- Actalent (Sunrise, FL)
- …necessity and appropriateness, using standardized Review Criteria. + Coordinate with Medical Director /Physicians for requests outside of standard Review ... ensure completion of assigned caseload. + Serve as a liaison between Medical Director , physicians, and office staff to resolve prior authorization issues. +… more
- CenterWell (Daytona Beach, FL)
- …to make an impact** The Physician Lead reports directly to the Associate Medical Director and is directly responsible for administrative oversight and outcomes ... of care including, but not limited to working collaboratively with the Associate Medical Director and Operational Leadership to: + Advance the Model of Care +… more
- University of Miami (Miami, FL)
- …for a Full Time Director , Clinical Operations to work at the UHealth medical campus in Miami, FL. The Director , Clinical Operations directs overall strategy ... of hospital-based outpatient clinic(s) within the Department of Medicine. The Director analyzes, develops, and executes resource management modeling, inclusive of… more
- Actalent (Fort Lauderdale, FL)
- …and appropriateness using standardized Review Criteria. + Coordinate with the Medical Director /Physicians for requests outside of standard Review Criteria. ... completion of assigned caseload. + Act as a liaison between the Medical Director , physicians, and office staff to resolve prior authorization questions. +… more
- Elevance Health (Tampa, FL)
- …nursing judgment to determine whether treatment is medically necessary and provides consultation to Medical Director on cases that are unclear or do not satisfy ... if services are not in line with diagnosis. + Provide consultation to Medical Director on particularly peculiar or complex cases as the nurse deems appropriate.… more
- University of Miami (Miami, FL)
- …abdominal organs in approximately 50% of cases. + In conjunction with the Medical Director assumes ultimate responsibility for donor management and the process ... electronic medical record. + Shares on-call responsibility with Medical Director to oversee clinical evaluation and management of potential organ donors… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …evidence-based criteria guidelines within the appropriate time frame. + Notifies the Medical Director of all acute care admissions not meeting evidence-based ... necessity for the requested level of care/patient status to the Medical Director . + Proactively identifies and resolves delays and obstacles for safe discharge.… more
- Banfield Pet Hospital (FL)
- …liaison between their university (students and faculty) and an assigned Banfield Medical Director . Essential Responsibilities and Tasks + Represent Banfield Pet ... Banfield. + Assist the Student Programs team and assigned Banfield Medical Director in arranging campus visits at the Ambassador's school by distributing… more
- University of Miami (Miami, FL)
- …educating clinical team, reviewing and investigating safety events. + Meets with QA Medical Director and Laboratory Director for final assessment of ... utilization and brings utilization issues to the attention of the Medical Director (s). + Analyzes data, generates graphs of quality indicators, conducts… more
- HCA Healthcare (Fort Pierce, FL)
- …initializing timely, appropriate patient transfers. In collaboration with the Rehab Medical Director , the Clinical Rehabilitation Specialist ensures appropriate ... approval of Inpatient Preadmit screening + Work with insurance companies, medical director , program director , staff, physicians, patients and their families… more