- HCA Healthcare (Panama City, FL)
- …a(an) Director Quality with HCA Florida Gulf Coast Hospital, you can be a manager in an organization that is devoted to giving! **Benefits** HCA Florida Gulf Coast ... (multi-site campus, service lines). The Director ensures the facilitation and utilization of different strategies and communication for quality and performance… more
- HCA Healthcare (Aventura, FL)
- …etc.) hospital nursing experience required + Certification in case management or utilization review preferred + InterQual experience preferred HCA Florida ... and continue to learn! **Job Summary and Qualifications** The Case Manager (CM) ensures high-quality, patient-centered care by managing Rehabilitative care to… more
- MyFlorida (Marianna, FL)
- …timesheet, ensuring accuracy and submit timely in accordance with policy and procedure. Review and approve timesheets as required. Monitor all time and attendance to ... ensure all coverage levels are met, review and address areas of concern with staff and...items. + Ability to inspect warehouse areas for space utilization , cleanliness, and safety standards. + Ability to supervise… more
- Humana (Miramar, FL)
- …in the Health Plan contractual agreements. The Pre-Service Coordinator will review inbound referrals and correspondence for processing, fulfilment or resolution ... of benefits coverage and eligibility for services per Health Plan contract. Review referral data matching it against specified medical terms and diagnoses or… more
- Norstella (Tallahassee, FL)
- …Success Renewals Specialist works in collaboration with the Client Success Operations Manager and Client Success team members in the overall responsibility for MMIT ... a yearly or multi year basis * Responsible to contract terms review /changes, documentation in Salesforce, partnering with client team, and client communication… more
- Elevance Health (FL)
- …policies, and CMS Coverage Determinations, as applicable. + Perform physician-level case review of utilization requests for procedures and interventions listed ... decisions. + Brings to their supervisors attention, any case review decisions that require Medical Director review ...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- MyFlorida (Gainesville, FL)
- …Profile (application) must be complete in its entirety. + Work History (in easy to review chronological order) Consists of: + Any position held by a State of Florida ... your packet may be held up at the final review step. NOTE:Responses to qualifying questions must be clearly...clients, through proper training and supervision. This includes the utilization of workforce data and tools such as Labor… more
- Kemper (Jacksonville, FL)
- …complex technical problems and issues with assigned applications and work processes. + Review and recommend test plans for impacted areas and end to end test ... all corporate, department and team policies and procedures. + Keeps manager , project teams/managers and business customers informed of activities and problems… more
- Actalent (Deland, FL)
- …inpatient and/or ED discharge records, diagnostic and laboratory results for clinician review and treatment follow-up as needed. Essential Skills + Medical assisting ... - $46883.00/yr. Pediatric Associates - Account Value Plan Owner: Mark Drennen (Account Manager ) Manager : Abby Gatlin * Skip: Jason Bradley Period Covered: FY26… more
- MyFlorida (Tallahassee, FL)
- …Compensation Estimator Tool (https://compcalculator.myflorida.com/) Senior Management Analyst/Contract Manager Division of Real Estate Development and Management ... routing documents for any changes to the contracts. Assisting with draft, review and approval process for new solicitations. Travel is required. Incumbent shall… more