- HCA Healthcare (Gainesville, FL)
- …accordance with the NFRMC Utilization Review Plan and managed care contractual agreements. 1. Submits clinical information to insurance companies to ... with respect to clinical condition, level of care , and plan of care ....financial). 1. Participates in IDT rounds, 1. Conducts utilization review , evaluates clinical information, and communicates findings… more
- KBR (Fort Walton Beach, FL)
- …Under the supervision of a credentialed provider, conduct intakes, assist with care and treatment of psychiatric, drug and alcohol patients, and counsel ... daily correspondence (ie, training agendas, meeting agendas, purchase orders, clinical appointments). + Collect and maintain monthly statistical data assigned… more
- HCA Healthcare (Fort Pierce, FL)
- …at HCA Florida Lawnwood Hospital! **Job Summary and Qualifications** The Clinical Rehabilitation Specialist contributes to high-quality, patient-centered care by ... and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. +...career path, we encourage you to apply for our Clinical Rehab Liaison opening. We review all… more
- University of Miami (Miami, FL)
- …manner. 2. Obtains baseline information utilized for the development of individualized patient plan of care . 3. Provides direct and indirect patient and family ... education with interdi sciplinary team involvement. 5. Monitors patient's progress against plan of care until discharge from designated patient care… more
- AdventHealth (Altamonte Springs, FL)
- …at I) the Walt Disney Pavilion, 2) All AdventHealth Orlando ("AHO") departments providing clinical care to children (0-17), and 3) AHFC Network locations. + ... between Medical Staff leadership and AHFC, and spearheading the integration of pediatric care and clinical quality standards across all AHFC Network locations.… more
- University of Miami (Miami, FL)
- …appropriate lab and diagnostic tests to assess patients' clinical problems and health care needs. Arranges for appropriate plan of care and follow-up ... -Infectious Diseases The APP Team Manager functions as a clinical leader and clinical team member delivering care to a panel of patients for whom s/he… more
- University of Miami (Miami, FL)
- …or staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The Life ... Officer and the Organ Procurement Manager of LAORA. In addition to direct clinical support of potential organ donors, this position will also educate and provide… more
- CVS Health (Jacksonville, FL)
- … system is more transparent and consumer-focused, and it recognizes physicians for their clinical quality and effective use of health care resources. **This is a ... to members and providers. Leads all aspects of utilization review /quality assurance, directing case management Provides clinical ...* 2 or more years of experience in Health Care Delivery System eg, Clinical Practice and… more
- Molina Healthcare (Orlando, FL)
- …state, and local laws and regulatory requirements affecting the medical and clinical staff. **Job Duties** + Provides medical oversight and expertise in ... Develops and implements a Utilization Management program and action plan , which includes strategies that ensure a high quality...includes strategies that ensure a high quality of patient care , ensuring that patients receive the most appropriate … more
- University of Miami (Miami, FL)
- … of investigational drug products. + Responsible for clinical drug protocol review , electronic medical record treatment plan / protocol build review , ... of ordering and receipt of drug, drug inventory and maintenance). + Performs clinical medication order review and verification of computerized physician order… more