- University of Miami (North Miami, FL)
- …position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . Accountabilities ... and applicable certifications and professional practice standards. Responsible for the utilization and maintenance of appropriate nursing care plans and assessment… more
- Molina Healthcare (Jacksonville, FL)
- …and facilitates root cause analyses. + Leads internal audits and file review rehearsals. + Ensures survey readiness by maintaining documentation and evidence of ... Experience with Medicare and Medicaid programs. + Familiarity with NCQA file review standards and surveyor interactions. + Experience with conducting Utilization … more
- Sharecare (Tallahassee, FL)
- …services + Uses technical and business development skills to increase client's utilization of current technology + Tracks, analyzes, creates, and delivers relevant ... collaboration with Director Client Success the QBR and Annual Review **Reporting** + Collaborate with the reporting team to...and dashboards and deliver monthly, quarterly and annually + Review and analyze reports for accuracy and outcomes needed… more
- Cleveland Clinic (Vero Beach, FL)
- …of eligibility (CTM, ACM, CCM or AHA) + 2 years of recent experience in utilization review , quality or care management + Knowledge of acute care and ... accreditation requirements + Experience in discharge planning and quality improvement Our caregivers continue to create the best outcomes for our patients across each of our facilities. Click the link and see how we're dedicated to providing what matters most… more
- Insight Global (Miami, FL)
- …levels of quality control, meet all project schedules, and ensure an efficient utilization of resources. - Communicate project status to management and to the ... we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/. Skills and… more
- Cleveland Clinic (Port Saint Lucie, FL)
- …of eligibility (CTM, ACM, CCM or AHA) + Two years of recent experience in utilization review , quality or care management + Knowledge of acute care and ... accreditation requirements + Experience in discharge planning and quality improvement Our caregivers continue to create the best outcomes for our patients across each of our facilities. Click the link and see how we're dedicated to providing what matters most… more
- AdventHealth (Tampa, FL)
- …services. In addition, this position integrates clinical pharmacy services, drug utilization programs, and pharmacy operations, ensuring medication use aligns with ... knowledge in pharmacy practice through internal/external presentations, publications, formal review for a peer-reviewed medical or pharmacy journal, and/or… more
- University of Miami (Miami, FL)
- …staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . Sr. Research ... methods. The person will supervise and train users to ensure proper instrument utilization and ensure good laboratory standards for the facility. The person will… more
- AdventHealth (Maitland, FL)
- …and Multi-state Physician Contract Administration team. This team is responsible for contract review ; as well as, the building and maintenance of rates and terms ... and communicates system limitations in order to streamline and maximize utilization . Initiates tickets with AdventHealth IS or program developers as appropriate… more
- Elevance Health (Miami, FL)
- …clients/ members. The medical director provides clinical expertise in all aspects of utilization review and case management. Provides input on the clinical ... state or territory of the United States when conducting utilization review or an appeals consideration and...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more