• Manager , Case Management

    CVS Health (Tallahassee, FL)
    …of quality healthcare to Aetna Better Health of Florida members. The Manager is responsible for oversight and management of clinical team processes including ... **Preferred Qualifications** + 3 years supervisory/managerial experience preferred + Certified Case Manager (CCM) preferred **Education** Registered nurse, BSN… more
    CVS Health (05/17/25)
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  • Business Compliance Manager ( Aetna

    CVS Health (Tallahassee, FL)
    …by both members and providers. + Provide direction and counsel on case handling, facilitating issue resolution and ensuring high-quality investigations. + Assist in ... in a timely and effective manner. + Conduct comprehensive case reviews and provide constructive feedback to team members...Assess training needs and collaborate with the SIU Sr. Manager to create development plans for team members. +… more
    CVS Health (05/16/25)
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  • Nurse Case Manager

    US Tech Solutions (Miami-Dade County, FL)
    **Job Description:** The RN Case Manager is responsible for telephonically and/or face to face assessing, planning, implementing, and coordinating all case ... impact functionality. + Reviews prior claims to address potential impact on current case management and eligibility. + Assessments include the member's level of… more
    US Tech Solutions (05/17/25)
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  • Associate, Account Manager

    CVS Health (Tallahassee, FL)
    …with heart, each and every day. **Position Summary** The Associate, Account Manager provides proactive account management and development of strong relationships ... by supporting the Account Manager and Account Director for existing customers in the...**Required Qualifications** + 2+ years of experience with account management , case administration, and providing solutions to… more
    CVS Health (05/16/25)
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  • Account Executive (Small Group Account…

    CVS Health (Tallahassee, FL)
    …As an Account Executive, you will manage a book of business of Aetna Funding Advantage (AFA) and 51-100 Fully Insured, along with dental/vision. Account Executives ... strong relationships with assigned brokers & book of business to ensure case renewal and retention. Responsibilities include delivering & securing renewals and… more
    CVS Health (05/09/25)
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  • Social Worker (Field - Must reside in Miami Dade…

    CVS Health (Hialeah, FL)
    …comprehensive management of members with acute or chronic conditions, including case management activities that focus on quality of care, compliance, ... limited supervision to determine course of treatment + Applies in-depth knowledge of case management concepts, principles, and strategies in the development of… more
    CVS Health (05/16/25)
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  • Bilingual Community Health Worker (English…

    CVS Health (North Miami Beach, FL)
    …assessment + Manage patient referrals defined by the care team & collaborate with the Case Manager on action plan + Knowledge of health plan basics (eg co-pays, ... Miami, FL **As a Community Health Care Worker at Aetna you will:** + Establish and maintain strong interpersonal...Minimum of 1 year of experience in healthcare, community-based, case management , or social service environment +… more
    CVS Health (05/16/25)
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