- Sharecare (Tallahassee, FL)
- …new hire plan selection, claims issues, ID card issues, grievances/appeals, utilization management ( UM ) status, including but not limited to medical , dental, and ... present premier provider options, including but not limited to medical , dental, and vision plans + Support for spending...and second opinion. + Referring members to Clinical Advocates ( Nurse ) for conditions that require clinical care and case… more
- NCH (Naples, FL)
- …is comprised of two hospitals, an alliance of 700+ physicians, and medical facilities in dozens of locations throughout Southwest Florida that offer nationally ... to: Provide higher acuity care and Centers of Excellence; Offer Graduate Medical Education and fellowships; Have endowed chairs; Conduct research and participate in… more
- University of Miami (Miami, FL)
- …hospitals and physicians to assist with health care needs patients seeking medical care with University of Miami Health System. CORE RESPONSIBILITIES + Coordinates ... the full-cycle of medical services for international or VIP patients by gathering...lodging for patients transferring to or seeking services at UM facilities including ambulance/air-ambulance services. + Schedules appointments, registers… more
- Molina Healthcare (FL)
- …within required timelines. + Refers appropriate prior authorization requests to Medical Directors. + Requests additional information from members or providers in ... Collaborates with multidisciplinary teams to promote Molina Care Model + Adheres to UM policies and procedures. + Occasional travel to other Molina offices or… more