- 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 ... areas of critical thinking, interpersonal relationships, and technical skills. + Review non-formulary requests and provide overall formulary management for the… more
- TECO Energy (Ybor City, FL)
- …licensing record with in the IT asset auto discovery tool to maintain compliance. Review contract and license utilization to ensure compliance is maintained for ... Manage and maintain Hardware standards reporting and software licensing compliance reporting. Review contract and license utilization to ensure compliance is… 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) . The ... and high-level strategies for present and future projects, space planning and utilization . Analyze space and facility layouts for the purpose of advising and… more
- HCA Healthcare (Fort Lauderdale, FL)
- …+ Lead centralized case management function, including Clinical Case Management, Utilization Review Services, and Clinical Documentation Improvement. Works ... + Lead centralized case management function, including Clinical Case Management, Utilization Review Services, and Clinical Documentation Improvement. + Develop,… more
- Molina Healthcare (Tampa, FL)
- …Managed Care Experience in the specific programs supported by the plan such as Utilization Review , Medical Claims Review , Long Term Service and Support, ... be licensed for the state they reside This position will support Medical Review for Medicare and Marketplace request authorization. Strongly prefer candidates with a… more
- KBR (Elgin AFB, FL)
- …the development and utilization of required databases. + Conduct peer (record) review s for the HP Staff as directed by governing credentialing body and local ... POTFF Staff, and as directed by local HP program manager and/or coordinator. + Document work performed, utilization... manager and/or coordinator. + Document work performed, utilization , encounters, referrals, and all other information in… more
- ChenMed (Miami, FL)
- …experience in Hospital medicine preferred + At least one (1) year of utilization review experience preferred We're ChenMed and we're transforming healthcare for ... our team. The Physician Reviewer is the primary physician reviewer for Utilization Management/Clinical Appropriateness review cases in our organization. Other… more
- AdventHealth (Land O' Lakes, FL)
- …for one another and respect for each person's unique contributions, provides utilization review care that is non-judgmental and non-discriminatory. .Consider ... time frames on a specific group of patients.The Case Manager is responsible for utilization reviews and...of patients.The Case Manager is responsible for utilization reviews and resource management, discharge planning, treatment plan… more
- Elevance Health (Miami, FL)
- …must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US ... clinical reviews with attending physicians or other providers to discuss review determinations and patient's office visits with providers and external physicians.… more
- Elevance Health (Tampa, FL)
- …work East Coast time zone hours.** The **Medical Director** will be responsible for utilization review case management for Commercial business in the New England ... 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