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.
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.
QA Analyst/Business Analyst (Hybrid onsite) TRAC RecruitingQA Analyst/Business Analyst (Hybrid onsite)Delray Beach, FloridaRemoteYou will be responsible for day-to-day quality assurance across a suite of web and mobile applications, while also supporting requirements gathering, documentation, and process improvement initiatives. Their AI-powered platform helps clinicians document faster, improve measurement accuracy, streamline workflows, and gain actionable insights that enhance patient outcomes.
NewSenior Attorney - Hybrid/Remote, Lead Complex Litigation KosmosSenior Attorney - Hybrid/Remote, Lead Complex LitigationFort Lauderdale, FLRemoteThe role involves handling complex legal matters, conducting legal research, and representing clients in various legal processes. Ideal candidates should have a Juris Doctor degree and at least 3 years of experience in commercial litigation.#J-18808-Ljbffr.
Palm Springs Lake Worth - Digital Health Specialist - Physical Therapist - Hybrid CORA Physical TherapyPalm Springs Lake Worth - Digital Health Specialist - Physical Therapist - HybridLake Worth, 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.
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.
Help Desk / IT Support Specialist (Hybrid Boca Raton, FL) Shoes For Crews, 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.
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.
Lead, 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.
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.
NewSenior Stars Clinical Consultant RN Humana IncSenior Stars Clinical Consultant RNFLRemote$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. This role is remote/virtual, but candidates may travel to provider offices within the state of Florida up to 30% and travel to Tampa or South Florida Humana market offices within region for in person meetings.
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.
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.
NewCompliance UM Nurse (Wed - Sun) Humana IncCompliance UM Nurse (Wed - Sun)FLRemote$71,100–$97,800 / 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.
Onsite Care Coordination Nurse Humana IncOnsite Care Coordination NurseFLRemote$71,100–$97,800 / 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.
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.
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.
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.
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.
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.
NewSenior Manager, Clinical and Coding Health Business Solutions LLCSenior Manager, Clinical and CodingCooper City, FLRemoteThe Senior Manager will provide leadership to multidisciplinary audit teams, support complex audit responses, analyze trends, and partner with internal and external stakeholders to mitigate risk and improve documentation, coding, and reimbursement practices. Health Business Solutions (HBiz) is seeking an experienced and strategic Senior Manager, Clinical & Coding to lead and oversee clinical and coding operations across government and commercial payers, including post-pay audit.
Perinatal Nurse Navigator HCA Healthcare IncPerinatal Nurse NavigatorMargate, FLRemoteEnsures the patient is empowered to manage his/her healthcare needs Provides healthcare system guidance and promotes adherence to recommended treatment throughout the care pathway Supports providers by assisting patients and/or families in understanding their diagnosis, treatment options, and the resources available, including education, clinical research studies (as applicable), and technological advances Provides education/connection to community and external resources, such as access to supportive care, financial support, and return to work Streamlines process for patients by assisting with appointment scheduling in a compliant manner Ensures the organization of appointments and explains the sequence of treatments Ensures smooth transitions between care modalities, facilities, and providers Facilitates patient movement through the appropriate clinical pathway and collaborates with physicians to ensure patient compliance Reinforces patient-specific teaching as defined by the patients provider Conducts follow-up conversations with patients and communicates any concerns, changes, or social needs to the appropriate physician or other care provider Attends and participates in Multidisciplinary Meetings (MDM) and/or other care planning conferences, as required by the navigation program Ensures appropriate patient data is available, including assessment and documentation Educates the patient and family regarding planned procedures, medications, and treatments What you will need in this role: 1-3 years of experience in Nursing Required 3+ years of experience as a Nurse Navigator and/or patient educator in service line Preferred Education Associates Degree in Nursing required Bachelors Degree in Nursing preferred Licenses and Certifications Basic Cardiac Life Support (preferred if remote position) Required Registered Nurse - Currently licensed as a registered professional nurse in the state in which he or she practices, in accordance with law and regulation. What you will do in this role: Serves as a patient advocate Assesses the patients medical and psychosocial needs as they pertain to their primary medical or surgical condition for navigation Uses appropriate tools to identify patient needs and barriers to care and provides access to potential resolutions Identifies health disparities and assists in the removal of these disparities Provides appropriate education, outreach, and support to patients and families.
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.