- Centene Corporation (Tallahassee, FL)
- …Statewide** **Position Purpose:** Supervise the day to day operations of the case management function. Communicate with departmental and plan administrative ... staff. + Assure compliance with established onsite and concurrent review, case management , referral, pre-certification and authorization policies, procedures and… more
- CVS Health (Tallahassee, FL)
- …Care Manager is responsible for assessing, planning, implementing, and coordinating all case management activities with members to evaluate the medical needs ... in overcoming barriers in meeting goals and objectives, presents cases at interdisciplinary case conferences. + Utilizes case management processes in… more
- Sedgwick (Tallahassee, FL)
- …While partnering with the injured worker, employer, and medical providers, create a case management strategy to facilitate medical recovery and a successful ... accredited college or university or equivalent work experience preferred. Certification in case management , rehabilitation nursing or a related specialty is… more
- MyFlorida (Tallahassee, FL)
- ATTORNEY SUPERVISOR - 64085573 1 Date: Jun 5, 2024...and team case triaging and auditing and management ; + Utilizes computer case management ... . Requisition No: 830476 Agency: Department of Health Working Title: ATTORNEY SUPERVISOR - 64085573 1 Pay Plan: SES Position Number: 64085573 Salary: $95,000.00… more
- Guardian Life (Tallahassee, FL)
- The Rating & Quoting Supervisor is responsible for leading the Group Insurance Rating and Quoting teams. These teams perform rating and quoting for all Requests for ... Proposal (RFPs), sold case finalization and requotes as well as plan change...opportunities 2 - 499 lives. The Rating and Quoting Supervisor will work closely with all levels of sales… more
- Pearl Interactive Network (Tallahassee, FL)
- …law enforcement is documented in the case before end of shift. + Supervisor and management officials will follow a standard set of procedures for ... Remote Call Center Supervisors for future opportunities.** The **Call Center Supervisor ** is responsible for providing supervision and leadership to Customer Service… more
- Centene Corporation (Tallahassee, FL)
- …+ Identify processes and work flow improvements to foster efficient and effective case management efforts + Monitor distribution of members identified for ... case management to ensure positive results and program success **Education/Experience:** High school diploma or equivalent. 5+ years of prior authorization,… more
- MyFlorida (Tallahassee, FL)
- GOC III - IT Project Management Date: Apr 24, 2024 Location: TALLAHASSEE, FL, US, 32303 The State Personnel System is an E-Verify employer. For more information ... and Families Working Title: GOC III - IT Project Management Pay Plan: Career Service Position Number: 60074839 Salary:...reports directly to the ESS Progr am Office unit supervisor . The incumbent is a member of the DCF… more
- Marriott (Tallahassee, FL)
- …concern in this position. **SCOPE/EXPECTED CONTRIBUTIONS** **Scope** + Provides telephonic case management of associates with occupational illness/injuries to ... Case Managers. **Claims Services** + Collaborate with Claims department regarding case management . + Collaborate with UNM on utilization review issues. +… more
- CVS Health (Tallahassee, FL)
- …telephonically and/or face to face assessing, planning, implementing and coordinating all case management activities with members to evaluate the medical needs ... that impact functionality. Reviews prior claims to address potential impact on current case management and eligibility. Assessments include the member's level of… more
- MyFlorida (Tallahassee, FL)
- …IV works in the area related to the regulation of educator licensure, investigations, case management , data management , and the development and delivery of ... The omission of specific job duties does not preclude management from assigning specific duties not listed herein if...responsibilities. + Ensures all data and benchmarks of a case are accurately maintained and recorded. + Assists in… more
- MyFlorida (Tallahassee, FL)
- …+ Prepares and tracks status of invoices + Advises Public Records Office Supervisor of current and potential issues related to requests or public records office ... requests. + Administrative Support + Provide administrative support to the unit Supervisor and other assigned attorneys including: + Assists in conducting daily… more
- CVS Health (Tallahassee, FL)
- …themselves. They are responsible for assessing, planning, implementing, and coordinating all case management activities with members to evaluate the medical ... overcoming barriers in meeting goals and objectives, presents cases at interdisciplinary case conferences* Utilizes case management processes in compliance… more
- MyFlorida (Tallahassee, FL)
- …employer cases which includes reconciliation of the accounts; monitors employer case files and compiles reports in preparation for referring delinquent employer ... to the receipt of penalty and exemption payments. This includes reconciling employer case files and payment histories to determine default of periodic payment of… more
- MyFlorida (Tallahassee, FL)
- …(1) year experience using the Florida System and knowledge in resolving Florida Case problems. Minimum of one (1) year experience in a strategic customer ... related programs, ie AMS, DVS, etc. Also, knowledge in resolving Florida Case problems and determining eligibility in the Florida Application. This position is… more
- Walgreens (Tallahassee, FL)
- …of healthcare services offered through Walgreens (eg patient consultation, medication management , drug therapy reviews, and perform clinical, or wellness services ... the unique communities we serve as requested by Store Manager, Healthcare Supervisor , or District Manager. Operations + Counsels' patients and answers their… more
- Sedgwick (Tallahassee, FL)
- …of highly complex nature and/or high exposure surety claims; to coordinate case management within Company standards, industry best practices and specific ... and investigates for possible fraud, subrogation, contribution, recovery, and case management opportunities to reduce total claim...coding is correct. + Refers cases as appropriate to supervisor and management . + Delegates work and… more
- CenterWell (Tallahassee, FL)
- …+ Set or adopt policies for, and keep records of criteria for admission to service, case assignments, and case management . + Represent the pharmacy in a ... the following key functions: + Program evaluation + Risk Management + Utilization Review + Patient Care Evaluation +...create and + Perform other duties as assigned by supervisor . Required Qualifications + Graduate of an accredited school… more
- Wolters Kluwer (Tallahassee, FL)
- …(OEM) partnerships and alternative sales channel partnerships that in each case deliver long-term profitable growth for CSCD (expected to be predominantly ... each audience. **Other Duties** Performs other duties as assigned by supervisor . **Job Qualifications** Education: College degree (BA/BS) required. MBA is… more
- MyFlorida (Tallahassee, FL)
- …Word Templates. + Must possess knowledge of application support, particularly the AWARE case management system. + Must have general working knowledge of adaptive ... system updates (ie AWARE upgrades, Social Security Application, Rehab Center Management , National Voter Registration App, Federal Reporting, etc.) + Coordinates user… more