- HCA Healthcare (Trinity, FL)
- …Healthcare Quality) OR CHCQM (Diplomate in American Board of Quality Assurance and Utilization Review Physicians) _Individuals without CPHQ or ABQUARP will be ... of over 180 hospitals and about 2,000 sites of care in 21 states and the United Kingdom. We...Registered Nurse preferred _**If serving as facility's primary Risk Manager , VP must have current Florida license in Healthcare… more
- AdventHealth (Orange City, FL)
- …AdventHealth EFD Orthopedic Program, from preoperative education through the continuum of care following discharge. This individual will have the ability to interact ... with patients and their families, physicians, their care partners, as well as several key hospital departments... of the patient. Regularly collects data through chart review and computer generated reports. Presents data and reports… more
- MyFlorida (Bradenton, FL)
- …levels and on referrals; assists families in need to obtain further medical care as indicated by abnormal findings following routine screenings; intervenes on behalf ... according to state and local guidelines; acts as case manager for students with special acute and chronic conditions,...are identified and addressed; initiates and updates student health care plans for those students with special medical problems.… 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 ... in daily/weekly/monthly operational calls with client and internal operations to review and calibrate client service metrics and performance guarantees. Analyze data… more
- AdventHealth (Tavares, FL)
- …pharmacy, and/or satellite pharmacy areas. Oversees and ensures appropriate utilization of medication automation, technology, and computer systems. Accurately ... Pharmacy Practice - Completes critical medication order scrutiny, drug profile review , and patient monitoring to identify, prevent, or mitigate medication-related… more
- Humana (Tallahassee, FL)
- …with medical terminology and/or ICD-10 codes. + Member service + Experience with Utilization Review and/or Prior Authorization, preferably within a managed ... for the policies and procedures ensuring best and most appropriate treatment, care or services for members. Bilingual Telephonic UM Coordinator + Primarily receive… more
- Wolters Kluwer (Tallahassee, FL)
- …opportunities in the named customer base, including: + Conducting regular account review meetings and reviewing account utilization management reporting to ... the US. If you have a passion for improving care for patients around the world, a drive to...and marketing campaigns + Other duties as assigned by Manager **Job Qualifications** **Education** : + Bachelor's degree or… more
- Sysco (Pompano Beach, FL)
- …for the efficient operation of the shift, including proper manpower utilization , effective use of standard operating procedures, training and motivating members ... daily processes on the dock and in coolers. + Review , coach, and develop the outbound associates. + Monitoring...check orders for accuracy and quality. + Pulling critical care orders or double-checking them for quality and accuracy… more
- AdventHealth (Apopka, FL)
- …to medication dispensing requests, prepares medications for pharmacist final review /check, delivers checked medications, and returns unused or expired medications ... Clinical Services Purchasing and Inventory Management Participates in appropriate utilization of medication automation, technology, and computer systems. Maintains… more
- MyFlorida (Defuniak Springs, FL)
- …financial reports as needed. Incumbent will serve as a Certified Contract Manager and maintains contract files entering into FACTS. Purchasing: Provides backup as ... system timely. Completes monthly purchasing card reconciliation and submit for review . Audits Sunpass usage and recharges account as needed. Assist Administrator,… more