- CenterWell (Jacksonville, FL)
- …performance in patient experience, quality of care, clinical outcomes, and avoidable utilization + Periodically review clinician charts to identify opportunities ... precise + Identify critical issues for high-risk patients during case reviews & other forums, and modeling and driving...of health (SDOH) efforts, improving clinical outcomes and avoidable utilization + Monitor and manage daily patient care and… 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, ... within the area of responsibility. + Ensure quality assurance program and utilization review is followed in accordance with Home Care protocol. + Oversees and… more
- Elevance Health (Tampa, FL)
- …program, including Prior Authorizations, Medication Therapy Management (MTM), Lock-in, and Drug Utilization Review (DUR) programs. **How you will make an ... the Pharmacy and Therapeutics Committee including therapeutic class reviews, policy review , drug monographs, and formulary recommendations. + Develop strategies to… 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, ... within the area of responsibility + Ensure quality assurance program and utilization review is followed in accordance with Home Care protocol + Oversees and… more
- CenterWell (Daytona Beach, FL)
- …in patient experience, quality of care, clinical outcomes, and avoidable utilization *Periodically review clinician charts to identify opportunities in ... coaching initiatives are precise *Identify critical issues for high-risk patients during case reviews & other forums, and modeling and driving clinical excellence… more
- J&J Family of Companies (Orlando, FL)
- …product indications to grow and develop the company's product and technology utilization . The ULS CAS directly partners with a Regional Business Director, Territory ... , CARTOMERGE (TM) and the Stockert RF generator) during case procedures within an assigned geography, and in a...Create awareness of electrophysiology solutions and facilitates Territory Sales Manager (TM) contact with the key decision makers to… 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
- J&J Family of Companies (Daytona Beach, FL)
- …Uses product and customer knowledge to present, demonstrate, and ensure proper utilization of products + Customer Relationships: Gain access to the right surgeons ... surgeons, operating room personnel and other pertinent hospital personnel + Case Coverage: Maintainappropriate surgeon/resident contact with all prospects or newly… more
- Elevance Health (FL)
- …must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US ... clinical reviews with attending physicians or other providers to discuss review determinations, and patients' office visits with providers and external physicians.… more
- Molina Healthcare (Tampa, FL)
- …to leading a team of investigators and analysts, the Team Lead will ensure the Manager is aware of any major case developments, and ensure cases are being ... **JOB DESCRIPTION** **Job Summary** Under direct supervision of the Manager , SIU, the Team Lead is responsible to lead...utilization by providers and recipients. The position will review claims data, medical records, and billing data from… more