- HCA Healthcare (Fort Pierce, FL)
- …patient. The CM collaborates with the Rehab Program Director and Facility Case Management Director regarding departmental functions. The CM coordinates ... ICU, CVICU etc.) hospital nursing experience required + Certification in case management or utilization review preferred InterQual experience preferred HCA… more
- HCA Healthcare (Aventura, FL)
- …patient. The CM collaborates with the Rehab Program Director and Facility Case Management Director regarding departmental functions. The CM coordinates ... ICU, CVICU etc.) hospital nursing experience required + Certification in case management or utilization review preferred + InterQual experience preferred… more
- CenterWell (Jacksonville, FL)
- …of our caring community and help us put health first** The Associate Medical Director (AMD) is an instrumental clinical leader of our primary care team, combining ... clinical practice with leadership and operational management to ensure high-quality patient care and alignment with Value-Based Care (VBC) principles. This… more
- CenterWell (Daytona Beach, FL)
- …and help us put health first** Job Description Summary The Associate Medical Director (AMD) is an instrumental clinical leader of our primary care team, combining ... clinical practice with leadership and operational management to ensure high-quality patient care and alignment with Value-Based Care (VBC) principles. This… more
- HCA Healthcare (Miami, FL)
- …patient. The CM collaborates with the Rehab Program Director and Facility Case Management Director regarding departmental functions. The CM coordinates ... ICU, CVICU etc.) hospital nursing experience required + Certification in case management or utilization review preferred + InterQual experience preferred… more
- Elevance Health (Miami, FL)
- **Clinical Operations Associate Medical Director ** **Carelon Medical Benefits Management ** **Post Acute Care Benefit Utilization Management ** **Schedule: ... of care for the people we serve._ The **Clinical Operations Associate Medical Director ** is responsible for supporting the medical management staff ensuring… more
- University of Miami (Coral Gables, FL)
- …audits. Maintains logs of system issues and approved enhancements. Supports vendor case management and troubleshoots application issues. Develops and implements ... of Miami has a great opportunity for an Asst. Director , Financial Systems to work remotely. The Asst. ...optimizes finance and accounting processes through effective financial system utilization , leading system changes and ensuring alignment with… more
- Elevance Health (Tampa, FL)
- …preferred. + Extensive spine surgery experience preferred. + Experience with utilization management , especially with CMS guidelines preferred. + **Orthopedic ... Medical Director ** **Orthopedic Spine Surgery** **Carelon Medical Benefit Management ** **Schedule: 10:30 AM-7 PM Central** **Virtual:** This role enables… more
- CVS Health (Tallahassee, FL)
- …provide clinical, coding, and reimbursement expertise as well as directing case management when necessary. The Medical Director will act as a business and ... Pediatrics (Med / Peds) Board Certification. In the Medical Director role, you will provide oversight for medical policy...eg, Clinical Practice and Health Care Industry. *Prior UM ( Utilization Management ) experience *Active and current state… more
- CVS Health (Tallahassee, FL)
- …well as sales and account management . Duties include support for - case management , clinical content research & development, chronic condition management ... experience in health care delivery (clinical practice) Experience in managed care, care management , utilization management , quality management , or… more