- HCA Healthcare (St. Petersburg, FL)
- …You will promote cost effectiveness through the integration of case management, utilization review management and discharge planning. **What qualifications you ... team. Grow your career with an organization committed to delivering respectful, compassionate care , and where the unique and intrinsic worth of each individual is… more
- HCA Healthcare (St. Petersburg, FL)
- …You will promote cost effectiveness through the integration of case management, utilization review management and discharge planning. **What qualifications you ... to caring for patients with purpose and integrity. We care like family! Jump-start your career as a(an) Case...seeking a Registered Nurse Case Manager. You will provide clinical expertise to ensure all patients receive high quality,… more
- AdventHealth (Clermont, FL)
- …Registered Respiratory Therapist** is responsible for provision/ supervision of respiratory clinical care responsibilities to age specific groups. Accepts shift ... supervisory responsibility in the absence of a Clinical Specialist or Supervisor. Respiratory Care processes...respiratory support. + Through use of protocols / prescriber care plans, chart review , and conferring with… more
- Sunrise Senior Living (Coral Gables, FL)
- …business needs. + Possess functional knowledge of all operating programs including memory care , clinical , dining, and social programs. + Make accurate forecasts. ... in setting standards of excellence; we strive to provide care and services to seniors better than anyone. The...achieving customer engagement. + Lead the development and regular review of the engagement improvement plan. + Resolve customer… more
- HCA Healthcare (Orange Park, FL)
- …representatives, and other parties as appropriate regarding behavioral services . Performs utilization review as assigned . Participates in developing department ... auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. + Free counseling… 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 and patient demands throughout the day to provide...patient demands throughout the day to provide efficient staff utilization and maintain patient flow and consistency. + Prepares… more
- HCA Healthcare (Gainesville, FL)
- …auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. + Free counseling ... assistance. + Referral services for child, elder and pet care , home and auto repair, event planning and more...role: + Provides leadership of the Cardiac/Cath and EP clinical services and programs. Ensures the selection, retention, and… more
- Elevance Health (Miami, FL)
- …+ Responsibilities exclude conducting any utilization or medical management review activities which require the interpretation of clinical information. + ... and non clinical services, quality of service, and quality of care issues to include executive and regulatory grievances. **How you will make an impact:**… more
- Elevance Health (Tampa, FL)
- …must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US ... fee for service and assisting nurses as needed with review of claims. Works with other Medicare Administrative Contractor...and consistent responses to providers. + Provides guidance for clinical operational aspects of a program. + Serves as… more
- Molina Healthcare (Orlando, FL)
- …and expertise in the performance of prior authorization, inpatient concurrent review , discharge planning, case management and interdisciplinary care team ... + Develops medical policies and procedures + Conducts peer review **JOB QUALIFICATIONS** **REQUIRED EDUCATION:** * Doctorate Degree in...+ 10+ years relevant experience, including 5+ years of clinical practice and 3+ years HMO/Managed Care … more