Area Director Clinical Operations (Hybrid-Remote from West Palm area) Florida Cancer Specialists and Research InstituteArea Director Clinical Operations (Hybrid-Remote from West Palm area)Boca Raton, FLRemoteWe are recognized by the American Society of Clinical Oncology (ASCO) with a national Clinical Trials Participation Award, FCS offers patients access to more clinical trials than any private oncology practice in Florida. CORE COMPETENCIES, KNOWLEDGE/SKILLS/ABILITIES: Essential competencies and KSAs targeted to successfully performing in role: Analysis & Critical Thinking.
NewHelp Desk / IT Support Specialist (Hybrid – Boca Raton, FL) Shoes For Crews North America, LLCHelp Desk / IT Support Specialist (Hybrid – Boca Raton, FL)Boca Raton, FLRemoteShoes For Crews is a dynamic designer, manufacturer, and B2B marketer of technologically advanced, top-rated slip-resistant footwear serving the foodservice, hospitality, industrial, and healthcare industries, protecting over 3.5 million workers annually across more than 120,000 workplaces. Administer Microsoft Active Directory and Entra ID (Azure AD), including user provisioning, group policies, and domain management.
Manager, Sales - Healthcare UiPath IncManager, Sales - HealthcareFLRemoteThe ideal candidate will have a proven track record of building high-performing teams and closing complex deals in the healthcare industry. We are seeking an experienced and results-driven Manager, Sales - Healthcare, to lead our new logo acquisition team.
Healthcare Recruiter American TravelerHealthcare RecruiterBoca Raton, FloridaRemoteAs a Remote Healthcare Recruiter, your role will be sales-based and you will be responsible for building relationships with qualified healthcare professionals who have interest in traveling to hospital assignments, persuasively presenting information about these assignment opportunities, maintaining long-lasting relationships, and growing a successful business. Utilizing excellent written and verbal communication skills to persuasively present job opportunities including hospital assignment details, location, compensation, and benefits to prospective and existing clients.
Digital Health Specialist - Physical Therapist - Hybrid CORA Physical TherapyDigital Health Specialist - Physical Therapist - HybridFort Lauderdale, FLRemoteCORA Physical Therapy provides a full range of outpatient services for clients with orthopedic problems, work-related injuries, sport injuries, and neuromuscular and neurological conditions. Works closely and supports operations to deliver digital services and meet patient care and staffing needs.
Director, Healthcare Services - REMOTE Molina Healthcare IncDirector, Healthcare Services - REMOTEMiami, FLRemoteRegistered Nurse (RN), Licensed Vocational Nurse (LVN), Licensed Practical Nurse (LPN), Licensed Clinical Social Worker (LCSW), Licensed Marriage and Family Therapist (LMFT), Licensed Professional Clinical Counselor (LPCC), or Licensed Master of Social Work (LMSW). At least 8 years of health care experience, and at least 5 years of managed care experienced in one or more of the following areas: utilization management, care management, care transitions, behavioral health, long-term services and supports (LTSS), or equivalent combination of relevant education and experience.
Supervisor, Healthcare Services (Remote in FL - Weekends) Molina Healthcare IncSupervisor, Healthcare Services (Remote in FL - Weekends)FLRemoteRegistered Nurse (RN), Licensed Vocational Nurse (LVN), Licensed Practical Nurse (LPN), Licensed Clinical Social Worker (LCSW), Licensed Marriage and Family Therapist (LMFT), Licensed Professional Clinical Counselor (LPCC), or Licensed Master of Social Work (LMSW). At least 5 years health care experience, and at least 2 years of managed care experienced in one or more of the following areas: utilization management, care management, care transitions, behavioral health, long-term services and supports (LTSS), or equivalent combination of relevant education and experience.
NewLead, Healthcare Services (Remote in Florida) Molina Healthcare IncLead, Healthcare Services (Remote in Florida)FLRemoteProvides lead level clinical support to healthcare services team supporting one or more of the following functions: care management, utilization management, care transitions, long-term services and supports (LTSS), behavioral health, and other clinical programs, and collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum. Registered Nurse (RN), Licensed Vocational Nurse (LVN), Licensed Practical Nurse (LPN), Licensed Clinical Social Worker (LCSW), Licensed Marriage and Family Therapist (LMFT), Licensed Professional Clinical Counselor (LPCC), or Licensed Master Social Worker (LMSW).
