- 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
- ThermoFisher Scientific (Alachua, FL)
- …and decrease risks. Ensures data accuracy through SDR, SDV and CRF review as applicable through on-site and remote monitoring activities. Assess investigational ... product through physical inventory and records review . Documents observations in reports and letters in a...tracking and progress update reports to the Clinical Team Manager (CTM) as required. Ensures study systems are updated… more
- Ensono (Miami, FL)
- …reporting and analysis of the database replication configuration's efficiency and periodic review of database performance. **What You Will Do** + Work on QREP ... time zones and participate in on-call responsibilities. + Assist the assigned project manager in the migration of newly acquired clients such that all technical… more
- Elevance Health (Tampa, FL)
- …or case management experience and requires a minimum of 2 years clinical, utilization review , or managed care experience; or any combination of education ... Sunday). The **Medical Management Nurse** will be responsible for review of the most complex or challenging cases that...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Ryder System (Winter Haven, FL)
- _Job Seekers can review the Job Applicant Privacy Policy by clicking here (http://ryder.com/job-applicant-privacy-policy) ._ **Job Description** : Job Description ... cost savings, customer retention, and metric-based initiatives. This requires the Manager Trainee to work cross functionally across Operations, Asset Management,… more
- HCA Healthcare (Margate, FL)
- …or 2 years of critical care experience + Certification in case management or utilization review preferred + InterQual experience preferred + This position may be ... 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
- CVS Health (Gainesville, FL)
- …your understanding of patient safety and error prevention, quality assurance drug utilization review (DUR), pharmacy professional standards such as corresponding ... oral communication + Any additional tasks as directed by Supervisor or Manager **Preferred Qualifications:** + 1+ years of related work experience in pharmacy,… more
- HCA Healthcare (Hudson, FL)
- …Healthcare Quality) OR CHCQM (Diplomate in American Board of Quality Assurance and Utilization Review Physicians) _Individuals without CPHQ or ABQUARP will be ... licensure as a Registered Nurse preferred _**If serving as facility's primary Risk Manager , VP must have current Florida license in Healthcare Risk Management (FL… more
- ChenMed (St. Petersburg, FL)
- …and explain nurse practitioner role. + Facilitate patient/family conferences to review treatment goals, optimize resource utilization , provide family education ... as needed. + Performs other duties as assigned and modified at manager 's discretion. **KNOWLEDGE, SKILLS AND ABILITIES:** + Demonstrated record of consistently… more