- Humana (Tallahassee, FL)
- …of UMC approved clinical criteria. as appropriate works closely with Clinical Risk Management to support enterprise MD speaker readiness for external ... and support team on UM issues. + Evaluates available data on delegate clinical decision-making and partners...engagement in CMS program audits** + Work closely with Clinical Risk Management for documentation of roles,… more
- Option Care Health (Tallahassee, FL)
- **Extraordinary Careers. Endless Possibilities.** **With the nation's largest home infusion provider, there is no limit to the growth of your career.** Option Care ... Health, Inc. is the largest independent home and alternate site infusion services provider in the...and chronic conditions in all 50 states. Through our clinical leadership, expertise and national scale, Option Care Health… more
- BayCare Health System (Clearwater, FL)
- …and clinical excellence. **About the Role:** The Supervisor, Revenue Management provides direct oversight and leadership in areas related to Reimbursement, ... Our network includes 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers, and thousands of physicians. With the… more
- Humana (Tallahassee, FL)
- …**Responsibilities** + Engage in ambiguous problem solving and strategy setting to develop clinical program + Use data and insight to identify the greatest ... Qualifications** + Bachelor's degree **** + 6 or more years of product management and/or clinical solutions experience and/or strategy consulting experience +… more
- Sanofi Group (Orlando, FL)
- …by aiding in data acquisition and identifying opportunities for further data collection clinical or investigator-led** + Monitors disease epidemiology and ... value of our products. + Execute on stakeholder engagement plans to gather data , develop and share medical insights that contribute to enhancement of Sanofi's key… more
- AdventHealth (New Smyrna Beach, FL)
- …DIXIE HWY, New Smyrna Beach, 32168 **The role you'll contribute:** The Case Management Assistant provides clerical support to the Case Managers and Social Workers to ... other related activities as needed. Provides administrative support for the Case Management Department in the absence of department secretary. **The value you'll… more
- CenterWell (Tampa, FL)
- …of our caring community and help us put health first** The Manager Care/Case Management in **Tampa area (** **_this is not a remote position_** **)** is responsible ... The Manager is also responsible for building strong partnerships with clinical -operational market leaders on Care Integration Team foundational program and strategic… more
- BayCare Health System (Clearwater, FL)
- …Our network includes 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers, and thousands of physicians. With the ... a forward-thinking philosophy built on trust, dignity, respect, responsibility, and clinical excellence. **Position Details:** Clearwater, FL (Hybrid) | Full-Time |… more
- HCA Healthcare (Port St. Lucie, FL)
- …physicians. + Provides clinical support and consultation regarding cost-effective clinical resource management in the facilities by sharing reports and ... how to reduce the variable cost per case while maintaining and enhancing clinical effectiveness. + Creates a data -driven environment of quality and cost… more
- AdventHealth (Orange City, FL)
- …medically prescribed. **The value you'll bring to the team:** + Faxing utilization clinical reviews to third party payers. + Monitoring receipt and distribution of ... alternate care facilities including transport arrangements. + Facilitating referrals for home care services **The expertise and experiences you'll need to succeed:**… more