- MyFlorida (St. Petersburg, FL)
- …+ Enters Services and tracking process for Directions Behavioral Health program, review clinical notes match claims and authorization. Knowledge, skills and ... as needed. + Processes stat referrals as assigned. Data Review + Verify data requested from source documents is...Technology. Qualifications: Minimum: 3+ years Experience in a Health Care and / or a Clinical Setting… more
- University of Miami (Doral, FL)
- …via in-basket messaging. + Extensive collaboration with providers, nursing unit, and utilization review department in coordinating admissions. CTU + Must possess ... 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
- CVS Health (Tallahassee, FL)
- …CISM experience. + Human Resource and/or Supervisory experience. + Case management, Utilization Review , or Utilization Management background preferred. ... concerns. Coordinates critical incident and disruptive event response. Provides member clinical assessments and triage into care . Performs case management… more
- University of Miami (Palm Beach Gardens, FL)
- …via in-basket messaging. + Extensive collaboration with providers, nursing unit, and utilization review department in coordinating admissions. CTU + Must possess ... 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)
- …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 ... The OAC is responsible for all activities related to the allocation and utilization of organs from donors. Including, organ allocation for transplant and research,… more
- AdventHealth (Daytona Beach, FL)
- …excellence and aim to increase quality, increase patient satisfaction and reduce unnecessary utilization of health care resources. AdventHealth Senior Care ... 8am to 5pm **Location:** Daytona Beach, FL **The role you'll contribute:** AdventHealth Senior Care is looking for team members with a passion to transform health … more
- AdventHealth (Zephyrhills, FL)
- …excellence and aim to increase quality, increase patient satisfaction and reduce unnecessary utilization of health care resources. AdventHealth Senior Care ... Location: 7866 Gall Blvd. Zephyrhills, FL 33540 The role you'll contribute: AdventHealth Senior Care is looking for team members with a passion to transform health … more
- Elevance Health (Tampa, FL)
- …actions. + Responsibilities exclude conducting any utilization management review activities which require interpretation of clinical information. **Minimum ... regarding case and determines appropriate area to refer or assign case ( utilization management, case management, QI, Med Review ). + Provides information… more
- University of Miami (Miami, FL)
- …of Medicare annual wellness exam documentation preferred + Knowledge of HEDIS Quality Care Gaps - review and closure preferred + Knowledge of Hierarchical ... 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) . APP, Supervisor -… more
- HCA Healthcare (Gainesville, FL)
- …approved practice and program guidelines. Participates in developing department goals and clinical programming. + Performs utilization review as assigned. ... auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. + Free counseling… more