- HCA Healthcare (Aventura, FL)
- …of critical care experience + Certification in case management or utilization review preferred + InterQual experience preferred HCA Florida Aventura Hospital ... auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. + Free counseling… more
- Travelers Insurance Company (Tallahassee, FL)
- …and analysis skills **What is a Must Have?** + Licensed MD + 5 years clinical and utilization management experience + Certified by the American Board of Medical ... **Who Are We?** Taking care of our customers, our communities and each...can impact claim outcomes. Organize and coordinate Travelers' medical review functions. This includes interpreting Federal and State regulations… 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) . Hybrid ... cancellation policy). + Identifies and resolves real or perceived barriers to care . + Intervenes as liaison/advocate for patients, physicians, and staff in… more
- University of Miami (Palm Beach Gardens, FL)
- …a positive professional relationship with agency and intra-agency personnel. + Conducts utilization reviews of clinical services and tracks clinical ... 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 Division of… more
- CVS Health (Lakeland, FL)
- …your understanding of patient safety and error prevention, quality assurance drug utilization review (DUR), pharmacy professional standards such as corresponding ... immersed in a culture of continuous improvement, with the goal of changing health care for the better. **Position Summary:** At CVS Health, we are focused on… more
- Elevance Health (Miami, FL)
- …with providers, claims or service issues. + Assists with development of utilization / care management policies and procedures. **Minimum Requirements:** + Requires ... The **Telephonic Nurse Case Manager II** is responsible for care management within the scope of licensure for members...a health-related field and minimum of 5 years of clinical experience; or any combination of education and experience,… more
- HCA Healthcare (Fort Pierce, FL)
- …Healthcare, we are committed to caring for patients with purpose and integrity. We care like family! Jump-start your career as a(an) Physical Therapy Asst PRN today ... auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. + Free counseling… more
- Cleveland Clinic (Vero Beach, FL)
- …one year of eligibility (CTM, ACM, CCM or AHA) + 2 years of recent experience in utilization review , quality or care management + Knowledge of acute care ... it is committed to providing optimal family-centric and community-focused care . At Indian River Hospital, you will be part...Heart Association (AHA) + 3-5 years of recent RN clinical experience + Working knowledge of MCG guidelines Preferred… more
- HCA Healthcare (Aventura, FL)
- …team. Grow your career with an organization committed to delivering respectful, compassionate care , and where the unique and intrinsic worth of each individual is ... auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. + Free counseling… more
- MTC (Quincy, FL)
- …performing the duties of the position. 11. Practice advanced cost containment and utilization management for inmate care and facility operations. 12. Maintain ... of nursing services and the supervision of the ancillary clinical staff in the medical unit. Responsible for executing...of all medical records; observes applicable HIPAA rules. 13. Review medical files to determine all provided services are… more