- Evolent (Tallahassee, FL)
- …Opportunities:** This Director will play a pivotal role in aligning engineering, data science, clinical , and customer teams around a shared product ... Stay for the culture. **What You'll Be Doing:** **Sr Director of Product Management - AI & Healthcare Innovation** Evolent is seeking a strategic and experienced… more
- Humana (Tallahassee, FL)
- …first** The UM Administration Coordinator contributes to administration of utilization management . The UM Administration Coordinator 2 performs varied activities and ... at Humana. Join Us!** The UM Administration Coordinator provides non- clinical support for the policies and procedures ensuring best...most appropriate treatment, care or services for members. The Home Solutions UM Team is hiring for a UM… more
- Sharecare (Tallahassee, FL)
- …nurse helps to drive cost effective and appropriate resource utilization and desired clinical outcomes. The Disease Management Nurse is also responsible during ... unify and manage all their health in one place. Our comprehensive and data -driven virtual health platform is designed to help people, providers, employers, health… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …service requests. + Reviews cases referred by the prior-authorization non- clinical medical management coordinator and pre-certification technician staff ... Excel and other data entry processing applications. + Strong analytical and clinical problem-solving skills. + Ability to work OT during peak periods. ote: This… more
- HCA Healthcare (Tampa, FL)
- …you want to join an organization that invests in you as a Director Case Management ? At HCA Florida South Tampa Hospital, you come first. HCA Healthcare has committed ... protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage,… more
- HCA Healthcare (Kissimmee, FL)
- …We care like family! Jump-start your career as a Director Case Management today with HCA Florida Osceola Hospital. **Benefits** HCA Florida Osceola Hospital ... protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage,… more
- HCA Healthcare (Tallahassee, FL)
- **Description** **Introduction** Do you have the career opportunities as a(an) Manager Case Management you want in your current role? We invest in what matters most ... to nurses like you - at home , at work, and at every stage in your...accountability in ensuring all admissions and continued stays meet clinical criteria for appropriateness and medical necessity. Assesses discharge… more
- AdventHealth (Tampa, FL)
- …UM RN leverages the algorithmic logic of the XSOLIS Cortex platform, utilizing key clinical data points to assist in status and level of care recommendations. ... the Utilization Management (UM) Registered Nurse (RN) is to use clinical expertise by analyzing patient records to determine legitimacy of hospital admission,… more
- Matrix Providers (Jacksonville, FL)
- …(MHP) clinic, utilization and Referral Management policies, and obtains additional clinical data as required. + Consult, coordinate, and collaborate with MHP ... LPN/LVN - Pain Management Location: Jacksonville, FL, United States Healthcare Provider...Support (ACLS). + Experience: Possess one (1) year of clinical work experience as a full-time LPN/LVN within the… more
- HCA Healthcare (Ocala, FL)
- …**Introduction** Do you have the career opportunities as a(an) Manager Case Management you want with your current employer? We have an exciting opportunity ... protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage,… more