*Healthcare Consultant I - North Miami area
A-Line Staffing Solutions
Job Title Healthcare Consultant I - North Miami area Location North Miami, FL Job Description Assess, plan, implement, and coordinate case management activities with members to evaluate medical needs. Manage a caseload that includes supportive and medically complex members. Develop proactive plans to address issues and enhance member wellness outcomes. Coordinate services including prior authorizations and medication reviews. Conduct visits with members at home, assisted living facilities, and nursing homes. Schedule and Travel Schedule: Monday-Friday, 8:00am-5:00pm. Position requires approximately 75% travel within the region. Fully remote role with no onsite requirements. Qualifications Verifyable High School Diploma or GED required. Must be fluent in English and Spanish (speaking and writing). Benefits Benefits are available to full-time employees after 90 days of employment. A 401(k) with company match is available after 1 year of service. #J-18808-Ljbffr
- ...Rural Healthcare ConsultantStrategy, Growth, and Transformation | Functional and Operational Strategy and TransformationAtlanta, Georgia... ...Alabama, United StatesBoston, Massachusetts, United StatesCharlotte, North Carolina, United StatesHartford, Connecticut, United...Suggested
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...Healthcare Practice Performance Consultant Job Summary Are you passionate about healthcare transformation and eager to work with healthcare providers and organizations to enhance practice transformation, quality improvement initiatives, and support services such as the...Suggested$50k
...approached. About the Role ATCA is seeking accomplished healthcare executives, physicians, entrepreneurs, operators, investors,... ...relations, business development, physician networks, or related areas Experience developing relationships with hospitals, medical...Suggested$29.1 - $62.32 per hour
...Analysis Utilization Management Clinical Consultant (LBA/BCBA) 100% Remote | Florida... ...Experience working within the Florida Medicaid healthcare system Managed Care experience Utilization... ...a difference, and they make us the #1 Top Workplace in the area. #J-18808-Ljbffr...SuggestedHourly payFull timeTemporary workWork experience placementWork at officeLocal areaRemote workMonday to FridayAfternoon shift- Intuitive in the United States is seeking a Technical Solution Consultant to lead the technical implementation of digital solutions across hospital systems, from pre-sales readiness to activation and long-term sustainability. The role demands strong technical aptitude,...Remote job
- ...more seasons of HEDIS experience in reviewing medical records is required Education/Experience: RN/LVN with an associate or bachelor degree is preferred but not required. Successful HEDIS review experience may be substituted for licensure. #J-18808-Ljbffr SGS Consulting
- ...actively and knowledgeably participate with their provider in healthcare decision-makingMonitoring, Evaluation and Documentation of Care... ...Required Education/Experience Bachelor's degree requiredNo nursesSocial work degree or related field. #J-18808-Ljbffr SGS ConsultingTemporary workWork at office
$49.93k - $97.36k
...coverage, reimbursement and other applicable system changes in areas to ensure alignment to regulatory baseline requirements and any... ...position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina...Work experience placementWork at officeRemote work$120.2k - $140k
...collaborative environment? As an experienced Clinical Data AMS Senior Consultant you will have the ability to share new ideas and collaborate on... ...through our own investments, commitments, and actions across areas that help drive positive outcomes for our communities. Learn...Permanent employmentLocal areaRemote workVisa sponsorship- ...require 75% travel for face-to-face visits with members in Tampa area. Schedule is Monday-Friday, 8:00am-5:00pm, standard business... ...case management process, in order to facilitate appropriate healthcare outcomes for members by providing care coordination, support and...Work at officeRemote workMonday to Friday
$60k - $70k
...approximately twice per month. Candidates in Miami-Dade, Broward, and Palm Beach counties... ...work with some travel reimbursement Healthcare coverage, generous paid time off, 401(k)... ...to stay informed about emerging issues. Consult external Everglades scientific experts...Full timeInternshipWork at officeLocal areaRemote workRelocation$60k - $70k
...candidates based in the South Florida region (Miami-Dade, Broward and Palm Beach counties),... ...Remote with some travel reimbursement* Healthcare coverage, generous PTO, 401(k), paid... ...briefings to stay informed on emerging issues.* Consult external scientific experts on the...Permanent employmentFull timeInternshipWork at officeLocal areaRemote workRelocation$31 - $35 per hour
...Utilizes critical thinking and judgment to collaborate and inform the case management process, in order to facilitate appropriate healthcare outcomes for members by providing care coordination, support and education for members through the use of care management tools...Full timeTemporary work$82.5k - $166.1k
