- Humana (Tallahassee, FL)
- …interpretation skills, with prior experience participating in teams focusing on quality management , utilization management , case management , discharge ... Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management . + Utilization management experience in a… more
- Highmark Health (Tallahassee, FL)
- …:** **JOB SUMMARY** This job, as part of a physician team, ensures that utilization management responsibilities are performed in accordance with the highest and ... and DOL regulations at all times. In addition to utilization review, the incumbent participates as the physician member...member of the multidisciplinary team for case and disease management . They will advise the multidisciplinary team on cases,… more
- HCA Healthcare (Coral Springs, FL)
- …to include but not limited to: Clinical initiatives that impact drug utilization , clinical education and staff development, management of appropriate drug ... We care like family! Jump-start your career as a(an) Division Director Clinical Pharmacy Services today with HealthTrust Supply Chain. **Benefits** HealthTrust… more
- CenterWell (Daytona Beach, FL)
- …patient care and business outcomes. KEY RESPONSIBILITIES *Leadership & Organizational Management : *Understand organizational & market priorities, trends, and ... the year. Dyad Partnership: *Collaborate with operational leaders (Associate Operations Director and/or Market President) and Shared Services partners to… more
- CenterWell (Jacksonville, FL)
- …to optimize patient care and business outcomes. **Leadership & Organizational Management :** + Understand organizational & market priorities, trends, and ... the year. **Dyad Partnership:** + Collaborate with operational leaders (Associate Operations Director and/or Market President) and Shared Services partners to… more
- HCA Healthcare (Pensacola, FL)
- …labor management , including position control, scheduling excellence, productivity management , and premium pay utilization . Maintains staffing to ensure ... in 21 states and the United Kingdom. We are looking for an Administrative Director Emergency Services for our HCA Florida West Hospital team where excellence creates… more
- HCA Healthcare (Kissimmee, FL)
- …HCA Healthcare colleagues invested over 156,000 hours impacting our communities. As a Director of Physician Services II with HCA Florida Osceola Hospital, you can be ... vary by location._** Come join our team as a Director of Physician Services II. We care for our...who oversees and takes ownership of a clinical operations market with 51 or more providers. The DPS II… more
- Molina Healthcare (FL)
- …Duties * Provides behavioral health oversight and clinical leadership for health plan and/or market specific utilization management and care management ... - working closely with regional medical directors to standardize behavioral health utilization management policies and procedures to improve quality outcomes and… more
- Elevance Health (Tampa, FL)
- …Capabilities and Experiences:** + Child and Adolescent experience preferred. + Utilization Management experience. + Applied Behavior Analysis (ABA) experience. ... **Behavioral Health Medical** ** Director -Psychiatrist** **Appeals** **Location:** This role enables associates to work virtually full-time, with the exception of… more
- Elevance Health (Miami, FL)
- **Clinical Operations Medical Director ** **Medical Oncology** **Carelon Medical Benefit Management ** **Virtual** : This role enables associates to work virtually ... domains, including radiology, cardiology and oncology._ The **Clinical Operations Medical Director ** is responsible for supporting the medical management staff… more