- Humana (Tallahassee, FL)
- …and interpretation skills, with prior experience participating in teams focusing on quality management , utilization management , case management , ... Case managers or Care managers on complex case management , including familiarity with social determinants...size of region or line of business. The Medical Director conducts Utilization Management of… more
- Evolent (Tallahassee, FL)
- …classes as needed for new hires to educate and train on Utilization management system and Field Medical Director process, standards and resources. + Acts as ... for the culture. **What You'll Be Doing:** The Medical Director for MSK Surgery is a key member of...reviews appeal cases and/or attends hearings for discussion of utilization management decisions. + Strong partnership with… more
- Genesis Healthcare (Oxford, FL)
- …of the rehabilitation department, including oversight related to case management , quality improvement, care planning, clinical utilization , and patient ... Area Director ). 9. Assumes responsibility for daily staffing and utilization with input from treating therapists, consideration of clinical requirements, and… more
- Evolent (Tallahassee, FL)
- …impact on patient care in a non-clinical setting? Join our Utilization Management team as a Field Medical Director , Cardiovascular Specialist and use your ... Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. +… more
- Sedgwick (Tallahassee, FL)
- …**PRIMARY PURPOSE** :: To ensure efficient, cost effective, and high quality delivery of case management and utilization review services to clients for ... offices and on site at client locations; to provide expertise in client specific case management and utilization review requirements; and to ensure customer… more
- HCA Healthcare (Gainesville, FL)
- …experience required. Case management experience preferred. + Certification in Case Management , Nursing or Utilization Review is preferred HCA Florida ... at HCA Florida North Florida Hospital! **Job Summary and Qualifications** We are seeking a dynamic Case Management RN to join our team. The RN Case Manager… more
- Select Medical (Pensacola, FL)
- …, while also completing medical record documentation. You will report directly to the Director of Case Management and provide social work services, as ... right. The Case Manager is responsible for utilization reviews and resource management , discharge planning,...the plan of care. + Demonstrates compliance with facility-wide Utilization Management policies and procedures. + Coordinates… more
- Select Medical (Orlando, FL)
- …, while also completing medical record documentation. You will report directly to the Director of Case Management and provide social work services, as ... right. The Case Manager is responsible for utilization reviews and resource management , discharge planning,...the plan of care. + Demonstrates compliance with facility-wide Utilization Management policies and procedures. + Coordinates… more
- Select Medical (Miami, FL)
- …with Select Medical* **Location: Miami, FL** **$10,000 Sign-on Bonus** ** Director of Quality Management ** **(DQM)** **Responsibilities** **Position Summary** ... Orthopedic Conditions + Multiple Traumas Apply for this job (https://jobs-selectmedicalcorp.icims.com/jobs/333333/ director -of-quality- management inpatient-rehab/job?mode=apply&apply=yes&in\_iframe=1&hashed=1374627814) Share this job **Job ID**… more
- Elevance Health (Tampa, FL)
- …East Coast time zone hours.** The **Medical Director ** will be responsible for utilization review case management for Commercial business in the New ... **Medical Director - Commercial** Location: This role enables associates to...and external physicians. + May conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering providers… more