- HCA Healthcare (Tallahassee, FL)
- … care , medical necessity, admission status, level of care , and resource management . The RN CM Care Coordinator will coordinate activities that promote ... balance of optimal care and appropriate resource utilization . The RN CM Care Coordinator...observation patients for appropriateness in observation status + Performs utilization management reviews and communicates information to… more
- AdventHealth (Maitland, FL)
- …key revenue cycle stakeholders, including but not limited to, medical directors, utilization management leaders and equivalent representatives from the health ... the building and maintenance of rates and terms into designated contract management systems for AdventHealth Florida Division and Ancillaries. Precision of the… more
- Veterans Affairs, Veterans Health Administration (Daytona Beach, FL)
- …or Internal Medicine trained physician with recent experience in VA outpatient PACT panel management to join our Primary Care Clinic team as a Complex PACT ... gender specific care , under the Patient Aligned Care Team (PACT) model and intensive case management...reminders should be addressed as medically appropriate. Quality of care should meet professional standards. Utilization of… more
- Battelle Memorial Institute (Tampa, FL)
- …mission-driven environment. This position serves as the primary technical expert and coordinator for the Human Performance (HP) program supporting SOF personnel in ... locations or units without a HP Manager or Coordinator . The HPA is responsible for planning, developing, and overseeing all aspects of HP services, including… more
- ChenMed (St. Petersburg, FL)
- …SDoH needs as identified. **Resource coordination and prevention:** + Serves as care coordinator linking patients with internal and external resources, ... repository of social wellness tools and resources for the care team's awareness and utilization with patients...of 2 years' work experience in social work, case management , and/or discharge planning experience required + A minimum… more
- CVS Health (Tallahassee, FL)
- … and Utilization Management . AHH delivers flexible medical management services that support cost-effective quality care for members. **Key ... and/or interpretation of applicable criteria and clinical guidelines, standardized care management plans, polices, procedures and regulatory standards… more
- HCA Healthcare (Coral Springs, FL)
- …to include but not limited to: Clinical initiatives that impact drug utilization , clinical education and staff development, management of appropriate drug ... to caring for patients with purpose and integrity. We care like family! Jump-start your career as a(an) Division...plan that ensures positive patient outcomes and appropriate drug utilization + Analyze drug spend trends to identify areas… more
- MyFlorida (Monticello, FL)
- …DOH program managers, and community partners as appropriate for QI/QA. Assist Performance Management Council (PMC) and QI coordinator as requested. Compiles and ... (https://compcalculator.myflorida.com/) Your Specific Responsibilities: CLINICAL DUTIES : + Skilled Nursing Care : Ensures provision of skilled nursing care to… more
- Veterans Affairs, Veterans Health Administration (Orlando, FL)
- …of care for our Veterans. Provides leadership and project management , quality improvement, and program promotion of Shared Governance (SG/EBP). Responsibilities ... education, orientation, competencies and providing quality improvement and outcomes utilization consultation. The Shared Governance Coordinator /Evidenced-Based Practice… more
- MyFlorida (Pensacola, FL)
- …/ Acquired Immune Deficiency Syndrome (AIDS) Surveillance, HIV/AIDS Contract Management , HIV/AIDS Prevention, Early Intervention, and AIDS Drug Assistance (ADAP) ... and complete timesheets. Travel may be required. General Program Development and Management : Act as the liaison with the Florida Department of Health (FDOH)… more