- Aequor (Davie, FL)
- …contracted services . Provide direction and technical decision making for management involving capital asset purchases and expenses for projects and/or strategic ... /hr mins interview Screening Requirements: Basic Background 12-Panel Drug Test - yes Medical Screenings: A) Vision Screen - Near, Far, Color, Depth, and Peripheral… 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 to ... Position Is Not Remote Position Purposes: Evaluates and approves requested services using organizational policies or MCG(R) screening criteria. Responsibilities: +… more
- Vighter Medical Group (Tampa, FL)
- …employees or visitors for life, death, loss of sight/limb situations until Emergency Medical Services arrives. + Performs medical history and physical ... Manager and Regional Deputy Program Manager while performing healthcare services under the medical direction of the...custody. + Attends general staff meetings and participates with medical quality management initiatives and reviews as… more
- Vighter Medical Group (Jacksonville, FL)
- …the Regional Program Manager and Regional Deputy Program Manager while performing healthcare services under the medical direction of the National Medical ... record keeping functions in accordance with program policies and the system of records management . + Utilizes the electronic medical record and must maintain an… more
- Humana (Tallahassee, FL)
- …Medicare Advantage, Managed Medicaid and/or Commercial products, or other Medical management organizations, hospitals/ Integrated Delivery Systems, health ... other healthcare providers, clinical group practice management . + Utilization management experience in a medical management review organization,… more
- Humana (Tallahassee, FL)
- …Medicare Advantage, Managed Medicaid and/or Commercial products, or other Medical management organizations, hospitals/ Integrated Delivery Systems, health ... other healthcare providers, clinical group practice management . + Utilization management experience in a medical management review organization,… more
- Humana (Tallahassee, FL)
- …Medicare Advantage, Managed Medicaid and/or Commercial products, or other Medical management organizations, hospitals/ Integrated Delivery Systems, health ... other healthcare providers, clinical group practice management . + Utilization management experience in a medical management review organization,… more
- AdventHealth (Davenport, FL)
- …(C-CMO) is responsible for providing leadership, strategic direction and overall operational management of physician services and medical staff ... Medical staff relations, quality measurement credentialing, and previous medical management experience highly desirable **LICENSURE, CERTIFICATION, OR… more
- Humana (Tallahassee, FL)
- …Medicare Advantage, Managed Medicaid and/or Commercial products, or other medical management organizations, hospitals/ Integrated Delivery Systems, health ... and waiver requests. The Medical Director provides medical interpretation and determinations whether services provided...providers, clinical group practice management . + Utilization management experience in a medical management… more
- Centene Corporation (Tallahassee, FL)
- …changes everything for our 28 million members as a clinical professional on our Medical Management /Health Services team. Centene is a diversified, national ... Medical Director to direct and coordinate the medical management , quality improvement and credentialing functions... medical review of complex, controversial, or experimental medical services , ensuring timely and quality decision… more
