- Cushman & Wakefield (Tallahassee, FL)
- …Account Procurement Lead. **Job Description** **Responsibilities:** + Liaise with theProcurement Manager and Account Management to develop bid packages including ... this role supports client account procurement operations, sourcing, contract management , and performs supplier management administration across multiple… more
- City of Boca Raton (Boca Raton, FL)
- …with management to effectively interface with benefit-related systems. + Review and reconcile monthly invoices for the City's self-funded group health plan; ... FL Job Type Full-Time Job Number 4258-03 Department City Manager - Admin, IT, MS Division Human Resources 04/02201...to ensure efficient and accurate workflow and the best utilization of system capabilities to fit the City's best… more
- Prime Therapeutics (Tallahassee, FL)
- …of post-degree clinical experience. + Experience in managed care, specialty drugs, care management and utilization review . + Meets Credentialing criteria. + ... such as the appeals program. + Participates in meetings and consults with management on regular basis to discuss member interaction and program outcomes. + Maintains… more
- Carnival Cruise Line (Miami, FL)
- …business goals. You will utilize data analysis, forecasting techniques, and workforce management tools to develop efficient staffing plans and strategies for all ... onboard Hotel, Deck and/or Engine operation. Collaborates with department management on core team schedules. This position is also...liaises the Hotel Deck and/or Engine department managers to review core team schedules. Review crew rotations… more
- MyFlorida (Tallahassee, FL)
- …rules, coverage policies, managed care plan contracts, bill analyses, drug utilization review boards, preferred drug lists, supplemental rebate contracts, ... for their assigned Medicaid contracts and maintains active agency contract manager certification, adhere to established Agency procurement policies and procedures,… more
- Elevance Health (Miami, FL)
- …policies, and CMS Coverage Determinations, as applicable. + Perform physician-level case review of utilization requests for procedures and interventions listed ... The **Medical Director, Cardiology** is responsible for supporting the medical management staff ensuring timely and consistent medical decisions to members and… more
- ChenMed (Orlando, FL)
- …and explain nurse practitioner role. + Facilitate patient/family conferences to review treatment goals, optimize resource utilization , provide family education ... of the nursing plan of care, health education, physician referrals, case management referrals, follow-up and clear documentation according to ChenMed standards for… more
- HCA Healthcare (Port St. Lucie, FL)
- … experience + or 2 years of critical care experience + Certification in case management or utilization review preferred + InterQual experience preferred HCA ... We want you to apply! **Job Summary and Qualifications** The Case Manager (CM) ensures high-quality, patient-centered care by managing Rehabilitative care to ensure… more
- HCA Healthcare (West Palm Beach, FL)
- … experience + Or 2 years of critical care experience + Certification in case management or utilization review preferred + InterQual experience preferred HCA ... We want you to apply! **Job Summary and Qualifications** The Case Manager (CM) ensures high-quality, patient-centered care by managing Rehabilitative care to ensure… more
- HCA Healthcare (Margate, FL)
- … experience or 2 years of critical care experience + Certification in case management or utilization review preferred + InterQual experience preferred HCA ... your knowledge and expertise! **Job Summary and Qualifications** The Case Manager (CM) ensures high-quality, patient-centered care by managing Rehabilitative care to… more
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