- 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 www.sharecare.com ... in an appropriate, efficient and cost-effective manner while ensuring high quality care . The Disease Management Nurse works with participating members to become… more
- MyFlorida (Tallahassee, FL)
- …. Requisition No: 840299 Agency: Agency for Health Care Administration Working Title: 68061952 - FINANCIAL EXAMINER/ANALYST II ... Estimator Tool (https://compcalculator.myflorida.com/) Agency Overview: The Agency for Health Care Administration (AHCA) is Florida's chief health policy and… more
- CenterWell (Tallahassee, FL)
- **Become a part of our caring community and help us put health first** **Interdisciplinary Care Integration Team (CIT)** The LCSW serves as a core member of the ... Care Integration Team, supporting complex, high-risk patients through proactive...utilizers to identify ways to extend wellness and decrease utilization . + Ensures patient progression towards desired outcomes by… more
- CenterWell (Daytona Beach, FL)
- …and help us put health first** The Physician Lead serves as a health- care professional and capable of handling a variety of health-related problems. The Physician ... to substantial. The Physician Lead focuses on outpatient medicine, continuity of care , health maintenance, and disease prevention. Keeps a medical history and… more
- HCA Healthcare (Miami, FL)
- …of critical care experience + Certification in case management or utilization review preferred + InterQual experience preferred HCA Florida Kendall Hospital ... your knowledge and expertise! **Job Summary and Qualifications** The Case Manager (CM) ensures high-quality, patient-centered care by managing Rehabilitative… more
- Elevance Health (Miami, FL)
- …documents to convey the determination. + Responsibilities exclude conducting any utilization or medical management review activities which require the ... related to clinical and non clinical services, quality of service, and quality of care issues to include executive and regulatory grievances. **How you will make an… more
- Elevance Health (Tampa, FL)
- …must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US ... fee for service and assisting nurses as needed with review of claims. Works with other Medicare Administrative Contractor...only, minimum of 5 years of experience providing health care is required. Additional experience may be required by… more
- KBR (Hurlburt Field, FL)
- …the world responsibly and safely . We maintain a highly qualified workforce to help care for service people and astronauts across the world . We attract the best ... effects of physical training protocols under the supervision of the HP program Manager and/or Coordinator. + Coordinate training programs with the HP staff to ensure… more
- HCA Healthcare (Aventura, FL)
- …of critical care experience + Certification in case management or utilization review preferred + InterQual experience preferred HCA Florida Aventura Hospital ... our goals. Unlock your potential! **Job Summary and Qualifications** The Case Manager (CM) ensures high-quality, patient-centered care by managing Rehabilitative… more
- AdventHealth (Altamonte Springs, FL)
- …than 168,000 patients a year. We are proud to be revolutionizing health care with visionary leadership and world-class resources. **The role you'll contribute:** The ... pharmacy, and/or satellite pharmacy areas. Oversees and ensures appropriate utilization of medication automation, technology, and computer systems. Accurately… more