- Humana (Tallahassee, FL)
- …for inbound and outbound calls to engage providers and members to verify clinical information /discharge date and admission status throughout the day + Documents ... procedures ensuring best and most appropriate treatment, care or services for members. The Home Solutions UM Team is...calls and attaches clinical information received + Requests … more
- University of Miami (Doral, FL)
- …Core Job Functions: + Obtains, confirms, and enters demographic, financial, and clinical information necessary for financial clearance of scheduled patient ... + Obtains, confirms, and accurately enters and updates demographic, financial, and clinical HIPAA protected information . + Reviews real time eligibility… more
- HCA Healthcare (Jacksonville, FL)
- …patients for all HCA facilities within the markets served. The position collects clinical information relative to a patient movement requests and facilitates the ... manner with the aid of a computer database consisting of facility service profiles approved clinical protocols, established patient care protocols, and… more
- Centene Corporation (Tallahassee, FL)
- …and monitor care for behavioral health and/or substance abuse problems according to clinical information given by providers and internal criteria for medical ... be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified,… more
- Elevance Health (Miami, FL)
- …for ensuring appropriate, consistent administration of plan benefits by reviewing clinical information and assessing medical necessity under relevant guidelines ... out-of-network, and/or appropriateness of treatment setting reviews by assessing clinical information against appropriate medical policies, clinical… more
- HCA Healthcare (Jacksonville, FL)
- …patients for all HCA facilities within the markets served. The position collects clinical information relative to a patient movement request, and then ... with a sense of urgency and demonstrating good customer service skills + Gather initial information required...information required to open new case/call(s) and prepare clinical information /packet which is to provide to… more
- Elevance Health (FL)
- …for ensuring appropriate, consistent administration of plan benefits by reviewing clinical information and assessing medical necessity under relevant guidelines ... out-of-network, and/or appropriateness of treatment setting reviews by assessing clinical information against appropriate medical policies, clinical… more
- AdventHealth (Orlando, FL)
- …in implementing patient nutritional preferences and monitor care plans; retrieves clinical information ; generates reports and performs other duties utilizing ... one of the busiest hospitals in the nation, providing service excellence to more than 32,000 inpatients and 125,000...patient food and fluid intake (Calorie Counts) Collects pertinent clinical data from patient medical records in order to… more
- AdventHealth (Sebring, FL)
- … service level agreements (SLAs). Additionally, this role acts as an Information Technology resource to all imaging clinical staff, Radiologists, and ... and Request Management Standard Operating Procedures (SOPs). Serves as an Information Technology resource between the imaging clinical staff, Radiologists,… more
- Cleveland Clinic (Vero Beach, FL)
- …Attends multidisciplinary treatment team conferences as requested. + Communicate appropriate clinical information to physicians, nurses and other colleagues ... Indian River Hospital is committed to providing optimal family- and community-focused services . Here, you will be part of a collaborative, compassionate, and… more