- University of Miami (Coral Gables, FL)
- …staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The Unanue ... Herbert Business School is actively searching for an experienced Executive Director . This leader will spearhead the Unanue Graduate Career Advancement department,… more
- MTC (Graceville, FL)
- …improvement committee. 7. Closely monitor all potential catastrophic events and perform utilization review and tracking. 8. Submit and implement recommendations ... Medical, Florida Department of Corrections (FDOC) and Florida Department of Management Services (DMS) directives. **Essential Functions:** 1. Support and assist… more
- University of Miami (Miami, FL)
- …staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The ... Department of Surgery has an exciting opportunity for a full time Director , Laboratory Services position. The incumbent directs and manages the overall operation,… more
- Travelers Insurance Company (Tallahassee, FL)
- …skills **What is a Must Have?** + Licensed MD + 5 years clinical and utilization management experience + Certified by the American Board of Medical Specialties ... to keep Travelers at the leading edge of the P&C industry. Develop medical management strategies that help injured employees return to work as soon as medically… more
- Raymond James Financial, Inc. (St. Petersburg, FL)
- …+ Interpret, analyze, and apply technical information. + Perform human resource management activities. + Plan, assign, monitor, review , evaluate and lead ... for effectiveness in achieving specified results. Extensive contact with executive management and is required to lead others in identifying, researching, analyzing… more
- MTC (Quincy, FL)
- …performing the duties of the position. 11. Practice advanced cost containment and utilization management for inmate care and facility operations. 12. Maintain ... and military leave + Opportunities for job advancement Impact lives with Management & Training Corporation (MTC)! At the **Gadsden Correctional Facility** **in… more
- BAYADA Home Health Care (Orlando, FL)
- …+ Candidates should be available Monday-Friday from 8:30am-5:00pm. _Medicare, Coder, OASIS Review , Utilization Review , Quality Assurance, Remote, Home Health ... Home Health Care is hiring a full time OASIS Review and Coding Manager. The OASIS and Coding ...and procedures. As a member of the Medicare Case Management (MCM) office, individuals in this role are expected… more
- Molina Healthcare (FL)
- …Masters Degree in Behavior Analysis or a related field. **Preferred Experience** Utilization Management experience Health Plan/MCO work experience To all current ... of stay for requested treatments and/or procedures. * Works collaboratively with the Utilization and Case Management departments to provide ABA/BHT services to… more
- AssistRx (Orlando, FL)
- …initiatives, to pharmacy client implementations. We are looking for an Manager of Project Management to assist the Director of Project Management with ... their assigned project managers + Ensures PM utilize scope management practices + Review and/or approve Status...and workflows within the Implementation team in conjunction with Director of Project Management + Participate in… more
- Elevance Health (Miami, FL)
- …or case management experience and requires a minimum of 2 years clinical, utilization review , or managed care experience; or any combination of education and ... - 6pm EST and will include weekends. The **Medical Management Nurse** will be responsible for review ...treatment is medically necessary and provides consultation to Medical Director on cases that are unclear or do not… more