- CVS Health (Tallahassee, FL)
- …Health Care Delivery System eg, Clinical Practice and Health Care Industry. *Prior UM ( Utilization Management) experience *Active and current state ... transparent and consumer-focused, and it recognizes physicians for their clinical quality and effective use of health care...As a Medical Director you will focus primarily on review appeal cases for denied medical services. This includes… more
- Veterans Affairs, Veterans Health Administration (West Palm Beach, FL)
- …of Care audits and functions as the Department Physician Utilization Management Advisor (PUMA) to ensure compliance. Coordinates, develops and supervise ongoing ... by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. VA offers a comprehensive total rewards package.… more
- Cardinal Health (Tallahassee, FL)
- **_What Specialty Networks contributes to Cardinal Health_** Specialty Networks creates clinical & economic value for independent specialty providers & partners in ... patient outcomes by getting each patient to the right care at the right time. Specialty Networks works with...Networks in creating value to the members in their clinical , operational, and economical goals. This individual will be… more
- HCA Healthcare (Fort Walton Beach, FL)
- …we are committed to caring for patients with purpose and integrity. We care like family! Jump-start your career as an Equipment Inventory Technician today with ... auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. + Free counseling… more
- HCA Healthcare (Palm Harbor, FL)
- …including position control, scheduling excellence, productivity management, and premium pay utilization . Maintains staffing to ensure appropriate patient care . + ... Occupational Health for West Florida Division ensures high quality, patient-centered care through oversight of the overall function, staffing, planning, and budget… more
- University of Miami (Palm Beach Gardens, 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 ... patient flow in the clinic areas. + Responds to clinical demands and patient demands throughout the day to...patient demands throughout the day to provide efficient staff utilization and to maintain patient flow and consistency. +… more
- HCA Healthcare (Brandon, FL)
- …You will promote cost effectiveness through the integration of case management, utilization review management and discharge planning. **What qualifications you ... care and services of patients. Whether it is clinical care or our support staff, everyone...apply for our Case Manager RN opening. We promptly review all applications. Highly qualified candidates will be contacted… more
- HCA Healthcare (Orange Park, FL)
- …is required for this PRN role.** + Certification in Case Management or Utilization Review is preferred. + InterQual experience is preferred. HCA Florida ... indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. + Fertility and… more
- HCA Healthcare (Gainesville, FL)
- …approved practice and program guidelines. Participates in developing department goals and clinical programming. + Performs utilization review as assigned. ... career with an organization committed to delivering respectful, compassionate care , and where the unique and intrinsic worth of...date + Other-Fingerprint Required + Masters Degree + Licensed Clinical Social Worker (LCSW), or Clinical Mental… more
- HCA Healthcare (Ocala, FL)
- …required + 4 year Bachelor Degree preferred + Certification in Case Management or Utilization Review preferred + 1 year experience in acute hospital with ... quality outcomes and patient throughput while supporting a balance of optimal care and appropriate resource utilization . + Provides case management services… more