requires strong critical thinking skills and the ability to use clinical judgment to make informed decisions about patient care. Must be able to work… more
    CenterWell (06/14/25)
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  • Licensed Clinical Social Worker Pediatric…

    AdventHealth (Orlando, FL)
    …**The community you'll be caring for:** **The role you'll contribute:** The Clinical Social Worker, Licensed, intervenes with patients who have complex psychosocial ... the development of a discharge plan of care for high- risk patient populations. This role will receive referrals for...nurses, and other members of the care team). The Clinical Social Worker, Licensed, , in collaboration with the… more
    AdventHealth (06/14/25)
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  • Clinical Research Coord II

    University of Florida (Gainesville, FL)
    …of all components of research studies under the direction of the Research Manager . Perform all Clinical Research Coordinator (CRC) Core responsibilities as well ... Clinical Research Coord II Apply now (https://secure.dc4.pageuppeople.com/apply/674/gateway/default.aspx?c=apply&lJobID=534395&lJobSourceTypeID=796&sLanguage=en-us) Job… more
    University of Florida (06/17/25)
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  • Clinical Documentation Integrity Specialist…

    AdventHealth (Altamonte Springs, FL)
    … Documentation Integrity and in some situations the supervision of the Clinical Documentation Integrity Manager , and in collaboration with physicians, nursing ... and HIM coders, the Clinical Documentation Specialist (CDS) strategically facilitates and obtainsappropriate and...procedures to support the appropriate severity of illness, expected risk of mortality, and complexity of care of the… more
    AdventHealth (06/11/25)
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