- DOCTORS HEALTHCARE PLANS, INC. (Miami, FL)
- Position Summary: The Director of Medical Management is responsible for the strategic direction, leadership, and oversight of all medical management ... accreditation requirements. This position is responsible for the day-to-day management of the Medical Management ...responsible for the day-to-day management of the Medical Management Department staff, based upon established… more
- Elevance Health (Miami, FL)
- ** Medical Management Nurse** **Location:** Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training ... for this position are 7am - 6pm EST and will include weekends. The ** Medical Management Nurse** will be responsible for review of the most complex or challenging… more
- Elevance Health (Tampa, FL)
- ** Medical Management Specialist I** **Location** : **Virtual:** This role enables associates to work virtually full-time, with the exception of required ... is granted as required by law. **Shift:** Monday-Friday 8a-5p EST The ** Medical Management Specialist I** is responsible for providing non-clinical support… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …requests. + Reviews cases referred by the prior-authorization non-clinical medical management coordinator and pre-certification technician staff according ... MCG(R) screening criteria. Responsibilities: + Manages appropriate cases that require medical necessity review such as home care, elective inpatient and outpatient… more
- University of Miami (Hialeah, FL)
- …Supply Chain has an exciting opportunity for a Full Time Manager, Supply Chain Asset Management to work in the UHealth Medical Campus. Core Job Summary The Asset ... supplier/vendor se lection, capital equipment procurement and implementation, and fleet management . Core Responsibilities + Serves as the medical equipment… more
- CVS Health (Tallahassee, FL)
- …active license. + 3+ Years of clinical experience. + 1+ Year of Utilization Review Management and/or Medical Management experience. + Must have active and ... Med Review nurses use specific criteria to authorize procedures/services or initiate a Medical Director referral as needed. + Assists management with training… more
- Cleveland Clinic (Weston, FL)
- …or trauma. The department is directed by anesthesiologists who are board-certified in pain management . As a Medical Assistant on this team, you will collaborate ... welcoming, comfortable environment for patients, families and visitors. In our Pain Management Department, you will collaborate with fellow staff to create a… more
- Select Medical (Miami, FL)
- …significant PI findings pertaining to adverse drug reactions, drug usage evaluation, medical management of acute transfers and other CQI indicators. ... **Location: Miami, FL** **$10,000 Sign-on Bonus** **Director of Quality Management ** **(DQM)** **Responsibilities** **Position Summary** Coordinates the Medical … more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- Responsibilities: + Point of contact for providers regarding medical /behavioral/clinical services or benefits. Including (e-g notification, authorization). + Extract ... and review fax requests for medical or clinical services requests. +... or clinical services requests. + Receive calls requesting medical /clinical services or benefits information, respond to and transfer… more
- Select Medical (Gainesville, FL)
- …therapist or master's in social work and minimum three (3) years of medical case management or similar experience._** **Previous case mangement ( discharge ... in a clinical or a related discipline. + Minimum three (3) years of medical case management or similar experience. + Two (2) years of experience in either (a)… more