- Evolent (Tallahassee, FL)
- …sources to establish and maintain the definitive source of truth for specialty Utilization Management (UM) agreements. This important work is achieved through ... Minimum 3 years of professional experience in value-based healthcare analytics or utilization management within a payer, provider, clinical vendor, managed care,… more
- CenterWell (Deland, FL)
- …review of clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates and ... delivery, and documentation requirements. + Responsible for the QA/PI activities. Works with Utilization Review staff relative to data tracking for performance … more
- HCA Healthcare (Gainesville, FL)
- …issues. Offers clinical support for appeals and denials process, discharge planning, case management , and utilization review / management . + Consults with ... of quality and cost improvement and develops systems to review utilization of resources and objectively measure...facility-level staff regarding delegated utilization management and disease management operations under managed… more
- ChenMed (Opa Locka, FL)
- …engagement with patient and family. + Facilitates patient/family conferences to review treatment goals and optimize resource utilization ; provides family ... assist in achieving desired clinical outcomes within specific timeframe. + Conducts review for appropriate utilization of services from admission through… more
- Highmark Health (Tallahassee, FL)
- …Organization's Formularies, utilization management programs, and disease management initiatives. + Provide clinical review and decisions including but ... . + Assist in the development and implementation of utilization management programs including but not limited...maximize overall efficiencies. + Manage individual projects for timely review with the Director , Clinical Pharmacy. +… more
- AdventHealth (Port Charlotte, 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; ... patient satisfaction, patient safety, readmission prevention and length of stay management . The RN Care Manager communicates daily with the interdisciplinary team… more
- HCA Healthcare (Kissimmee, FL)
- …repackaging of products for patient administration. The buyer works with the director and clinical team to ensure formulary compliance and maintains contract ... in similar role with respect to Automated Dispensing Cabinet (ADU) inventory management including the maintenance of controlled substance inventory and handling the… more
- MyFlorida (Bradenton, FL)
- …complete timesheets The incumbent serves as the Clinical Services Division Deputy Director , responsible for supporting and reporting on the daily operations of the ... Services Division. Serves as back-up to the Clinical Services Division Director . Responsible for programmatic oversight for clinical programs, including supporting… more
- Florida Atlantic University (Boca Raton, FL)
- …Raton, FL. The Facilities Mapping and Documentation Coordinator reports directly to the Director of Space Utilization or designee and serves all University sites ... and protocols. Summary of Responsibilities: + Building Information Systems (BIS) Management : + Implement, manage, and maintain building information systems (BIS) to… 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 ... fellowship program(s). The GME Program Administrator (A) supports the program director (s) and residents/fellows by ensuring all administrative tasks are performed to… more