- Elevance Health (Tampa, FL)
- …to determine whether treatment is medically necessary and provides consultation to Medical Director on cases that are unclear or do not satisfy relevant clinical ... in line with diagnosis. + Provide consultation to Medical Director on particularly peculiar or complex cases as the...experience and requires a minimum of 2 years clinical, utilization review, or managed care experience; or any combination… more
- CenterWell (Daytona Beach, FL)
- …an impact** The Physician Lead reports directly to the Associate Medical Director and is directly responsible for administrative oversight and outcomes determined by ... not limited to working collaboratively with the Associate Medical Director and Operational Leadership to: + Advance the Model...+ Identifying trends and areas of opportunity in pharmacy utilization (pharmacy management) to impact Part D per Member… more
- Atlas (Medley, FL)
- …in coordination with the Atlas Hub Office leader and Atlas HUB office ATO Director /coordinator to support HUB sales program that meets HUB and Region sales goals and ... Hub Office Leader, Atlas HUB office ATO Team Lead Director /coordinator and the Win Work team, lead and provide...Managers to understand current resource staffing levels, expertise, and utilization to strategically grow the HUB market and sales.… more
- ZOLL Medical Corporation (Orlando, FL)
- …and conferences, enabling prescribing entities to become self-sufficient through enrollment and utilization of ZOLL Patient Management (ZPM), with an added focus on ... and ongoing account management of LifeVest to promote consistent utilization + Responsible for support of sales and ongoing...and throughout tenure, to relocate at discretion of Area Director within that Area's boundaries Physical Demands + The… more
- Elevance Health (Tampa, FL)
- …+ May process a medical necessity denial determination made by a Medical Director . + Refers complex or non-routine reviews to more senior nurses and/or Medical ... equivalent. + Requires a minimum of 2 years of clinical experience and/or utilization review experience. + Current active, valid and unrestricted LPN/LVN or RN… more
- Amgen (Miami, FL)
- …In this vital role you will report into a Respiratory Key Account Director . Their primary responsibility is to assess and diagnose the current business environment ... formulary adoption in targeted accounts to help drive appropriate utilization of approved products + Identifies drivers/barriers and coordinates pull-through… more
- TEKsystems (Orlando, FL)
- …by customer satisfaction, customer retention/expansion, financial targets achieved, and billable utilization for all engagements in their portfolio. This role may ... and ensuring profitability. Resource Allocation and Optimization: Ensuring efficient utilization of resources across engagements, optimizing team performance and… more
- AdventHealth (Deland, FL)
- …under the general supervision of the Care Managment Supervisor or Manager or Director of Nursing and is responsible for patient evaluations of post-hospital needs; ... to nurses, physicians and the interdisciplinary team on issues related to utilization of resources, medical necessity, CMS CoP for Discharge Planning and care… more
- AdventHealth (Deland, FL)
- …under the general supervision of the Care Managment Supervisor or Manager or Director of Nursing and is responsible for patient evaluations of post-hospital needs; ... to nurses, physicians and the interdisciplinary team on issues related to utilization of resources, medical necessity, CMS CoP for Discharge Planning and care… more
- Sodexo (Bradenton, FL)
- …Executive Sous Chef will report collaboratively to the Executive Performance Chef, Director of Florida Operations, and Minor League Nutrition Coordinator. As a ... embrace culinary innovations, performance nutrition through menu execution, ingredient utilization , equipment operation, kitchen flow, time management, food safety… more