- Humana (Tallahassee, FL)
- …prior experience participating in teams focusing on quality management , utilization management , case management , discharge planning and/or home health or ... + Experience working with Case managers or Care managers on complex case management , including familiarity with social determinants of health. + The… more
- ChenMed (North Miami Beach, FL)
- …+ Directs referrals to preferred providers. + Coordinates the integration of social services/ case management functions in the pre-acute, ER, acute and post-acute ... Coordinates the patient care, discharge and home planning processes with hospital case management departments, and other healthcare facilities. + In conjunction… more
- Select Medical (Miami, FL)
- …with Select Medical* **Location: Miami, FL** **$10,000 Sign-on Bonus** ** Director of Quality Management ** **(DQM)** **Responsibilities** **Position Summary** ... Orthopedic Conditions + Multiple Traumas Apply for this job (https://jobs-selectmedicalcorp.icims.com/jobs/333333/ director -of-quality- management inpatient-rehab/job?mode=apply&apply=yes&in\_iframe=1&hashed=1374627814) Share this job **Job ID**… more
- HCA Healthcare (Aventura, FL)
- …the continuum of trauma care, including the planning and implementation of clinical protocols and practice management guidelines, monitoring of in-hospital ... is incentive eligible. **Introduction** We are seeking a RN Director Trauma Program with HCA Florida Aventura Hospital to...with the coordination and implementation of the Trauma Quality Management Plan. Participates in case review and… more
- MyFlorida (Macclenny, FL)
- …Leadership Team (ELT), participates in and chairs meetings, as requested, relating to clinical service delivery and hospital management as it relates to aspects ... and procedures. + Maintains membership to the Department of Children and Families Clinical Advisory Committee. + As Director of the Medical Staff, conducts… more
- Wounded Warrior Project (Jacksonville, FL)
- …warrior levels. + Ensure compliance with privacy, legal, and ethical standards in case management documentation and communications. + Represent WWP at national ... pleasure to work with. EXPERIENCE Requirements + Seven years of experience in case management , behavioral health, or healthcare coordination, with at least five… more
- Elevance Health (Tampa, FL)
- …zone hours.** The **Medical Director ** will be responsible for utilization review case management for Commercial business in the New England (CT, ME, and ... **Medical Director - Commercial** Location: This role enables associates to...with providers and external physicians. + May conduct peer-to-peer clinical appeal case reviews with attending physicians… more
- Humana (Tallahassee, FL)
- …and experience with national guidelines such as NCD/LCD, MCG(R) or InterQual The Medical Director conducts clinical case reviews of requests received by ... members of the Medicare population and reports to the Lead Medical Director . **Other duties:** + Identify medical management operational improvements, including… more
- Elevance Health (Miami, FL)
- … program and/or independently perform clinical reviews. + The Medical Director typically has program management responsibilities including clinical ... Director Associates. May be responsible for an entire clinical program. **How you will make an Impact:** +...with providers and external physicians. + May conduct peer-to-peer clinical appeal case reviews with attending physicians… more
- Evolent (Tallahassee, FL)
- …impact on patient care in a non- clinical setting? Join our Utilization Management team as a Field Medical Director , Cardiovascular Specialist and use your ... discussions with treating providers to ensure appropriate, high-value care aligned with clinical guidelines. + Collaborate with leadership, management , and … more
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