...patients, support clinicians, inspire innovation, and improve healthcare outcomes. Our mission is to create a human-centric healthcare... ...experience powered by unified global data. As a **Staff Clinical Consultant - Clinically Driven Workload Reconciliation** , you will serve...Temporary workRemote workFlexible hours- ...every stage. Your ambition has a home here. Summary: The Clinical Consultant brings a clinical perspective to employee benefits consulting.... ...here The HUB difference HUB International is one of North America’s largest insurance brokers, delivering risk management...Work at officeLocal area
$82.5k - $166.1k
...Description *This role requires 50%-60% travel. Overview: Are you ready to take on a pivotal role in transforming healthcare systems? As a Lead Clinical Consultant, you will play a crucial part in shaping the clinical strategy for Post Go-Live (PGL) Readiness Methodology....Temporary workVisa sponsorshipFlexible hours- ...Job Description Job Description Job Title:Healthcare Consultant I - 33125,33126,33130,33135,33136 Location: Work from Home. Candidates must reside in one of these zip codes for this position caseload 33125, 33126, 33130, 33135, 33136 ). Training will be conducted...Temporary workWork at officeRemote workWork from homeMonday to Friday
$26.01 - $56.14 per hour
...members at risk for poor outcomes and coordinate referrals to additional programs and services Promote quality, cost-effective healthcare utilization and positive member outcomes Collaborate with internal and external stakeholders to support comprehensive care management...Hourly payFull timeTemporary workLocal areaRemote work$29.1 - $62.32 per hour
...everything we do. Behavior Analysis Utilization Management Clinical Consultant (LBA/BCBA) 100% Remote | Florida Residents Only | Monday-... ...requirements Experience working within the Florida Medicaid healthcare system Managed Care experience Utilization Review or...Hourly payFull timeTemporary workWork at officeLocal areaRemote workMonday to FridayAfternoon shift- The Institute for Governance and Civics at Florida State University in Tallahassee seeks a Research Faculty member to serve as Lab Director for America’s Liberty Lab. The role combines advanced cognitive research with public policy impact, requiring leadership of the Liberty...
$60k - $65k
...Requisition No: 885871 Agency: Management Services Working Title: STATE WORKFORCE POLICY CONSULTANT - 72002427 Pay Plan: SES Position Number: 72002427 Salary: $60,000 - $65,000 Posting Closing Date: 11/03/2026 Total Compensation Estimator State...Temporary workWork at office- The Florida Department of Agriculture and Consumer Services, Office of Agriculture Technology Services, seeks a Government Analyst I to provide centralized executive, analytical, and operational support to the Director's Office in Tallahassee. The role manages technology...Work at office
- ...month. You will review evidence on Everglades restoration, engage with scientists and agencies, draft white papers, and support advocacy. The position offers full-time salary, travel reimbursement, healthcare, paid time off, a 401(k), and #J-18808-Ljbffr El BichólogoFull timeWork at officeRemote work
- FloridaCommerce seeks a Government Operations Consultant II to perform technical, consultative, and administrative duties under supervision, supporting grants and special initiatives across the state. The role involves developing training materials, coordinating reporting...
- Friends of the Everglades is seeking a Florida-based Florida-based remote Science & Policy Analyst who will develop and curate scientific knowledge to inform FOE policy positions. The role requires travel to Stuart, FL roughly twice a month and prioritizes candidates in...Remote job
- Florida League of Cities is seeking a legislative analyst to provide research and analysis on municipal policy issues and to help develop strategies influencing laws, budgets, and regulations at state and local levels. The role supports lobbying efforts, monitors legislation...Local area
- ...education programs statewide. The role performs advanced-level analysis, visualization, and sharing of state data to assist local providers, and provides technical assistance and consultative services to support program compliance and performance. #J-18808-Ljbffr EducationLocal area
- CVS Health is seeking a Behavior Analysis Utilization Management Clinical Consultant (LBA/BCBA) for a 100% remote role serving Florida residents. Review treatment plans, apply guidelines, and monitor services to ensure appropriate, evidence-based care. You will collaborate...Remote jobFull time
- ...The State of Florida Department of Management Services in Tallahassee is seeking a STATE WORKFORCE POLICY CONSULTANT to analyze workforce needs and develop HR policy across state agencies. You will serve as a trusted consultant, provide technical assistance, and prepare...
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