- Molina Healthcare (Tampa, FL)
- …Experience** Previous experience in Hospital Acute Care , ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual ... team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care , for… more
- Monte Nido (Miami, FL)
- …comprehensive care within an intimate home setting. The Utilization Review ** Clinician ** is responsible for conducting daily administrative and professional ... while providing the opportunity for people to realize their healthy selves. **Utilization Review Clinician ** **Monte Nido** **Remote - EST or CST hours** **Monte… more
- Molina Healthcare (Tampa, FL)
- …Experience Previous experience in Hospital Acute Care , ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual ... team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care , for… more
- Molina Healthcare (St. Petersburg, FL)
- …Experience** Previous experience in Hospital Acute Care , ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual ... team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care ,… more
- Molina Healthcare (Jacksonville, FL)
- …team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care , ... staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of… more
- Molina Healthcare (Orlando, FL)
- …team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care , ... staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of… more
- Centene Corporation (Tallahassee, FL)
- …review process preferred. Experience working with providers and healthcare teams to review care services related to mental health and substance abuse ... **+Florida License Required Florida Residency Required **Position Purpose:** Performs a clinical review and assesses care related to mental health and substance… more
- Centene Corporation (Tallahassee, FL)
- … process required. Experience working with providers and healthcare teams to review care services related to Applied Behavior Analysis Services preferred. ... OT on weekends and holidays **Position Purpose:** Performs reviews of member's care and health status of Applied Behavioral Analysis (ABA) services provided to… more
- Veterans Affairs, Veterans Health Administration (Naples, FL)
- …of an expanded healthcare team (social worker, dietician, clinical pharmacist, behavioral health clinician , and a nurse care manager) to oversee and coordinate ... are determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply. VA… more
- Veterans Affairs, Veterans Health Administration (Miami, FL)
- …PFTs for the clinician to interpret including performing an initial quality review of test results. The incumbent is expected to be in close communication with ... They monitor for complications of this testing and initiate interventions prior to notifying the supervising Pulmonary Physician. Because of the complexity… more
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