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Sunshine State Health Plan - Orlando, FL 3.3

Master's degree in Behavioral Health. Participate in on-going communication between case management staff, utilization management staff, health plan partners...

Estimated: $44,000 - $65,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Sunshine State Health Plan - Tampa, FL 3.3

Assess the member's current health status, resource utilization, past and present treatment plan and services, prognosis, short and long term goals, treatment...

Estimated: $52,000 - $71,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

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Sunshine State Health Plan - Tampa, FL 3.3

Assess the member's current health status, resource utilization, past and present treatment plan and services, prognosis, short and long term goals, treatment...

Estimated: $53,000 - $69,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

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Sunshine State Health Plan - Tampa, FL 3.3

Home health, discharge planning, or long term care experience preferred. Collaborate with discharge planners, physicians, and other parties to ensure...

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Sunshine State Health Plan - Orlando, FL 3.3

Depending on the state, bi-lingual may be preferred. Respond to customer inquiries via telephone and written correspondence in a timely and appropriate manner....

Estimated: $24,000 - $33,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Sunshine State Health Plan - Maitland, FL 3.3

Practical knowledge of Medicaid and Health Plan administration. Coordinate behavioral health treatment with PCP’s and behavioral health providers....

Estimated: $38,000 - $49,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Sunshine State Health Plan - Jacksonville, FL 3.3

Coordinate the sharing of health information between providers and other programs. Identify special needs members through the completion of health screens and...

Estimated: $42,000 - $57,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Sunshine State Health Plan - Orlando, FL +2 locations3.3

Health community resources. Master's degree in Behavioral Health. Encourage behavioral health providers to use evidence-based practices and confirm that...

Estimated: $53,000 - $67,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Sunshine State Health Plan - Sunrise, FL 3.3

Respond to state complaints regarding member eligibility and enrollment records or provide information to respond to those issues....

Estimated: $50,000 - $68,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Sunshine State Health Plan - Sunrise, FL 3.3

Perform community activities related to clinical initiatives such as health fairs and communicate with agencies and providers....

Estimated: $54,000 - $72,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Sunshine State Health Plan - Sunrise, FL +1 location3.3

Act as liaison between providers and the health plan to enhance the business relationship. Perform health plan provider orientations and conduct ongoing...

Estimated: $42,000 - $61,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Sunshine State Health Plan - Sunrise, FL 3.3

Identify, develop, prioritize, and execute process improvement opportunities utilizing continuous improvement principles and LEAN/Six Sigma methodologies...

Estimated: $86,000 - $120,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Sunshine State Health Plan - Miami, FL 3.3

Required to have license to practice independently, and/or have obtained the state required licensure as outlined by the applicable state....

Estimated: $50,000 - $71,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Sunshine State Health Plan - Sunrise, FL 3.3

Review and audit network accounts documentation for compliance with health plan and State standards. Plan, coordinate and participate in scheduled and...

Estimated: $55,000 - $76,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Sunshine State Health Plan - Tampa, FL 3.3

Home health, discharge planning, or long term care experience preferred. Collaborate with discharge planners, physicians, and other parties to ensure...

Estimated: $50,000 - $71,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Sunshine State Health Plan - Sunrise, FL +1 location3.3

Attend marketing and outreach meetings as directed to represent the plan. Perform transition of care duties to include but not limited to, contact the member’s...

Estimated: $27,000 - $40,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Sunshine State Health Plan - Sunrise, FL 3.3

Experience in a psychiatric health care setting, including familiarity with mental health community resources....

Estimated: $58,000 - $82,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Sunshine State Health Plan - Sunrise, FL 3.3

Analyze and resolve verbal and written claims and authorization appeals from providers and pursue resolution of formal grievances from members. Gather,...

Estimated: $35,000 - $51,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Sunshine State Health Plan - Sunrise, FL 3.3

RN license and Certified Professional in Health Care Quality preferred. Oversee all related activities for the Quality Improvement functions....

Estimated: $130,000 - $170,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Sunshine State Health Plan - Orlando, FL 3.3

Responsible for developing and conducting a variety of training programs and auditing tools. Conduct training needs analyses to determine specific training...

Estimated: $57,000 - $79,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Sunshine State Health Plan - Orlando, FL 3.3

Act as the Health Coach for patients with behavioral health issues. Make independent decisions regarding behavioral health clinical care plans....

Estimated: $46,000 - $62,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Sunshine State Health Plan - Orlando, FL 3.3

Ensure compliance within applicable state program guidelines. Supervise the daily operations of the utilization management (UM) department....

Estimated: $54,000 - $69,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Sunshine State Health Plan - Sunrise, FL 3.3

Current state nursing license. Perform duties to direct and coordinate the medical management, quality improvement and credentialing functions for the assigned...

Estimated: $150,000 - $190,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Sunshine State Health Plan - Orlando, FL 3.3

Ensure compliance within applicable state program guidelines. Supervise the daily operations of the utilization management (UM) department....

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Sunshine State Health Plan - Miami, FL 3.3

Required to have license to practice independently, and/or have obtained the state required licensure as outlined by the applicable state....

Estimated: $54,000 - $73,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

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Sunshine State Health Plan - Jacksonville, FL 3.3

Assess the member's current health status, resource utilization, past and present treatment plan and services, prognosis, short and long term goals, treatment...

Estimated: $51,000 - $72,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

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