- CenterWell (Fort Lauderdale, FL)
- …not limited to specialty referrals, hospital and SNF coordination, durable medical equipment and home health care. . Acts as an active participant and key source ... part of our caring community and help us put health first** The Primary Care Physician (PCP) works as...Leadership. . Meets with RMD about quality of care, review of outcome data, policy, procedure and records issues.… more
- Humana (Tallahassee, FL)
- …management experience in a medical management review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance. + Experience ... on quality management, utilization management, case management, discharge planning and/or home health or post-acute services (such as inpatient rehabilitation).… more
- Evolent (Tallahassee, FL)
- …Proficiency + Not under current exclusion or sanction by any state or federal health care program, including Medicare or Medicaid, and is not identified as ... **Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes...member of the Medical leadership team, providing timely medical review of service requests. Oversees the Surgery Field Medical… more
- CenterWell (Orlando, FL)
- …not limited to specialty referrals, hospital and SNF coordination, durable medical equipment and home health care. . Acts as an active participant and key source ... leadership. . Meets with RMD about quality of care, review of outcome data, policy, procedure and records issues....senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy… more
- CenterWell (Port Orange, FL)
- …not limited to specialty referrals, hospital and SNF coordination, durable medical equipment and home health care. . Acts as an active participant and key source ... Leadership. . Meets with RMD about quality of care, review of outcome data, policy, procedure and records issues....senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy… more
- Prime Therapeutics (Tallahassee, FL)
- …is responsible for receiving inbound and making outbound calls to qualified members to review the benefits of the MTM programs in addition to assisting the leaders ... in a manner that meets the specialized needs of the targeted population; for Medicare , is Centers for Medicare & Medicaid Services (CMS) compliant + Act… more
- CenterWell (Winter Haven, FL)
- …not limited to specialty referrals, hospital and SNF coordination, durable medical equipment and home health care. + Acts as an active participant and lead with ... Leadership. + Meets with RMD about quality of care, review of outcome data, policy, procedure and records issues....senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy… more
- CenterWell (Delray Beach, FL)
- …not limited to specialty referrals, hospital and SNF coordination, durable medical equipment and home health care. + Acts as an active participant and key source ... Leadership. + Meets with AMD about quality of care, review of outcome data, policy, procedure and records issues....senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy… more
- Evolent (Tallahassee, FL)
- …is preferred + Not under current exclusion or sanction by any state or federal health care program, including Medicare or Medicaid, and is not identified as an ... **Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes...the regulatory timeframe of the request. + Utilizes medical/clinical review guidelines and parameters to assure consistency in the… more
- Evolent (Tallahassee, FL)
- …is preferred + Not under current exclusion or sanction by any state or federal health care program, including Medicare or Medicaid, and is not identified as an ... **Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes...the regulatory timeframe of the request. + Utilizes medical/clinical review guidelines and parameters to assure consistency in the… more