Senior Cloud Engineer Hybrid @ Bellevue, WA or Remote @ Florida OfferUp IncSenior Cloud Engineer Hybrid @ Bellevue, WA or Remote @ FloridaFLRemote$215,000–$240,000 / yearOne of the top local marketplace apps for local buyers and sellers in the U.S., OfferUp makes it easy for people to discover more of what they need-from great deals and secondhand goods to jobs, services, home rentals, and more-right in their own communities. Keep the SDLC fast and safe - build CI/CD pipelines and developer workflows (GitHub Actions, monorepo tooling, JFrog Artifactory), and maintain the backend "golden templates" and shared libraries the wider org builds on.
NewMPLT - Credentialing Specialist - onsite, hybrid or remote MPLT HealthcareMPLT - Credentialing Specialist - onsite, hybrid or remoteBoca Raton, FloridaRemoteWith years of healthcare and physician staffing experience, MPLT Healthcare has the knowledge, resources, and proven industry commitment to help facilities meet the increasing demands of today’s rapidly changing healthcare landscape. We will always be people helping people as we strive to earn the long-term loyalty of our clients, providers, and employees through our dedication to selfless service, a relentless focus on quality, and a culture of excellence.
Utilization Management Registered Nurse Humana IncUtilization Management Registered NurseFLRemote$71,100–$97,800 / yearWork-at-Home Information: To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it.
Occupational Health Registered Nurse (Remote from FL) Florida Cancer Specialists and Research InstituteOccupational Health Registered Nurse (Remote from FL)FLRemoteWe are recognized by the American Society of Clinical Oncology (ASCO) with a national Clinical Trials Participation Award, FCS offers patients access to more clinical trials than any private oncology practice in Florida. Submits orders for required employee testing including but not limited to drug and alcohol testing, immunizations, laboratory blood tests, and radiological exams in accordance with the occupational health policies and procedures.
UM BH Registered Nurse Humana IncUM BH Registered NurseFLRemoteYou will utilize training and engage formerly acquired skillsets to complete medical necessity reviews for behavioral health requested services using clinical judgment and provides referrals to internal stakeholders for further review depending on case findings. The DOW SkillBridge Internship Program provides transitioning military service members time to gain civilian work experience while still on active duty with an employer for a period approved by their command and the DOW, with an average timeline of 90 days.
Registered Nurse - Case Manager (Remote) GuideWell Mutual Holding CorpRegistered Nurse - Case Manager (Remote)FLRemote$71,200–$115,700 / yearUtilizing a member-centric approach they assist members and their families understand and manage their disease process by: reinforcing the physicians' plan of treatment, promoting healthy behaviors and lifestyle changes, and providing education and tools to promote self-management to improve health outcomes and reduce overall costs. Promote healthy lifestyles, assist in strengthening the patient-physician relationship, encourage behavior and lifestyle changes to realize a better quality of life, for individuals with identified chronic conditions, costly and/or catastrophic illnesses.
Registered Nurse, Remote Telehealth, ER, Emergency Triage, Weekends ChenMed LLCRegistered Nurse, Remote Telehealth, ER, Emergency Triage, WeekendsMiami, FLRemote$64,583–$92,262 / yearThe Registered Nurse, Telehealth is responsible for providing telephonic triage directional patient care advice for general and specific illnesses, health related issues, client counseling, patient advocacy, health education and referral and resource management to ChenMed patients and their families. Aids in enhancing the quality and effectiveness of the organization's telehealth practices and professional nursing practice through successful utilization and improvement of outcomes that demonstrate program effectiveness.
Integrated Case Manager - Registered Nurse Sentara HospitalsIntegrated Case Manager - Registered NurseMiami, FloridaRemoteThe Integrated Case Manager is responsible for case management services within the scope of licensure; develops, monitors, evaluates, and revises the member's care plan to meet the member's needs, with the goal of optimizing member health care across the care continuum. Keywords: Talroo- Health, Disease Management, Case Management, Managed Care, Discharge Planning Asthma, Chronic Obstructive Pulmonary Disease (COPD), Diabetes, Coronary Artery Disease (CAD), Congestive Heart Failure (CHF).
