- Evolent (Tallahassee, FL)
- …provides clinical rationale for standard and expedited appeals. + Utilizes medical/ clinical review guidelines and parameters to assure consistency in the MD ... and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented... and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National… more
- AdventHealth (Minneola, FL)
- …Minneola campus. . AdventHealth Minneola's 80-bed hospital will bring inpatient care to the growing population of South Lake County. Spanning approximately ... operating suites; endoscopy services; outpatient laboratory; heart catheterization labs; critical care and general medical/surgical rooms. We are proud to be… 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) . The Hussman ... Institute has an exciting opportunity for a full time Clinical Research Coordinator 2 position. The incumbent serves as...team members + Trains all program staff in the utilization of Program Management Toolkit (PMT) + Oversee retention… more
- Evolent (Tallahassee, FL)
- …provides clinical rationale for standard and expedited appeals. . Utilizes medical/ clinical review guidelines and parameters to assure consistency in the MD ... and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented... and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National… more
- Prime Therapeutics (Tallahassee, FL)
- …design and implementation of innovative drug solutions, including optimizing drug utilization , patient outcomes, and cost-effectiveness through value-based care ... and drives every decision we make. **Job Posting Title** Clinical Solutions Strategy Senior Director - Remote **Job Description**...and pharmacy drug management within a PBM or managed care organization + Must be eligible to work in… more
- Prime Therapeutics (Tallahassee, FL)
- …and timely fashion. + Demonstrates the value of pharmacy solutions (unit cost, utilization management & patient care enhancement). + Identifies opportunities for ... fuels our passion and drives every decision we make. **Job Posting Title** Clinical Account Manager - Georgia PDL - Remote in Georgia **Job Description** Innovative… more
- CenterWell (Tallahassee, FL)
- **Become a part of our caring community and help us put health first** **Interdisciplinary Care Integration Team (CIT)** The LCSW serves as a core member of the ... Care Integration Team, supporting complex, high-risk patients through proactive...utilizers to identify ways to extend wellness and decrease utilization . + Ensures patient progression towards desired outcomes by… more
- HCA Healthcare (Kissimmee, FL)
- …processes with related hospital departments and external agencies to ensure continuity of care and optimal clinical resource utilization . The Director has ... to caring for patients with purpose and integrity. We care like family! Jump-start your career as a Director...preferred + Either Registered Nurse (RN) licensure , Licensed Clinical Social Worker (LCSW) or Licensed Master Social Worker… more
- AdventHealth (Orlando, FL)
- …+ Clinical Pharmacy Services Actively participates in direct patient care programs and provides accurate, safe, timely, and appropriate medication therapy based ... and 125,000 outpatients each year **The role you'll contribute:** The Clinical Pharmacist supports the mission of the department, hospital, and health-system… more
- Prime Therapeutics (Tallahassee, FL)
- …implementation of innovative drug solutions, including optimizing optimize drug utilization , patient outcomes, and cost-effectiveness through value-based care ... drives every decision we make. **Job Posting Title** Sr Director Clinical Strategy and Oncology Specialty Solutions/PharmD required- REMOTE **Job Description** The… more