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679 Utilization Review Remote jobs in Florida

New, Posted 8 hours ago

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Scheduler-Live Oak Outpatient Program

Tallahassee Memorial

Tallahassee, FL 32308

Onsite

Minimum: High School Diploma or equivalent; (e.g., certificate of high school equivalency)

SmartExplore AI is experimental.

New, Posted 4 hours ago

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Customer Service Representative

GEICO

Tampa, FL 33612

$29.28/hr

RemoteEducation AssistanceHealth InsuranceRetirement Benefit

High School Diploma (or equivalent) and minimum 2 years of customer facing work experience
Associates Degree and minimum 1 year of customer facing work experience
Bachelor's Degree and minimum 3 months of customer-facing experience
Education: High School Diploma required
Experience: Up to 3 years of prior relevant customer facing and/or service experience
Computer proficiency, including familiarity with Microsoft Office Suite

SmartExplore AI is experimental.

Higher-Hire

Accounts Receivable Representative - Full Time - Work From Home

Versant Health

Daytona Beach, FL 32114

Remote

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Direct Support Professional

Sevita

Jacksonville, FL 32211

Higher-Hire

Patient Collections Specialist - FT - Work From Home

virtelligence

Navarre, FL 32566

$24/hr

RemoteFlexible Schedule

Higher-Hire

Email Customer Support Agent - FT - Work From Home

Sleep Center

Crestview, FL 32539

Remote

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Environmental Health and Safety Specialist

Waste Management

Apopka, FL 32703

Requires TravelChildcare AssistanceHealth InsurancePaid Time OffRetirement Benefit

Bachelor's Degree Bachelor of Science in Engineering, Safety, Environmental, or similar area of study (accredited), or in lieu of degree
High School Diploma or GED (accredited) and at least 4 years of relevant work experience.
5 years of hands-on and programmatic safety/compliance experience
3 years waste-related programmatic environmental/compliance experience including training experience
3 years of experience (concurrent with Safety and Environmental experience) working within manufacturing and industrial operations (in addition to education requirements).
RCRA Hazardous Waste Training
40-hour or 24-hour Hazwoper Training, or equivalent experience
Administrative Services\\Certified Safety Professional (CSP)

SmartExplore AI is experimental.

New, Posted 19 hours ago

Mgr, Healthcare Services

Molina Healthcare

Tampa, FL 33609

$73,102-$142,549/yr

Onsite

At least 7 years experience in health care, and at least 3 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.
At least 1 year of health care management/leadership experience.
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 of Social Work (LMSW).
Clinical licensure and/or certification required ONLY if required by state contract, regulation, business operating model, or state board licensing mandates.
If licensed, license must be active and unrestricted in state of practice.
Experience working within applicable state, federal, and third party regulations.
Demonstrated knowledge of community resources.
Proactive and detail-oriented.
Ability to work within a variety of settings and adjust style as needed - working with diverse populations, various personalities and personal situations.
Ability to work independently, with minimal supervision and demonstrate self-motivation.
Responsive in all forms of communication, and ability to remain calm in high-pressure situations.
Ability to develop and maintain professional relationships.
Excellent time-management and prioritization skills, and ability to focus on multiple projects simultaneously and adapt to change.
Excellent problem-solving and critical-thinking skills.
Excellent verbal and written communication skills.
Microsoft Office suite/applicable software program(s) proficiency.