- CVS Health (Tallahassee, FL)
- …- Emergency/critical care experience - Experience working Grievance cases - Case Management or Utilization Management experience - Managed care ... position reports to the Potential Quality of Care (PQOC) nurse investigator team manager . This position is responsible for the review and evaluation of protected… more
- Cherry Bekaert (Fort Lauderdale, FL)
- …Resource Coordinator will effectively fill resource engagement requests overseeing the utilization of resources, ensuring alignment of resources with the strategic ... that develop within the area. You will continuously communicate with management regarding future needs versus availability, potential staffing issues, and other… more
- Highmark Health (Tallahassee, FL)
- …Therapeutics Committee review. + Assist in the development and implementation of utilization management programs including but not limited to: prior ... account, and member educational initiatives that promote the Organization's Formularies, utilization management programs, and disease management initiatives.… more
- HCA Healthcare (Ocala, FL)
- …care. Advanced Clinical Pharmacist will assist the Director of Pharmacy and Clinical Manager in the development of Pharmacy clinical services and participate in the ... skills. + Review non-formulary requests and provide overall formulary management for the critical care and trauma areas. +...ICU and/or Trauma areas. + Assist the Clinical Pharmacy Manager in developing the clinical goals of the Pharmacy… more
- University of Miami (Miami, FL)
- …operations of assigned facilities. The Director will provide leadership to management staff and oversees all maintenance program initiatives. CORE JOB FUNCTIONS ... be considered. Knowledge, Skills and Attitudes: + Knowledge of business and management principles. + Ability to direct, manage, implement, and evaluate department… more
- Olympus Corporation of the Americas (Tampa, FL)
- …team. The primary responsibility of this role is to manage and enhance the utilization of our disposable energy line within our key regional hospitals. This position ... strategies. **Job Duties** + Develop and execute strategies to increase the utilization of disposable products within our current hospital networks. + Collaborate… more
- V2X (Orlando, FL)
- …W-TRS Program Manager . The Sr. Lead Logistician will lead the management and control of program wide assets (Government and Contractor Property), including ... (eg, receiving, inspection, inventory scheduling, movement, hand receipts, storage management , cataloging, property utilization , sub-contractor hand receipts,… more
- Molina Healthcare (Tampa, FL)
- …Chief Medical Officer on denial decisions. + Resolves escalated complaints regarding Utilization Management and Long-Term Services & Supports issues. + ... be required. + Serves as a clinical resource for Utilization Management , Chief Medical Officer, Physicians, and...Coder + Certified Medical Audit Specialist + Certified Case Manager + Certified Professional Healthcare Management +… more
- ChenMed (Miami, FL)
- …our team. The Physician Reviewer is the primary physician reviewer for Utilization Management /Clinical Appropriateness review cases in our organization. Other ... Process and Quality improvement in our developing area of Delegated Utilization Management . **ESSENTIAL JOB DUTIES/RESPONSIBILITIES:** + Provides Delegated… more
- HCA Healthcare (Kissimmee, FL)
- …in similar role with respect to Automated Dispensing Cabinet (ADU) inventory management including the maintenance of controlled substance inventory and handling the ... and overseeing workflow in the pharmacy when the tech supervisor or pharmacy manager is unavailable. + Under the supervision of Director of Pharmacy, participates in… more