- HCA Healthcare (Gainesville, FL)
- …Cardiac Cath Lab with HCA Florida North Florida Hospital, you can be a manager in an organization that is devoted to giving! **Benefits** HCA Florida North Florida ... auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. + Free counseling… more
- Cardinal Health (Tallahassee, FL)
- …company connecting patients, providers, payers, pharmacists and manufacturers for integrated care coordination and better patient management. Backed by nearly 100 ... strategy to seize the identified opportunity, execute strategy. Resulting in additional utilization of the Cardinal Service offering. + Prepare and present Quarterly… more
- Elevance Health (Tampa, FL)
- …or equivalent. + Requires a minimum of 2 years of clinical experience and/or utilization review experience. + Current active, valid and unrestricted LPN/LVN or ... in multiple states. **Preferred Skills, Capabilities and Experience:** + Experience in Utilization Management and/or Long Term Care Services Strongly Preferred.… more
- Elevance Health (Tampa, FL)
- …necessity of requests using clinical criteria. + Performs physician-level case review of musculoskeletal utilization requests. + Conducts peer-to-peer ... advanced practice nurses regarding established guidelines and accepted standards of care as it relates to treatments, surgical procedures, imaging and appropriate… more
- MyFlorida (Bradenton, FL)
- …and finger sticks for all clinics on all age groups. + Assists Laboratory Manager as needed with quality control of lab testing and equipment + Helps coordinate ... position. + Participates in quality improvement activities, including medical record review , attend in-service programs and staff meetings. Other duties as assigned.… more
- Prime Therapeutics (Tallahassee, FL)
- …post-degree clinical experience. + Experience in managed care , specialty drugs, care management and utilization review . + Meets Credentialing criteria. ... facility.Discusses financial and clinical considerations with members who are considering care at a higher cost treatment site, researches available financial… more
- HCA Healthcare (Aventura, FL)
- …of critical care experience + Certification in case management or utilization review preferred + InterQual experience preferred HCA Florida Aventura Hospital ... your knowledge and expertise! **Job Summary and Qualifications** The Case Manager (CM) ensures high-quality, patient-centered care by managing Rehabilitative… more
- MyFlorida (Fort Lauderdale, FL)
- …hygienist. This position provides emergency, surgical, preventive and restorative dental care to eligible patients. General and daily supervision of this position ... will be performed directly by the PUBLIC HEALTH SERVICES MANAGER F-SES/Dental Administrator. Manage and supervise the operation of...proper flow of patients to the clinic and their care , supervising the maintenance and general housekeeping of the… more
- CenterWell (Tallahassee, FL)
- …+ Monitor plan performance and proactively bring issues to the forefront for review + Support new business implementations with a goal of ensuring all pharmacy ... and present to client + Escalate issues for immediate review and action whenever necessary + Request, review...internal partners and the Medicaid market to manage pharmacy utilization and spend + Manage escalated member, client and… more
- CVS Health (Lakeland, FL)
- …your understanding of patient safety and error prevention, quality assurance drug utilization review (DUR), pharmacy professional standards such as corresponding ... of continuous improvement, with the goal of changing health care for the better. **Position Summary:** At CVS Health,...+ Any additional tasks as directed by Supervisor or Manager **Preferred Qualifications:** + 1+ years of related work… more