- Intermountain Health (Tallahassee, FL)
- …documents patients and/or patient's family, caregivers, and/or legal representatives socio-economic review and screening to support coordination of care . Plans ... patients navigate the complex health system and that help reduce/remove barriers to care . Responsible for clinical support and coordination related to value… more
- Veterans Affairs, Veterans Health Administration (Clermont, FL)
- …collaboration with primary care mid-level providers. Physicians are expected to provide clinical oversight and to participate in peer review of other primary ... physicians will act as surrogates for absent primary care providers when needed, to include review ...reminders should be addressed as medically appropriate. Quality of care should meet professional standards. Utilization of… more
- AdventHealth (Land O' Lakes, FL)
- … for one another and respect for each persons unique contributions, provides utilization review care that is non-judgmental and non-discriminatory. Consider ... South University with staff discounted rate Simulation Lab and Clinical Transition Pilot Program Free prep courses for national...are necessary and appropriate for the achievement of patient care outcomes within effective time frames on a specific… more
- AdventHealth (Zephyrhills, FL)
- …Manager ensures efficient and cost-effective care through appropriate resources monitoring, and clinical care escalations. The RN Care Manager is under ... Chest Pain Center with PCI (Society of Cardiovascular Patient Care ) Premium shopping outlets **The role you'll contribute:** The...a hospital setting + One (1) year experience of utilization review This facility is an equal… more
- Veterans Affairs, Veterans Health Administration (Sarasota, FL)
- …providers. Primary care physicians will act as surrogates for absent primary care providers when needed, to include review of CPRS view alerts. Primary ... reminders should be addressed as medically appropriate. Quality of care should meet professional standards. Utilization of...Family Medicine 3 year approved ACGME or equivalent Residency Clinical experience in Primary Care or equivalent… more
- Highmark Health (Tallahassee, FL)
- …partners and stakeholders across the organization. Key responsibilities will include clinical review , assisting in navigating a complex regulatory environment, ... utilization management programs, and disease management initiatives. + Provide clinical review and decisions including but not limited to: physician… more
- Humana (Tallahassee, FL)
- …insurance, other healthcare providers, clinical group practice management. + Utilization management experience in a medical management review organization, ... their daily work. The Medical Director's work includes computer-based review of moderately complex to complex clinical ...region or line of business. The Medical Director conducts Utilization Management of the care received by… more
- Veterans Affairs, Veterans Health Administration (Daytona Beach, FL)
- …are expected to provide clinical oversight and to participate in peer review of other primary care providers through periodic chart reviews. Primary ... physicians will act as surrogates for absent primary care providers when needed, to include review ... staff meetings, departmental meetings, and medical staff meetings. Utilization of all Virtual Care modalities is… more
- AdventHealth (Zephyrhills, FL)
- …Manager ensures efficient and cost-effective care through appropriate resources monitoring, and clinical care escalations. The RN Care Manager is under ... Commission) Accredited Chest Pain Center with PCI (Society of Cardiovascular Patient Care ) Life style activities and community growth Close proximity to many of… more
- ChenMed (Jacksonville, FL)
- …and explain nurse practitioner role. + Facilitates patient/family conferences to review treatment goals, optimize resource utilization , provide family education ... you inspire others with your kindness and joy? We're different than most primary care providers. We're rapidly expanding and we need great people to join our team.… more