- Datavant (Tallahassee, FL)
- …sciences companies, government agencies, and those who deliver and pay for care . By joining Datavant today, you're stepping onto a high-performing, values-driven ... the pharmaceutical and life sciences space + Understanding of drug development and/or clinical trials \#LI-BC1 We are committed to building a diverse team of… more
- CVS Health (Miami, FL)
- …ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions ... inform members about available benefits and services. + **Reporting & Analytics:** Review and interpret data related to claims, utilization, and service issues.… more
- Sharecare (Tallahassee, FL)
- …individual through the lens of their personal health and making high-quality care more accessible and affordable for everyone. To learn more, visit ... + Prepare, in collaboration with Director Client Success the QBR and Annual Review **Reporting** + Collaborate with the reporting team to analyze necessary data,… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …+ Ensure services are cost-effective and meet quality standards, consistent with managed care requirements and clinical best practices. + Maintain accurate and ... utilization review processes. + Support members during transitions of care , including discharge planning and follow-up coordination. + Stay informed on… more
- CVS Health (Tallahassee, FL)
- …ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions ... and follow up activity as needed, and manages regulatory complaint review and audit activities. + Independently manages multiple complex regulatory interactions,… more
- BayCare Health System (Winter Haven, FL)
- …to utilize effective management skills. **Responsibilities Include:** + Supports the Respiratory Care Manager in a supervisory capacity, managing team member and ... care issues as well as physician concerns. + Assists the manager with hiring, performance review , coaching, counseling and termination. Responsible for… more
- BayCare Health System (Bradenton, FL)
- …office and agency staff. + Participates with Case Manager on initial Plan of Care review with a focus on quality, utilization and individual patient care ... bodies within the area of responsibility. + Ensure quality assurance program and utilization review is followed in accordance with Home Care protocol. + Oversees… more
- AdventHealth (Land O' Lakes, FL)
- …one another and respect for each persons unique contributions, provides utilization review care that is non-judgmental and non-discriminatory. Consider factors ... South University with staff discounted rate Simulation Lab and Clinical Transition Pilot Program Free prep courses for national...Lead Case Manager . In addition, the Case Manager will coordinate the plan of care … more
- HCA Healthcare (Gainesville, FL)
- …enabling nurses to work more efficiently .Are you passionate about delivering patient-centered care ? Submit your application for SHC Crown Pointe RN PRN position and ... auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. + Free counseling… more
- Veterans Affairs, Veterans Health Administration (Naples, FL)
- …team (social worker, dietician, clinical pharmacist, behavioral health clinician, and a nurse care manager ) to oversee and coordinate medical care for a ... restriction on moonlighting Duties includes, but are not limited to: Demonstrate significant clinical experience in primary care , or equivalent clinical … more