- CVS Health (Jacksonville, FL)
- …Neurosurgery, including post-graduate direct patient care experience specifically. Expands Aetna's medical management programs to address member needs across the ... continuum of care. Supports the Medical Management staff ensuring timely and consistent...providers and facilities to support the effective execution of medical services programs by the clinical teams.… more
- Elevance Health (Miami, FL)
- …**Clinical Operations Associate Medical Director** is responsible for supporting the medical management staff ensuring timely and consistent medical ... **Clinical Operations Associate Medical Director** **Interventional Pain** **Carelon Medical Benefits Management ** **Virtual:** This role enables associates… more
- CVS Health (Tallahassee, FL)
- …provide oversight for medical policy implementation. You will support the Medical Management staff ensuring timely and consistent responses to members and ... will focus primarily on review appeal cases for denied medical services . This includes First Level Appeals...coding, and reimbursement expertise as well as directing case management when necessary. The Medical Director will… more
- Humana (Tallahassee, FL)
- …and reports to the Lead Medical Director. **Other duties:** + Identify medical management operational improvements, including those within the medical ... and Waiver requests. The Medical Director provides medical interpretation and determinations whether services provided...achieve their best health - delivering the care and service they need, when they need it. These efforts… more
- AdventHealth (Altamonte Springs, FL)
- … staff to optimize resource utilization, ultimately resulting in enhanced patient service , improved medical staff satisfaction, and reduced costs. Furthermore, ... Business acumen covering strategic planning, information systems utilization, financial management , budgeting, reimbursement, managed care, healthcare economics, medical… more
- Astrix Technology (Tampa, FL)
- …to various aspects of transfusion and blood services + Collaborate with donor services staff to guide medical management , donor counseling, and deferral ... CLIA certification and compliance in laboratories + Shares on-call medical coverage for assigned service areas in...+ Shares on-call medical coverage for assigned service areas in rotation with other physicians. **Requirements:** +… more
- HCA Healthcare (Largo, FL)
- …Medical Staff Services . As our new Director, you will provide direction and management of the medical services office (MSO) activities. You will also ... United Kingdom. We are looking for a Director of Medical Staff Services for our HCA Florida...an accredited college or university . Current Certified Professional Medical Staff Management (CPMSM) and/or Certified Provider… more
- Molina Healthcare (FL)
- …implementation of policies and procedures that guide and support the provisions of medical staff services . Maintains a working knowledge of applicable national, ... medical oversight and expertise in appropriateness and medical necessity of healthcare services provided to...medical personnel, not influenced by fiscal or administrative management considerations, and that the care provided meets the… more
- BayCare Health System (St. Petersburg, FL)
- …care throughout the communities we serve. **Position Details:** **Title:** Manager Medical Staff Services **Facility:** St. Anthony's Hospital **Location:** St. ... maintaining hospital accreditation with The Joint Commission as it relates to Medical Staff Services . + Responsible for establishing and maintaining continuity… more
- MyFlorida (Daytona Beach, FL)
- …FOR PERSONS WITH DISABILITIES POSITION: Registered Nurse Specialist - Other Personal Services (OPS) WORKING TITLE: Medical Case Manager POSITION NUMBER: 67912017 ... Summary This is a professional OPS position responsible for medical case management and consultation throughout the...case manager to provide training for the provision of services outlined in the Medication Administration Rule FAC 65G-7,… more