- HCA Healthcare (Port St. Lucie, FL)
- … Officer role today!** **Job Summary and Qualifications** The Facility Chief Medical Officer (CMO) ensures high quality, patient-centered care by leading ... hospital. The CMO provides senior-level leadership to the infection control, risk management , safety, and medical staff credentialing functions, ensuring the… more
- Humana (Tallahassee, FL)
- …relationships, value-based care , quality metrics, population health, and disease or care management . The Behavioral Health Medical Director may develop ... Health Medical Director will attend and participate in meetings involving care management , provider relations, quality of care , audit, grievance… more
- Cleveland Clinic (FL)
- …fast-paced clinical environment, providing inpatient and outpatient pulmonary care , including ICU management , pulmonary procedures, and consultations. + ... than 100 years, Cleveland Clinic has been committed to the improvements in patient care , enhancements in medical education and breakthroughs in medical … more
- AdventHealth (Tampa, FL)
- …members of the Utilization Management , Care Management , Managed Care and Revenue Cycle departments and applicable medical staff, as well as ... claims management , and quality assurance related to inpatient care , outpatient care /observation stays... Medical Staff colleagues regarding best practices, Utilization Management and Care Management structures,… more
- CVS Health (Coral Gables, FL)
- …ill members/clients medical and/or vocational status; develops a plan of care to facilitate the member/client's appropriate condition management to optimize ... members. Community Care is a member centric, team-delivered, community-based care management model that joins members where they are. With compassionate… more
- Humana (Tallahassee, FL)
- …size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in an assigned market, member ... Medicare Advantage, Managed Medicaid and/or Commercial products, or other Medical management organizations, hospitals/ Integrated Delivery Systems, health… more
- AdventHealth (Altamonte Springs, FL)
- …Bachelors degree in Nursing + Health-related masters degree or MSN + Prior Care Management / Utilization Management experience + Professional Certification ... satisfaction, patient safety, readmission prevention and length of stay management . The RN Care Manager communicates daily...well as a review of the current and past inpatient and outpatient medical record in the… more
- Humana (Tallahassee, FL)
- …the first year of hire. + Experience in Acute inpatient hospital case management . + Experience with Medical /Behavioral Health Case Management Programs. + ... This will include coordination and collaboration with Military Treatment Facilities (MTF), other Care Management programs (such as Disease Management and… more
- ChenMed (Pembroke Pines, FL)
- …departments, and other healthcare facilities. + In conjunction with the PCP, hospitalist, Medical Director of Transitional Care , insurance case manager and the ... studies and special projects as assigned. + Conduct concurrent medical record review using specific indicators and criteria as...to the ER or hospital, to patients with active care planning requirements, to disease management patients… more
- AdventHealth (Palm Coast, FL)
- … escalations. The RN Care Manager is under the general supervision of the Care Management Supervisor or Manager or Director of Nursing and is responsible for ... well as a review of the current and past inpatient and outpatient medical record in the...Nursing. + Health-related Master's degree or MSN. + Prior Care Management /Utilization Management experience. +… more