- Centers Plan for Healthy Living (Margate, FL)
- …applications for Full Time Registered Nurse without experience. The Utilization Management Clinical Reviewer works within a multidisciplinary team to help ... home to improve their quality of life. Utilization Management Clinical Reviewer will assess and process all...care managers and believe that coordinating high quality clinical and social services will result in better … more
- Humana (Tallahassee, FL)
- …help us put health first** The Bilingual Telephonic UM Coordinator / UM Administration Coordinator 2 provides non- clinical support for the policies and ... procedures ensuring best and most appropriate treatment, care or services for members. Bilingual Telephonic UM Coordinator + Primarily receive calls from… more
- AdventHealth (Altamonte Springs, FL)
- …support of Utilization Management, the Physician Advisor is responsible for providing clinical review of utilization, claims management, and quality assurance ... The Physician Advisor provides primary support for Utilization Management ( UM ) and secondary support for Care Management...value you will bring to the team:** + Provides clinical support/validation for both Utilization Management and Care… more
- University of Miami (Miami, FL)
- …staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The ... to work in Miami, FL. The Recovery Coordinator 1 ( UM LAORA) assists in the recovery, packaging, preservation and...JOB FUNCTIONS + Works with surgical staff in the clinical recovery, preservation, and transportation of tissues. Documents all… more
- Healthfirst (FL)
- …Monitors assigned case load to meet performance metric requirements + Functions as a clinical resource for the multi-disciplinary care team in order to maximize ... State + Department of Health (NYSDOH) regulations governing medical management in managed care + Relevant clinical work experience + Intermediate Outlook, Basic… more
- University of Miami (Miami, FL)
- …Degree preferred + CPTC Certification a plus Experience: + Two years clinical experience/critical care experience + Relevant combination of education and ... faculty or staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The Life Alliance… more
- University of Miami (Miami, FL)
- …per the protocol, federal regulations, and sponsor requirements and as required per UM policy. + Participates in quarterly peer- review , quality control program. ... faculty or staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The University of… more
- University of Miami (Miami, FL)
- …staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . Clinical ... disorders. The work will include both observational studies and clinical trials. + Performs chart review /pre-screening activities...consent forms for patients on drug studies. + Develop, review and submit required documentation to the UM… more
- Molina Healthcare (Tampa, FL)
- …other clinical programs. + Collaborates with multidisciplinary teams to promote Molina Care Model + Adheres to UM policies and procedures. + Occasional ... (RN) license in good standing. **Preferred Experience** Previous experience in Hospital Acute Care , ER or ICU, Prior Auth, Utilization Review / Utilization… more
- CenterWell (Tallahassee, FL)
- …effective processes within the UM program. Key Responsibilities of a Non- Clinical UM Coordinator: + **Intake and Notification:** Handling initial requests ... team, including scheduling meetings, managing calendars, and preparing presentations. In essence, the non- clinical UM Coordinator acts as a vital link in the … more