- Medtronic (Jacksonville, FL)
- …role. Collaborates with key stakeholders to coordinate, develop and execute clinical strategies to achieve short- and long-term business objectives within region ... Maximize regional personnel performance by managing, developing and motivating clinical support employees to deliver unsurpassed patient care, physician/AHP support… more
- University of Miami (Miami, FL)
- …CORE JOB FUNCTIONS: + Obtains, confirms, and enters demographic, financial, and clinical information necessary for financial clearance of scheduled patient ... the registration and financial clearance activities that will facilitate reimbursement for services rendered by the department and serves as functional expert for… more
- University of Miami (Miami, FL)
- …peers. CORE FUNCTIONS + Obtains, confirms, and enters demographic, financial, and clinical information necessary for financial clearance of scheduled patient ... the registration and financial clearance activities that will facilitate reimbursement for services rendered by the department, and serves as functional expert for… more
- BrightSpring Health Services (Gainesville, FL)
- …. This role ensures high-quality patient care by overseeing hospice staff, coordinating services , and guiding clinical decisions. The ideal candidate is a strong ... - Friday 8:00a - 5:00p Are you a RN Clinical Supervisor looking for a new opportunity? Haven Hospice...in community outreach and promote the hospice's mission and services . + Contribute to quality improvement initiatives and organizational… more
- Centene Corporation (Tallahassee, FL)
- …documentation by collaborating with physician offices and insurance companies + Collect any clinical information such as lab values, diagnosis codes, etc. + ... the system + Obtain and verify insurance eligibility for services provided and document complete information in...eligibility for services provided and document complete information in system + Perform prior authorizations as required… more
- Lee County Board of County Commissioners (Fort Myers, FL)
- …Lee County Common Treatment Guidelines and Standard Operating Procedure (SOP) manual. Supplemental Information Clinical and Operational Competency : + To work in ... Medical Services (EMS), you'll need to demonstrate and maintain clinical and operational competency. This involves passing credentialing tests. + These tests… more
- Actalent (Florida City, FL)
- …notify stakeholders of decision outcomes. Obtain verbal authorizations and request detailed clinical information from prescribers. May assist with inbound and/or ... Technicians are reviewing Prior Authorizations for coverage determination for a Pharmacy Services department that is a part of a large healthcare insurance company.… more
- CenterWell (Tallahassee, FL)
- …for patients with chronic and complex illnesses, as well as offer personalized clinical and educational services to improve health outcomes and drive superior ... A positive, proactive attitude with a passion for customer service **Required Work Schedule** **:** + 2:30pm - 11:00pm...identity or religion. We also provide free language interpreter services . See our full accessibility rights information … more
- BrightSpring Health Services (Orange Park, FL)
- …to hospice care. Coordinates care with the community referral and hospice clinical team, including an admission nurse. Responsibilities + Participates in daily ... and regulations regarding anti-kickback, lawful marketing activities (gifts and services ), patient solicitation, and accurate marketing materials + May assist… more
- Highmark Health (Tallahassee, FL)
- …are performed in accordance with the highest and most current clinical standards. The incumbent reviews escalated cases electronically and using Medical ... to evaluate the medical necessity and appropriateness of the requested treatment of service . Depending on the nature of the case, telephonic peer to peer discussions… more