- AdventHealth (Palm Coast, FL)
- …degree of patient satisfaction; highest degree of quality care, maintains/increases surgical utilization ; meets basic surgeon needs, ie, accurate case start ... Parkway, Palm Coast, FL 32164 **The role you'll contribute:** The Market Director of Surgical Services is responsible for the administrative and clinical activities… more
- AdventHealth (Palm Coast, FL)
- …the Surgical program creates: high degree of patient satisfaction; maintains/increases surgical utilization ; meets basic surgeon needs, ie, accurate case start ... Main Operating Room, Endoscopy, Sterile Processing, and Anesthesia Support Services. The Director will also work with the Manager of Anesthesia Professional Services… more
- HCA Healthcare (Englewood, FL)
- …focus on providing outstanding patient care. In this key role, the Facility Medical Director is responsible for the oversight and management of all clinical ... Healthcare Anesthesia Services is seeking an experienced, Board Certified, Facility Medical Director to lead the team HCA Florida Englewood Hospital located on the… more
- CVS Health (Jacksonville, FL)
- …and consistent responses to members and providers. Leads all aspects of utilization review/quality assurance, directing case management Provides clinical ... the US.** Aetna, a CVS Health Company, has an exciting opportunity for a Medical Director (Spine) that can be remote based, work from home. The Medical Director … more
- Highmark Health (Tallahassee, FL)
- …:** **JOB SUMMARY** This job, as part of a physician team, ensures that utilization management responsibilities are performed in accordance with the highest and ... and DOL regulations at all times. In addition to utilization review, the incumbent participates as the physician member...need. **Preferred** + None **SKILLS** + Critical Thinking + Case Management + Customer Service + Oral… more
- Lumen (Tallahassee, FL)
- …future. **The Role** We are seeking a strategic and execution-focused Senior Director of Systems Excellence to lead the implementation and optimization of ... a best-in-class systems infrastructure that supports business operations, asset management , and financial governance. **Location** This is a remote opportunity… more
- Molina Healthcare (Orlando, FL)
- …experience as a Molina Medical Director + Demonstrated experience in Utilization /Quality Program management + Previous leadership experience + Peer review, ... in the performance of prior authorization, inpatient concurrent review, discharge planning, case management and interdisciplinary care team activities. + Ensures… more
- Actalent (Sunrise, FL)
- …of education and experience. + Valid Florida Driver's License. + Knowledge of case management and utilization review concepts, including InterQual and ... Utilization Management Nurse!Job Description The ...utilization . Working under the general supervision of the Director and/or Manager/Supervisor of Medical Management , and… more
- CenterWell (Tampa, FL)
- …a part of our caring community and help us put health first** The Manager Care/ Case Management in **Tampa area (** **_this is not a remote position_** **)** ... and coordinating care to reduce acute and post-acute care utilization . The Manager role is hybrid with travel requirements...Work degree/license + 5 years or more prior nursing, case management , disease management and/or… more
- Elevance Health (Miami, FL)
- …critical thinking skills and nursing judgment and experience. + Collaborates with case management nurses on discharge planning, ensuring patient has appropriate ... treatment is medically necessary and provides consultation to Medical Director on cases that are unclear or do not...about plan benefits and physicians and may assist with case management . + Collaborates with leadership in… more