- BayCare Health System (Bradenton, FL)
- …bodies within the area of responsibility. + Ensure quality assurance program and utilization review is followed in accordance with Home Care protocol. + Oversees and ... investigates patient and physician concerns, risk management concerns and implements changes and training where necessary....for office and agency staff. + Participates with Case Manager on initial Plan of Care review with a… more
- HCA Healthcare (Gainesville, FL)
- …is responsible for the safe, effective, evidence-based, and cost-effective selection and utilization of medications for the patients in which they serve. The ... to provide a streamlined medication reconciliation transition into the hospital. Cost-effective utilization of medications will be reviewed and drafted as part of… more
- BayCare Health System (Dunedin, FL)
- …bodies within the area of responsibility + Ensure quality assurance program and utilization review is followed in accordance with Home Care protocol + Oversees and ... investigates patient and physician concerns, risk management concerns and implements changes and training where necessary...for office and agency staff + Participates with Case Manager on initial Plan of Care review with a… more
- ChenMed (Margate, FL)
- …to patient panel as a PCP. + Directs accountability for clinical outcomes and day-to-day management of PCPs in one (1) center in the market, with regular presence in ... the center under direct management , and under the supervision of the MCMO. +...referrals and provides back-up for market referral and delegated utilization authorizations. + Leads physician meetings, training and education… more
- AdventHealth (Kissimmee, FL)
- …the home care patient's services based on individual patient needs. The PT Care manager is responsible for independent management of the Home Health patient ... **Physical Therapist Care Manager | Central Florida Home Care** **All the...to support productivity, efficiency and maintain best practice visit utilization . + Performs an evaluation, assessing function using a… more
- AdventHealth (Tavares, FL)
- …the home care patient's services based on individual patient needs. The PT Care manager is responsible for independent management of the Home Health patient ... **Home Health Physical Therapy Care Manager AdventHealth Home Health** **All the benefits and...to support productivity, efficiency and maintain best practice visit utilization . + Performs an evaluation, assessing function using a… more
- Lumen (Tallahassee, FL)
- …and track improvements in technologies and processes. + Analyze system utilization statistics to identify performance bottlenecks and recommend enhancements for ... update, and adhere to corporate and team-level processes, including change and outage management protocols. **What We Look For in a Candidate** + Bachelor's degree… more
- Elevance Health (FL)
- …years of managed care experience preferred. + Consulting experience preferred. + Utilization management experience preferred. + Master's Degree preferred. (MBA, ... state or territory of the United States when conducting utilization review or an appeals consideration and cannot be...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Veterans Affairs, Veterans Health Administration (Gainesville, FL)
- …tools to monitor the success of those efforts. Work with the VA Utilization Management (UM) department staff to monitor the preadmission screening process ... its success in impacting InterQual appropriate inpatient admission/observation status utilization performance measures. Monitoring overall performance of all providers… more
- Elevance Health (Miami, FL)
- …solving with providers, claims or service issues. + Assists with development of utilization /care management policies and procedures. + Within the medical ... a health related field or certification as a care manager preferred. + Knowledge of medical management ...care manager preferred. + Knowledge of medical management process and ability to interpret and apply member… more