Integrated Case Manager - Registered Nurse Sentara Healthcare IncIntegrated Case Manager - Registered NurseDoral, FLRemoteThe Integrated Case Manager is responsible for case management services within the scope of licensure; develops, monitors, evaluates, and revises the member's care plan to meet the member's needs, with the goal of optimizing member health care across the care continuum. Demonstrates the minimum knowledge, skills and abilities to care for the individualized needs of the patient to include physical, psychological, socio-cultural, spiritual and cognitive needs as well as functional abilities including the need for diversified use of such practices.
Medical Case Manager (Registered Nurse) AmTrust Financial Services, Inc.Medical Case Manager (Registered Nurse)TBD, FloridaRemote$80,000–$88,000 / yearFull timeResponsible for helping to ensure injured employees receive appropriate level and intensity of care through use of medical and disability duration guidelines, directly related to the compensable injury and/or assist adjusters in managing medical treatment to drive resolution. Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines.
Remote Registered Nurse RN RylemRemote Registered Nurse RNMiami, FLRemote$25–$28 / hourFull timePart timeWe’re looking for an experienced Registered Nurse Clinical Documentation Specialist to join a high-performing healthcare team in a fully remote role! If you have a strong CDI background and acute care experience, this is your chance to work from home while earning competitive travel pay.
Field Care Coordinator- Bilingual preferred Humana IncField Care Coordinator- Bilingual preferredCoral Springs, FLRemote$60,000–$65,000 / yearThe Care Coach 1 role involves meeting members in their location, spending quality time assessing their needs and barriers and then connecting our members with quality services to promote their ultimate well-being and drive health outcomes. The Care Coach evaluates member''s needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources appropriate for the care and wellbeing of members.
Quality Assurance Supervisor (Clinical RN) Performant Healthcare IncQuality Assurance Supervisor (Clinical RN)Plantation, FLRemote$95,000–$105,000 / yearRegularly sits at a desk during scheduled shift, uses office phone or headset provided by the Company for phone calls, making outbound calls and answering inbound return calls using an office phone system; views a computer monitor, types on a keyboard and uses a computer mouse. Deployed by over 75 health plans, including many of the top 20, and representing more than 170 million lives, Machinifys AI operating system, combined with proven expertise, untangles healthcare data to deliver industry-leading speed, quality, and accuracy.
Care Manager (RN) Centene Corporation GroupCare Manager (RN)FLRemote$56,200–$101,000 / yearPosition Purpose: Develops, assesses, and facilitates complex care management activities for primarily physical needs members to provide high quality, cost-effective healthcare outcomes including personalized care plans and education for members and their families. Provides resource support to members and care managers for local resources for various services (e.g., employment, housing, participant direction, independent living, justice, foster care) based on service assessment and plans, as appropriate.
Quality Assurance Supervisor (Clinical RN) PerformantQuality Assurance Supervisor (Clinical RN)Plantation, FloridaRemoteRegularly sits at a desk during scheduled shift, uses office phone or headset provided by the Company for phone calls, making outbound calls and answering inbound return calls using an office phone system; views a computer monitor, types on a keyboard and uses a computer mouse. Deployed by over 75 health plans, including many of the top 20, and representing more than 170 million lives, Machinify’s AI operating system, combined with proven expertise, untangles healthcare data to deliver industry-leading speed, quality, and accuracy.
NewPotential Quality of Care (PQOC) Quality Management Behavioral Health Nurse Consultant - Remote CVS Health CorpPotential Quality of Care (PQOC) Quality Management Behavioral Health Nurse Consultant - RemoteFLRemote$60,522–$129,615 / yearThe PQOC team reviews quality of care concerns by reviewing documentation and interprets data obtained from clinical records or systems to apply appropriate clinical criteria and policies in line with regulatory and accreditation requirements for member and/or provider issues. Additional responsibilities to include but not limited to the following: Works BH Potential Quality of Care cases, along with Patient Safety Events across all lines of business (Commercial, Medicare, and Medicaid).
