- HCA Healthcare (Kissimmee, FL)
- …and admission status issues through established chain of command. + Performs utilization management reviews and communicates to third party payors. + ... is recognized. Submit your application for the opportunity below:RN Case Manager PRNHCA Florida Poinciana Hospital **Benefits** HCA Florida Poinciana Hospital offers… more
- Select Medical (Tallahassee, FL)
- …by doing what is right. The Case Manager is responsible for utilization reviews and resource management , discharge planning, treatment plan management ... within the plan of care. + Demonstrates compliance with facility-wide Utilization Management policies and procedures. + Coordinates UR compliance with… more
- Select Medical (Fort Myers, FL)
- …by doing what is right. The Case Manager is responsible for utilization reviews and resource management , discharge planning, treatment plan management ... within the plan of care. + Demonstrates compliance with facility-wide Utilization Management policies and procedures. + Coordinates UR compliance with… more
- Centene Corporation (Tallahassee, FL)
- …analysis, and/or ROI evaluation preferred. Familiarity with claims payment, utilization management , provider/vendor contracts, risk adjustment for government ... years of experience in healthcare analytics, large databases, data verification, data management , table creation and indexing, query optimization, utilization of… more
- Molina Healthcare (Orlando, FL)
- …with Excel and SQL for retrieving specified information from data sources. + Knowledge of healthcare operations ( utilization management , disease ... **JOB DESCRIPTION** **Job Summary** The Manager , Medical Economics provides support and consultation to...management , HEDIS quality measures, claims processing, etc.) + Knowledge of healthcare financial terms (eg, PMPM, revenue) and… more
- HCA Healthcare (Sanford, FL)
- …with physicians, patients, families, hospital staff, and outside agencies + Performs utilization management reviews and communicates information to third party ... have the PRN career opportunities as a(an) RN Case Manager PRN you want with your current employer? We...preferred + BSN is preferred + Certification in Case Management , Nursing or Utilization Review is preferred… more
- HCA Healthcare (Gainesville, FL)
- …with physicians, patients, families, hospital staff, and outside agencies + Performs utilization management reviews and communicates information to third party ... you have the career opportunities as a(an) RN Case Manager PRN you want with your current employer? We...preferred + BSN is preferred + Certification in Case Management , Nursing or Utilization Review is preferred… more
- AdventHealth (Maitland, FL)
- …Location** : Maitland, FL **The role you will contribute:** A Medical Economics Manager is responsible for overseeing the analysis and evaluation of financial and ... proposals, analyze fee schedules, and determine contract compliance. The Medical Economics Manager must have attention to detail and competencies in decision support… more
- CenterWell (Land O' Lakes, FL)
- …of our caring community and help us put health first** The **Clinical Manager ** coordinates and oversees all direct care patient services provided by clinical ... review of clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates and conducts… more
- ZOLL Medical Corporation (Bradenton, FL)
- …and sales support responsibilities. The ATM will work collaboratively with Territory Manager (s) to support sales activities and territory management tasks that ... and conferences, enabling prescribing entities to become self-sufficient through enrollment and utilization of ZOLL Patient Management (ZPM), with an added focus… more
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