Utilization Review Jobs in Tallahassee, FL

We are actively recruiting for an CAL RNs to join our rapidly growing Population Health team.  The primary role of the Care Manager will be to provide our patients with on-demand telephone-based care management services through a 24/7 Nurse Advice Line (i.e. telephone triage). &# More...

Requisition No:854174Agency: Children and FamiliesWorking Title: OPERATIONS REVIEW SPECIALIST OPS - Pay Plan: TempPosition Number:Salary: $25.84 hourlyPosting Closing Date: 06/13/2025Total Compensation EstimatorToolOperations Review Specialist OPS2415 North Monroe Street Tallahassee F More...

Experience & RequirementsGraduate of an accredited medical school.Fully licensed to practice medicine in the state of employmentBoard certified in primary care specialty (Family Practice Internal Medicine Emergency Medicine Public Health or Occupational Medicine) with administrati More...

We are actively recruiting for an CAL RNs to join our rapidly growing Population Health team.  The primary role of the Care Manager will be to provide our patients with ondemand telephonebased care management services through a 24/7 Nurse Advice Line (i.e. telephone triage). &#xa More...

Description211 Big Bend operates Helpline 211 the Florida HIV/AIDS Hotline and the Family Health Line. In addition the agency answers calls for the 988 Suicide & Crisis Lifeline Florida Veterans Support Line (MyFLVet) and other organizations that contract with 211 Big Bend for hot More...

Regional Manager Quality Review for ID/DDGeorgia remote@Orchard LLC is supporting a notforprofit corporation that partners with public and private sectors to create highquality safe and efficient delivery of health care and human services programs. Our client has multiple lines of bu More...

Case Manager Career OpportunityRecognized for your abilities as a Case ManagerAre you ready for a Case Management role that brings your career closer to home and heart Join Encompass Health where being a Case Manager goes beyond just a job; it positions you as a vital link between exc More...

At Amazon we believe that every day is still day one. We are working to be the most customercentric company on earth. To get there we need exceptionally talented bright and driven people. If youd like to help the Disability Leave Services (DLS) team build a bestinclass professional s More...

The Utilization Review Case Manager requires effective communication and coordination with the Director of Utilization Review insurance companies and treatment team to obtain the maximum benefits for our clients.  The Utilization Review Case Manager will submit accurate utilizati More...

ResponsibilitiesYour Role:Performs Minimum Data Set (MDS) case management utilization review quality assurance (QA) and discharge planning duties. Conducts federally mandated patient assessments based on Centers for Medicare and Medicaid Services (CMS) guidelines including appropriate More...

Job DescriptionJoin the Department of Health!Were thrilled to welcome you!Weve made our application process more accessible than ever. Please take a look at our job announcement below.If you can see yourself in this role apply nowyour next opportunity awaits!This position is open to A More...

WHO WE ARE & WHAT WE DOTallahassee Memorial Healthcare (TMH) is a private nonprofit communitybased healthcare system that provides care to a 22county region in North Florida and South Georgia. We are a career destination with over 6000 colleagues who reflect the diversity of our c More...