- Elevance Health (Miami, FL)
- …director provides clinical expertise in all aspects of utilization review and case management. Provides input on the clinical relevance to account reporting ... medical director is directly involved in Utilization Management and Case Management. + Daily case reviews for...that apply for each state where there is our business . **Minimum Requirements:** + Requires MD or DO and… more
- MyFlorida (West Palm Beach, FL)
- …of the United States Code (USC), Veterans Program Letter (VPL) 05-24 through a case management process. The following duties are included in this code: + Consults ... lead to sustained careers and lasting self-sufficiency. + Provides individualized case management to eligible veterans and eligible spouses with Qualifying… more
- Community Based Care of Brevard, Inc. (Kissimmee, FL)
- …2. Conducts permanency co-hort staffings : facilitates and leads staffings with case management leadership for the purposes of ensuring permanency is achieved with ... and performance reports involving safety, permanency, and wellness. 6. Attends initial Case Transfer Staffings (as needed) for the purposes of early engagement with… more
- Deloitte (Miami, FL)
- …in these Lookback engagements, you will likely be involved in: + Performing case investigations + Assessing potential AML and sanctions risks as they arise ... throughout case investigations. + Making recommended decisions regarding ...growth and competitive advantage by optimizing "heart of the business " operations. We leverage deep domain expertise to extend… more
- MUFG (Tampa, FL)
- …(11) Liaison responsibilities for SOX certifications, procedures and audits Designated as a Business Continuity Key Staff Member in case of continuity issue. + ... accurate LC liability and commission postings Provide timely support to new business initiatives of front offices particularly, commodity financing deals and ACB… more
- HCA Healthcare (Port St. Lucie, FL)
- …reports and recommendations regarding how to reduce the variable cost per case while maintaining and enhancing clinical effectiveness. + Creates a data-driven ... Serves as a member of hospital's peer review committees as requested. Business Development and Payer Relations + Evaluates clinical appropriateness of new medical… more
- Datavant (Tallahassee, FL)
- …Strategic Accounts is responsible for understanding their assigned customers' entire business (including their goals, objectives, and initiatives) in order to drive ... corporate and local level, including regular site visits and business meetings + Mitigate risk by understanding the customers...reviewed by Datavant Human Resources and determined on a case -by- case basis. Depending on the state in… more
- Option Care Health (Tallahassee, FL)
- …and resolution of tier 1 myHRconnect questions submitted through our HCM case management system across all HR functional areas including questions regarding system ... creation of HR Article content with the goal of case deflection. The Specialist must have a general understanding...hoc reporting upon request for internal stakeholders and external business partners. The HR Service Center Specialist also supports… more
- Humana (Pompano Beach, FL)
- …and of moderate complexity. **We are looking for motivated and dynamic case managers that reside in the following counties: Northern Broward County, FLORIDA** ... meet those needs + Coordinating services, and monitoring and evaluating the case management plan against the member's personal goals + Guides members/families… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …guidelines and insurance coverage. + Provide telephonic and/or in-person case management and member education regarding conditions, medications, and treatment ... department visits and hospital admissions. + Participate in interdisciplinary case rounds, quality improvement initiatives, and utilization review processes. +… more