- Actalent (Sunrise, FL)
- …Minimum of one year of utilization review experience and discharge planning in an acute care setting. + Four years of related clinical experience in a healthcare ... Utilization Management Nurse !Job Description The Utilization Management Nurse ...Working under the general supervision of the Director and/or Manager /Supervisor of Medical Management, and in collaboration with an… more
- Molina Healthcare (FL)
- …other departments within the organization + Supports provision of high-quality clinical care and services by facilitating/building strategic relationships with ... Member & Community Interventions oversees and implements new and existing clinical quality member intervention initiatives including all lines of business (Medicare,… more
- AdventHealth (Palm Coast, FL)
- …and clinical activities of the following units: Post Anesthesia Care Unit (PACU), Pre-Admission Testing (PAT), Ambulatory Surgery Unit (ASU), Main Operating ... and Anesthesia Support Services. The Director will also work with the Manager of Anesthesia Professional Services and provides oversight support when needed.… more
- HCA Healthcare (Aventura, FL)
- …your knowledge and expertise! **Job Summary and Qualifications** The Case Manager (CM) ensures high-quality, patient-centered care by managing Rehabilitative ... auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. + Free counseling… more
- Molina Healthcare (Orlando, FL)
- …meetings with vendors for the medical record collection process. + Assists Manager and Supervisor(s) in training, utilizing the standardized training materials and ... entry and Sr. level abstractors. + Works with the Manager to monitor accuracy of abstracted records as required...as NCQA reviews, CAHPS and state audits by reviewing clinical documentation. + Provides data collection, presentations and report… more
- Elevance Health (Tampa, FL)
- …skills to collaborate with Data Science teams, IT and Business leaders preferred. + Clinical License (LPC, LCSW or RN ) preferred. Please be advised that Elevance ... Information Consultant-AI** is responsible for identifying opportunities to improve health care affordability through analysis of data. Ability to translate data to… more