Medical Review Nurse - CMS RAC (Government audits) Performant Healthcare IncMedical Review Nurse - CMS RAC (Government audits)Plantation, FLRemote$81,000–$90,000 / yearRegularly sits at a desk during scheduled shift, uses office phone or headset provided by the Company for phone calls, making outbound calls and answering inbound return calls using an office phone system; views a computer monitor, types on a keyboard and uses a computer mouse. Deployed by over 75 health plans, including many of the top 20, and representing more than 170 million lives, Machinify's AI operating system, combined with proven expertise, untangles healthcare data to deliver industry-leading speed, quality, and accuracy.
Medical Review Nurse - CMS RAC (Government audits) PerformantMedical Review Nurse - CMS RAC (Government audits)Plantation, FloridaRemoteRegularly sits at a desk during scheduled shift, uses office phone or headset provided by the Company for phone calls, making outbound calls and answering inbound return calls using an office phone system; views a computer monitor, types on a keyboard and uses a computer mouse. Deployed by over 75 health plans, including many of the top 20, and representing more than 170 million lives, Machinify’s AI operating system, combined with proven expertise, untangles healthcare data to deliver industry-leading speed, quality, and accuracy.
Care Review Clinician (RN) - Remote in FL Molina Healthcare IncCare Review Clinician (RN) - Remote in FLFLRemoteResponsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and regulations - ensuring members reach desired outcomes through integrated delivery of care across the continuum. At least 2 years experience, including experience in hospital acute care, inpatient review, prior authorization, managed care, or equivalent combination of relevant education and experience.
Pool Resuscitation Educator, Remote, Resuscitation Education, Palm Beach County, Per Diem, VARIES Baptist Health South Florida IncPool Resuscitation Educator, Remote, Resuscitation Education, Palm Beach County, Per Diem, VARIESMiami, FLRemoteOur approach is rooted in a "grow our own" philosophy, designed to help our team members build meaningful, long-term careers with us, supported by benefits that make a real difference, including: Career growth and development opportunities, with clear pathways and ongoing support. Baptist Health is the region''s largest not-for-profit healthcare organization, with 12 hospitals, over 29,000 employees, 4,500 physicians and 200 outpatient centers, urgent care facilities and physician practices across Miami-Dade, Monroe, Broward and Palm Beach counties.
Nurse Navigator 1 - Site Disease Group - Full Time/Remote University of MiamiNurse Navigator 1 - Site Disease Group - Full Time/RemoteMiami, FLRemoteUHealth-University of Miami Health System, South Florida's only university-based health system, provides leading-edge patient care powered by the ground breaking research and medical education at the Miller School of Medicine. Educate patients about survivorship, set expectations for the post-treatment transition, remain available to patients and families for questions during the continuum of treatment and at survivorship.
Analyst, Health Plan Risk & Quality Reporting (Remote in FL) Molina Healthcare IncAnalyst, Health Plan Risk & Quality Reporting (Remote in FL)Miami, FLRemoteAnalyzes data sets and trends for anomalies, outliers, trend changes, and opportunities, using databricks Structured Query Language (SQL), PowerBi, Microsoft Excel, and techniques to determine significance and relevance. At least 2 years of experience mapping, scrubbing, scrapping, and cleaning data, and analysis experience related to HEDIS and/or risk adjustment, and 1 year of experience in a managed care organization, or equivalent combination of relevant education and experience.
New Business Development – Nursing Home & Assisted Living - Remote Transformational Health Network, Inc.New Business Development – Nursing Home & Assisted Living - RemoteMiami, FLRemoteAt Transformational Health Network, Inc. (TrHN), we partner with respected healthcare organizations to place highly skilled registered nurses, advanced practice providers, and physicians in roles where they can make a meaningful impact on patient care. The ideal candidate has experience in healthcare sales, business development, account management, or senior care services and is passionate about helping healthcare organizations meet their staffing and patient care needs.
Perinatal Nurse Navigator HCA HealthcarePerinatal Nurse NavigatorMargate, FLRemoteYou will achieve this goal by building relationships with patients and physicians, coordinating the defined plan of care, assisting with appointments, assisting in resolving barriers, providing education, and connecting with community resources. You will also assume responsibility and accountability for the management of resources to achieve efficient, high-quality outcomes for patients, including support with interdisciplinary and cross-facility coverage and collaboration.