NewDigital Health Specialist - Physical Therapist - Hybrid CORA Physical TherapyDigital Health Specialist - Physical Therapist - HybridHollywood, FLRemote$37.88–$50CORA 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.
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.
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.
(Remote or Hybrid) Outpatient Psychiatrist (Adult) | Leadership Growth Opportunity Rivia Mind - Mental Healthcare(Remote or Hybrid) Outpatient Psychiatrist (Adult) | Leadership Growth OpportunityMiami, FLRemote$220,000–$260,000 / yearLocation Eligibility: At this time, we are only able to consider applicants whose primary residence is in one of the following states within the United States of America: Connecticut, Florida, Massachusetts, New Jersey, New York, North Carolina, Pennsylvania, South Carolina, Texas. Compensation Determination: The pay range listed reflects the minimum and maximum base salary for this role, determined through an internal compensation assessment that considers similar labor markets to our practice across the United States.
Remote Triage Nurse-5 Florida Cancer Specialists and Research InstituteRemote Triage Nurse-5FLRemoteSUMMARY: A Triage Nurse is a professional registered nurse with oncology-specific clinical knowledge that offers individualized care and clinical guidance to patients, families, and caregivers to assist with ongoing healthcare needs. We 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.
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 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.
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).
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 preferredHollywood, 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.
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.
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.
NewLead Remote Triage Nurse Florida Cancer Specialists and Research InstituteLead Remote Triage NurseFLRemoteWe 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 perform in role: Analysis & Critical Thinking.
NewSenior STARS Improvement, Clinical Professional Humana IncSenior STARS Improvement, Clinical ProfessionalFLRemote$78,400–$107,800 / yearWork at Home Requirements 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.
Nurse Navigator 1 - Site Disease Group - Full Time/Remote University of MiamiNurse Navigator 1 - Site Disease Group - Full Time/RemoteMiami, FLRemoteReview the worklist of AI-flagged incidental nodules identified from radiology reports, and validate nodule characteristics, urgency, and the appropriate next-step pathway in collaboration with the advanced practice provider (APP) and clinical lead. The Nurse Navigator 1 (H) is the initial point of contact for a patient entering the health system and assures timely scheduling of the first appointment, and coordination of care after completion of the first appointment and supports the patient throughout the care continuum.
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.
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.
Manager, Clinician Appeals (Active RN License REQ''''D) CorroHealth IncManager, Clinician Appeals (Active RN License REQ''''D)FLRemoteThe ideal candidate WILL HAVE an active, unrestricted RN license (compact preferred), will be a strong communicator who can confidently engage with hospital executives, physicians, and clients to explain medical scenarios, discuss denial trends, and provide clear education on documentation improvements. This individual will lead high-performing clinical teams in the development of clinically accurate, persuasive, and compliant appeal communications to payers, while ensuring operational excellence, clinical integrity, and alignment with financial goals.
Perinatal Nurse Navigator HCA HealthcarePerinatal Nurse NavigatorMiami, FLRemoteAdditional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. You 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.
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.
NewClinical Review Clinician - Appeals Centene Corporation GroupClinical Review Clinician - AppealsFLRemote$27.02–$48.55 / hourEducation/Experience: Requires Graduate from an Accredited School of Nursing or Bachelor's degree in Nursing and 2 - 4 years of related experience. Partners with interdepartmental teams to improve clinical appeals processes and procedures to prevent recurrences based on industry best practices.