- ChenMed (Hollywood, FL)
- …development of the nursing plan of care, health education, physician referrals, case management referrals, follow-up and clear documentation according to ChenMed ... guidelines. This position may require participation in risk and quality management programs, clinical meetings and other meetings. The Nurse Practitioner, Specialty… more
- BayCare Health System (Bradenton, FL)
- …the Emergency Management program for office and agency staff. + Participates with Case Manager on initial Plan of Care review with a focus on quality, ... bodies within the area of responsibility. + Ensure quality assurance program and utilization review is followed in accordance with Home Care protocol. + Oversees and… more
- BayCare Health System (Dunedin, FL)
- …the Emergency Management program for office and agency staff + Participates with Case Manager on initial Plan of Care review with a focus on quality, ... bodies within the area of responsibility + Ensure quality assurance program and utilization review is followed in accordance with Home Care protocol + Oversees and… more
- J&J Family of Companies (Tampa, FL)
- …a level of expertise and competence to present, demonstrate, and ensure proper utilization of DePuy Synthes' products. This person must be able to continually ... geography, the F&A Sales Consultant actively collaborates with the Regional Sales Manager to create the business plan, targeting and overall market strategy relative… more
- Elevance Health (FL)
- …years of managed care experience preferred. + Consulting experience preferred. + Utilization management experience preferred. + Master's Degree preferred. (MBA, ... providers to discuss review determinations. + May conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering providers to discuss… more
- AdventHealth (Palm Coast, FL)
- …the Surgical program creates: high degree of patient satisfaction; maintains/increases surgical utilization ; meets basic surgeon needs, ie, accurate case start ... and Anesthesia Support Services. The Director will also work with the Manager of Anesthesia Professional Services and provides oversight support when needed.… more
- AdventHealth (Orange City, FL)
- …for each position may vary based on geographical location. **Category:** Case Management **Organization:** AdventHealth Fish Memorial **Schedule:** Part-time ... Licensed, is under the general supervision of the Care Management Supervisor or Manager and is responsible...physicians and the interdisciplinary team on issues related to utilization of resources, medical necessity, CMS CoP for Discharge… more
- Deloitte (Miami, FL)
- …phrases like "global effective tax rate reduction" and "efficient global cash utilization " peak your interest? Do you enjoy providing international compliance and ... HR, Systems/IT, etc.) to convey information clearly and succinctly + Project management including coordination across multiple service lines (eg, VAT / Customs /… more
- ChenMed (Bradenton, FL)
- …development of the nursing plan of care, health education, physician referrals, case management referrals, follow-up and clear documentation according to ChenMed ... and in collaboration with other health care professionals. Consults with the manager , physician, and medical director to ensure compliance with guidelines. This… more
- Elevance Health (Miami, FL)
- **Clinical Operations Associate Medical Director** **Carelon Medical Benefits Management ** **Radiology Benefit Management / Utilization Review** **Virtual:** ... Operations Associate Medical Director** is responsible for supporting the medical management staff ensuring timely and consistent medical decisions to members and… more