- CVS Health (Tallahassee, FL)
- At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... health care. As the nation's leading health ...day. **Position Summary** **This is a remote work from home role anywhere in the US with virtual training.**… more
- CVS Health (Tallahassee, FL)
- …(CHF), Chronic Kidney Disease (CKD), post-acute care, hospice, palliative care, cardiac, home health with Medicare members **Preferred Qualifications** + 4+ ... At CVS Health , we're building a world of health...community + Utilizes weekly and daily reporting to identify utilization for the purpose of reducing Emergency Department … more
- CVS Health (Tallahassee, FL)
- …to improve health outcomes. * Leverage extensive knowledge of health care delivery system, utilization management, reimbursement methods and treatment ... and the delivery of cost-efficient care. Will also interact with the members, health systems, nursing facilities, as well as home and community-based networks.… more
- HCA Healthcare (Gainesville, FL)
- …Florida North Florida Hospital, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The available plans and ... cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.… more
- Evolent (Tallahassee, FL)
- …selecting health plans or regions, assuming overall accountability for utilization management while working in conjunction with the Senior Medical Director. ... **Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes...Director you will be a key member of the utilization management team. We can offer you a meaningful… more
- Evolent (Tallahassee, FL)
- …selecting health plans or regions, assuming overall accountability for utilization management while working in conjunction with the Senior Medical Director. ... **Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes...cases. you will be a key member of the utilization management team. We can offer you a meaningful… more
- Molina Healthcare (FL)
- …and interacts with network and group providers and medical managers regarding utilization practices, guideline usage, pharmacy utilization and effective resource ... management. + Develops and implements a Utilization Management program and action plan, which includes strategies that ensure a high quality of patient care,… more
- BayCare Health System (Lakeland, FL)
- …seamless care they deserve. BayCare is currently in search of our newest ** Home Health , Physical Therapist Assistant** who is passionate about providing ... + Yearly performance appraisals and team award bonus + Community discounts and more The ** Home Health PTA** provides hands-on care in the home for a… more
- Humana (Tallahassee, FL)
- …quality management, utilization management, case management, discharge planning and/or home health or post-acute services (such as inpatient rehabilitation). ... **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make… more
- BayCare Health System (St. Petersburg, FL)
- …Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians. With ... service to our community. BayCare's top priority is the health and well-being of our communities as Tampa Bay's...for:** + **In a minimally complex practice, oversees the utilization management and daily business operations of the physician… more