- CenterWell (Tallahassee, FL)
- …largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is ... part of our caring community and help us put health first** Utilization Management Administration Coordinator II...to high speed DSL or Cable modem for a home office (Satellite internet service is NOT allowed for… more
- CVS Health (Milton, FL)
- …you'll be immersed in a culture of continuous improvement, with the goal of changing health care for the better. **Position Summary:** At CVS Health , we are ... great place to work. We help people navigate the health care system - and their personal health...of patient safety and error prevention, quality assurance drug utilization review (DUR), pharmacy professional standards such as corresponding… more
- CVS Health (Tallahassee, FL)
- …experience in Health Care Delivery System eg, Clinical Practice and Health Care Industry. *Prior UM ( Utilization Management) experience *Active and current ... At CVS Health , we're building a world of health...care resources. This is a remote based (work from home ) role. Preferred candidates will have Internal Medicine or… more
- CVS Health (Tallahassee, FL)
- …Texas, Virginia and West Virginia. This Medical Director will be a "Work from Home " position primarily supporting Aetna Better Health of Florida as well as ... At CVS Health , we're building a world of health...and appeal request. This position is primarily responsible for Utilization Management, including prior authorization and precertification as well… more
- BayCare Health System (Safety Harbor, 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 ... excellence. **Infection Preventionist II Position Details** : + **Facility:** BayCare Health System, Infection Control + **Location:** Mease Countryside Hospital +… more
- HCA Healthcare (Ocala, FL)
- …Florida West Marion 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)
- …experience and as an RN - **Required** + Minimum of 5 years in Utilization Management, health care Appeals, compliance and/or grievances/complaints in a quality ... **Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes...appeals and post-determination requests. We maintain the principles of utilization management by adhering to Evolent and Client policies… 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 ... Join the team that is revolutionizing health care - BayCare Health System...day operation of the Imaging Center** Responsible for appropriate utilization of human and product resources to efficiently and… more
- CVS Health (Tallahassee, FL)
- At CVS Health , we're building a world of health around...by meeting consumers where they want to be met in home or over the phone. The HFSR will own the ... ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health ...well as resolving any issues with respect to the utilization of the product. The position will be a… more
- BayCare Health System (Tampa, 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 ... for missing documentation and monitors bill hold reports. + Strong utilization of medical terminology and anatomy. + Assists Manager/Director with mentoring/training… more