- Evolent (Tallahassee, FL)
- …any license required per business needs + Active Board Certification in Medical Oncology + Strong clinical, management , communication, and organizational skills ... Doing:** What You Will Be Doing: + Serve as the Physician match reviewer in Medical Oncology and imaging cases, that do not initially meet the applicable medical … more
- BayCare Health System (Tampa, FL)
- …analyzing, collecting, and interpreting data. + Responsible to the Health Information Management Committee/ Medical Staff Services for Medical Staff ... on a full-time basis. **Responsibilities** + The Quality Data Coordinator - Medical Records coordinates medical record review with a multi-disciplinary team… more
- CVS Health (Tallahassee, FL)
- …within time zone of residence.** American Health Holding, Inc (AHH) is a medical management company that is a division within Aetna/CVS Health. Founded ... Management , Disease Management and Utilization Management . AHH delivers flexible medical management services that support cost-effective quality care… more
- Highmark Health (Tallahassee, FL)
- …**PREFERRED RESPONSIBILITIES** + Clinical operations analysis (monitors and analyzes medical management activities + Responsible for communicating review ... The Senior Risk Compliance Analyst is responsible for monitoring and analyzing medical and utilization management activities to ensure compliance with internal… more
- BayCare Health System (St. Petersburg, FL)
- …analyzing, collecting, and interpreting data. + Responsible to the Health Information Management Committee/ Medical Staff Services for Medical Staff ... Coordinator will work onsite on a full-time basis. Responsibilities + Coordinates medical record review with a multi-disciplinary team and distributes results for… more
- BayCare Health System (FL)
- …analyzing, collecting, and interpreting data. + Responsible to the Health Information Management Committee/ Medical Staff Services for Medical Staff ... will work remotely on a full-time basis. **Responsibilities** + Coordinates medical record review with a multi-disciplinary team and distributes results for… more
- ICW Group (Orlando, FL)
- …dedicated in-house counsel for litigation strategy and nurse case managers for medical management . **ESSENTIAL DUTIES AND RESPONSIBILITIES** **Strategic Claims ... risk stakeholders. + Builds strong partnerships with panel defense counsel, and medical management vendors to drive optimal outcomes. + Acts as a critical… more
- Veterans Affairs, Veterans Health Administration (Miami, FL)
- …operations. The Chief Engineer is a key managerial advisor reporting directly to top Medical Center management . This position is a responsible leader and a ... member of the Medical Center top management team and is relied on for authoritative advice on all aspects of engineering matters. This position is a fully… more
- MyFlorida (Orlando, FL)
- …Social Science or Health discipline (which can substitute 6 months of direct case management experience. + Completion of Medical Case Management AETC ... assessments and home visits. + Current HIV 500/501 certification. + Current Medical Case Management AETC Southeast AIDS Education certification. Florida… more
- Sedgwick (Orlando, FL)
- …of ERISA regulations, required offsets and deductions, disability duration and medical management practices and Social Security application procedures + ... Fallbrook Ave West Hills, CA 91304 **PRIMARY PURPOSE** : Provides disability case management and complex claim determinations based on medical documentation and… more