- Trinity Health (Fort Lauderdale, FL)
- …years acute hospital clinical experience is required.** Recent experience in case management , utilization review , discharge planning, ongoing monitoring and ... Care Plans to ensure authorization for hospital stay. Hybrid Position **_Position Purpose:_** ** Utilization Review (UR) Nurses play a vital role in healthcare by… more
- CenterWell (Tallahassee, FL)
- …RN experience; + Prior clinical experience, managed care experience, **OR** utilization management experience + Demonstrates Emotional Maturity + Ability ... Therapy, DME, Cardiac or Orthopedic procedures + Previous experience in utilization management within Insurance industry + Previous Medicare Advantage/Medicare… more
- CenterWell (Tallahassee, FL)
- …+ Prior clinical experience, managed care experience, DME, Florida Medicaid **OR** utilization management experience + Demonstrates Emotional Maturity + Ability ... Orthopedic procedures + Compact License preferred + Previous experience in utilization management within Insurance industry + Previous Medicare… more
- BAYADA Home Health Care (Orlando, FL)
- …full time OASIS Review and Coding Manager . The OASIS and Coding Review Manager provides support to all BAYADA Home Health Care Medicare service offices ... and procedures. As a member of the Medicare Case Management (MCM) office, individuals in this role are expected...should be available Monday-Friday from 8:30am-5:00pm. _Medicare, Coder, OASIS Review , Utilization Review , Quality Assurance,… more
- Actalent (Sunrise, FL)
- …activities as assigned. Essential Skills + Clinical review + Utilization review + Utilization management + Interqual + Milliman Commercial Guidelines ... Working under the general supervision of the Director and/or Manager /Supervisor of Medical Management , and in collaboration...+ Valid Florida Driver's License. + Knowledge of case management and utilization review concepts,… more
- ChenMed (North Miami Beach, FL)
- …of 2 years' clinical work experience required. + A minimum of 1 year of utilization review and/or case management , home health, hospital discharge planning ... as well as, their home environments. The Nurse Case Manager 1 (RN) role also involves establishing relationships with...patients' progress and adjust and plan accordingly. + Understanding utilization review and how to leverage with… more
- HCA Healthcare (Gainesville, FL)
- …physical, psycho-social, financial). 1. Participates in IDT rounds, 1. Conducts utilization review , evaluates clinical information, and communicates findings to ... Florida North Florida Hospital team is looking for a(an) Manager Case Management . HCA Healthcare is an...on a timely basis in accordance with the NFRMC Utilization Review Plan and managed care contractual… more
- AdventHealth (Orlando, FL)
- …you'll contribute:** The Population Health Case Manager (PHCM) ensures effective utilization and case management oversight activities as defined by inter ... **Population Health Case Manager (RN) AdventHealth Home Health** **All the benefits...best practices, agency policies/processes. Ensures clear and appropriate visit utilization using evidence-based and best practice guidelines to achieve… more
- Ryder System (Tallahassee, FL)
- …here (http://ryder.com/job-applicant-privacy-policy) ._ **Job Description** : **JOB SUMMARY:** The Manager of Technology Business Management (TBM) leads ... _Job Seekers can review the Job Applicant Privacy Policy by clicking...continuous improvement of TBM capabilities - including IT Financial Management (ITFM), Vendor Management , and Contract … more
- AssistRx (Orlando, FL)
- …to process improvement initiatives, to pharmacy client implementations. We are looking for an Manager of Project Management to assist the Director of Project ... their assigned project managers + Ensures PM utilize scope management practices + Review and/or approve Status...transition to operations + Drive to business outcomes & utilization , not just deadlines + Drives adherence to IT… more