- 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
- V2X (Orlando, FL)
- …Orlando, Florida. The Sr. Logistician will report directly to the V2X W-TRS Program Manager . The Sr. Lead Logistician will lead the management and control of program ... inventory scheduling, movement, hand receipts, storage management, cataloging, property utilization , sub-contractor hand receipts, LTDDs, disposition and task order… more
- Amentum (Tyndall AFB, FL)
- …guidance. + Participates in daily/weekly maintenance meetings. + Assists the Full-scale Manager in performing QF-16 Aerial Target fleet management to include status, ... Interfaces with the customer and outside agencies/contractors for planning, documentation review , engineering support and test support. + Ensures Time Compliance… more
- General Dynamics Information Technology (Hurlburt Field, FL)
- …guidance within the scope of practice. + Participates in periodic meetings to review the care provided to patients to identify opportunities for improvement. + ... Serves as advisor to the HP program Manager and/or Coordinator in matters related to injury prevention,... and/or Coordinator. + Documents care provided, work performed, utilization , referrals, and all other information in the Military's… more
- HCA Healthcare (Kissimmee, FL)
- …and overseeing workflow in the pharmacy when the tech supervisor or pharmacy manager is unavailable. + Under the supervision of Director of Pharmacy, participates in ... changes in medication stock availability + Assists Pharmacy Director and Clinical Manager on all product substitutions when backorders occur during the normal… more
- TIAA (FL)
- …ensures talent development of Advisor Consultants and serves as a mentor and manager for the team. **Key Responsibilities and Duties** + Leads a team of ... the organization. + Ensures Wealth Advisor Consultant teams are maximizing utilization of internal systems and customer relationship management (CRM) system as… more
- Highmark Health (Tallahassee, FL)
- …designs, competitive position, product development, network options, strategic partnerships, utilization review , local/national client demographics and dentist ... confidentiality agreements. Monitor financial performance of contracts by tracking utilization and competitive environment, including group specific performance guarantees.… more
- Elevance Health (Tampa, FL)
- …regarding case and determines appropriate area to refer or assign case ( utilization management, case management, QI, Med Review ). + Provides information ... reports and documents all actions. + Responsibilities exclude conducting any utilization management review activities which require interpretation of clinical… more
- BayCare Health System (Lakeland, FL)
- …and agency staff. + Participates with Case Manager on initial Plan of Care review with a focus on quality, utilization and individual patient care goals. + ... within the area of responsibility. + Ensure quality assurance program and utilization review is followed in accordance with Home Care protocol. + Oversees and… more
- CenterWell (Jacksonville, FL)
- …performance in patient experience, quality of care, clinical outcomes, and avoidable utilization + Periodically review clinician charts to identify opportunities ... of health (SDOH) efforts, improving clinical outcomes and avoidable utilization + Monitor and manage daily patient care and...and monitor clinical & financial performance and metrics. + Review clinician schedules and incentive plans to align with… more