- AdventHealth (Daytona Beach, FL)
- …32117 **The role you'll contribute:** Under the direction of the SPD/Case cart manager , the Educator will plan, teach, and evaluate educational programs for sterile ... to local schools of SPD training and provides input for student clinical experiences. Participates in and uses evidence-based practice and research to promote… more
- Actalent (Sunrise, FL)
- …utilization. Working under the general supervision of the Director and/or Manager /Supervisor of Medical Management, and in collaboration with an interdisciplinary ... and other Medical Management staff to direct utilization and capture data effectively. Responsibilities + Review prior authorization requests for medical necessity… more
- Select Medical (Plant City, FL)
- …FL **is now hiring PRN** **Physical Therapists (PT).** Join our clinical team treating primarily outpatient orthopedics with neuro, vestibular, concussion, center ... today! **Responsibilities** + Complete and maintain all corporate and clinical services required training and maintain compliance with state/local/federal… more
- Elevance Health (FL)
- …precertification, prior authorization, and post service requests. + Refers cases requiring clinical review to a Nurse reviewer. + Responsible for the identification ... and data entry of referral requests into the UM system...inquiries from clients, providers and in-house departments. + Conducts clinical screening process. + Authorizes initial set of sessions… more
- Elevance Health (Miami, FL)
- …medical policies, reimbursement policies, and editing rules, as well as conducts clinical research, data analysis, and identification of legislative mandates to ... of claims, by translating medical policies, reimbursement policies, and clinical editing policies into effective and accurate reimbursement criteria.** PRIMARY… more
- Option Care Health (Tampa, FL)
- …patients with acute and chronic conditions in all 50 states. Through our clinical leadership, expertise and national scale, Option Care Health is re-imagining the ... and duties that may be assigned by the General Manager . Supervisory Responsibilities: (ie hiring, recommending/approving promotions and pay increases,… more
- Humana (Tallahassee, FL)
- …largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing the physical, ... patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow… more
- MyFlorida (Gainesville, FL)
- …supporting WIC and DOH policies and procedures, assisting Division's vendor manager with related vendor management activities. Supervision: - Oversees the activities ... the clinics day to day schedules in the WIC data system. In months containing a holiday, consults with...concerning staffing, personnel, budgetary, and all aspects related to clinical operations. - In alternate years, updates report and… more
- WestCare Foundation (Miami, FL)
- …consumer and family + Conduct monthly Service Plan reviews + Document all clinical services and activities in accord with licensing, Medicaid, and Joint Commission ... improvement activities + Embrace and embody the mission, vision, guiding principles, clinical vision and goals of WestCare Foundation. + Perform any other duties… more
- HCA Healthcare (Trinity, FL)
- …on analysis of risk assessment, historical and concurrent occurrence and claims data and national trends. .You will ensure responsibility for organizational wide ... licensure as a Registered Nurse preferred _**If serving as facility's primary Risk Manager , VP must have current Florida license in Healthcare Risk Management (FL… more