Magellan Health Services jobs in Miami, FL

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Utilization Management Licensed Health Professional

Magellan Health Services 88 reviews - Miami, FL
On call coverage of Nurse Line as requested or required of position. Interact with providers in a professional, respectful manner....
6 hours ago - save job - block - email - more...

Appeals Coordinator - MCC

Magellan Health Services 88 reviews - Miami, FL
Knowledge of computer platforms and applications of Microsoft Office. Previous work experience with FL Medicaid and with utilization management programs....
7 days ago - save job - block - email - more...

Dir, Risk Adjustment Program

Magellan Health Services 88 reviews - Miami, FL
National Coding certification preferred. Accountable for efforts to continuously improve results from clinical and reconciliation processes, high level revenue...
14 days ago - save job - block - email - more...

Integrated Care Case Manager - Sentinel Conditions (RN ONLY)

Magellan Health Services 88 reviews - Miami, FL
travel within the state up to 50%. The Sentinel Conditions ICCM works with members who have selected high risk conditions and their providers....
30+ days ago - save job - block - email - more...

Appeals Specialist

Magellan Health Services 88 reviews - Miami, FL
Previous experience in managed care setting. Performs case reviews and maintains an appeals case load. Provides administrative and clinical supervision to staff...
30+ days ago - save job - block - email - more...

Care Management Analyst

Magellan Health Services 88 reviews - Miami, FL
Excellent communication skills, written and oral. Collaborates with national team on special projects and studies Compiles data for use in presentations....
30+ days ago - save job - block - email - more...

Sr Dir, Network Economics - FL, CT & MD

Magellan Health Services 88 reviews - Miami, FL
Experience with Hospital, Physician, Ancillary, and Long-Term Care contracting. Familiarity with typical Medicare and Medicaid provider reimbursement mechanisms...
21 days ago - save job - block - email - more...

Care Worker

Magellan Health Services 88 reviews - Miami, FL
Understanding of plan benefit structures. Maintains current and accurate records, adhering to company policies and laws governing patient records;....
30+ days ago - save job - block - email - more...

Peer Support Practice Lead

Magellan Health Services 88 reviews - Miami, FL
Positive attitude that communicates hope and a recovery orientation. Monitors progress, activities, successes and challenges of the Peers, providing guidance...
30+ days ago - save job - block - email - more...

Director Utilization Management - RN (MCC)

Magellan Health Services 88 reviews - Miami, FL
5+ years managed care & Medicaid experience in Florida. The functions overseen by the Director include utilization management and criteria-based reviews of care...
6 hours ago - save job - block - email - more...
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