- Walgreens (Sarasota, FL)
- …to suggest alternative medications, and answer medical provider questions. diagnostic testing, disease state management and other healthcare services. + Performs ... clinical and wellness services such as immunizations, diagnostic testing, disease state management , and other healthcare services + Partners with centralized… more
- Highmark Health (Tallahassee, FL)
- …**EXPERIENCE** **Required** + 7 years in any combination of clinical, case/utilization management and/or disease /condition management experience, or provider ... :** **JOB SUMMARY** This job implements effective complimentary utilization and case management strategies for an assigned member panel. Provides oversight over a… more
- CVS Health (Tallahassee, FL)
- …division within Aetna/CVS Health. Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers ... of working intensely as a telephonic Associate Manager, Case Management with staff and clients for fully and/or self-insured...and communicate information appropriately to the Manager of Case Management . - Refer all cases that do not meet… more
- CVS Health (Tallahassee, FL)
- …division within Aetna/CVS Health. Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers ... interpretation of applicable criteria and clinical guidelines, standardized care management plans, polices, procedures and regulatory standards while assessing… more
- CenterWell (Jacksonville, FL)
- …excellence in age-friendly senior primary care including health promotion & prevention, disease management , effective specialist & hospital co- management , ... our primary care team, combining clinical practice with leadership and operational management to ensure high-quality patient care and alignment with Value-Based Care… more
- AdventHealth (New Smyrna Beach, FL)
- …and risk management . Experienced and demonstrated success in leading case management , disease management , and/or population health programs. Demonstrates ... publicly reported outcomes. Overall responsibility for performance improvement, risk management , safety and clinical quality, continuing medical education, the… more
- HCA Healthcare (Bradenton, FL)
- …review/ management . + Consults with facility-level staff regarding delegated utilization management and disease management operations under managed care ... The CMO provides senior-level leadership to the infection control, risk management , safety, and medical staff credentialing functions, ensuring the collaboration and… more
- Molina Healthcare (Tampa, FL)
- …managed healthcare systems, quality improvement, medical utilization management , risk management , risk adjustment, disease management , and evidence-based ... regarding utilization practices, guideline usage, pharmacy utilization and effective resource management . + Develops and implements a Utilization Management … more
- Molina Healthcare (Miami, FL)
- …managed healthcare systems, quality improvement, medical utilization management , risk management , risk adjustment, disease management , and evidence-based ... Summary** Molina's Behavioral Health function provides leadership and guidance for utilization management and case management programs for mental health and… more
- CenterWell (Daytona Beach, FL)
- …excellence in age-friendly senior primary care including health promotion & prevention, disease management , effective specialist & hospital co- management , ... our primary care team, combining clinical practice with leadership and operational management to ensure high-quality patient care and alignment with Value-Based Care… more