• Fee Basis Physician (Radiation Oncology)

    Veterans Affairs, Veterans Health Administration (West Palm Beach, FL)
    Summary The West Palm Beach VA Medical Center is currently seeking a Fee Basis Physician (Radiation Oncology). The incumbent will be responsible for maintaining and ... systems of health care by participating in programs, following policies, improving utilization of resources and suggesting process changes for clinical programs in… more
    Veterans Affairs, Veterans Health Administration (06/08/25)
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  • Business Systems Analyst 3 - Revenue Integrity

    University of Miami (Miami, FL)
    …staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The ... flow of people, activities, and materials, employee work methods and utilization , policies and procedures, staffing levels, supervisory structure, space … more
    University of Miami (08/22/25)
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  • Division Director of Pathology

    HCA Healthcare (St. Petersburg, FL)
    …and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low ... as well as free telemedicine services and free AirMed medical transportation. + Additional options for dental and vision...HBP services in their respective Division to ensure maximum utilization of pathology resources and the efficient delivery of… more
    HCA Healthcare (08/21/25)
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  • Case Manager, Registered Nurse - Fully Remote

    CVS Health (Tallahassee, FL)
    …with transferring patients to lower levels of care. + 1+ years' experience in Utilization Review . + CCM and/or other URAC recognized accreditation preferred. + ... in 1993, AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical management services that support… more
    CVS Health (08/15/25)
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  • Accountant II

    MyFlorida (Tallahassee, FL)
    …circumstances, payment may need to be keyed manually within FLAIR. + Medical Quality Assurance Refunds + Process includes reviewing the refund application for ... special payment processing which includes: Utilities, Telephone Payments, Journal Transfers, Medical Records, and State Trauma payments. Assemble vouchers daily for… more
    MyFlorida (08/28/25)
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  • Vice President, Strategic Accounts

    Datavant (Tallahassee, FL)
    …benchmarking, goal setting, timely execution, and superior leadership. + Strong utilization of SalesForce to include monitoring and documenting member information. + ... Understanding and utilization of P&Ls to assist in reducing cost while...exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its… more
    Datavant (08/21/25)
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  • Innovation Operations Manager

    HCA Healthcare (Aventura, FL)
    …and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low ... health coverage as well as free telemedicine services and free AirMed medical transportation. + Additional options for dental and vision benefits, life and… more
    HCA Healthcare (08/09/25)
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  • Clinical Director

    MTC (Graceville, FL)
    …improvement committee. 7. Closely monitor all potential catastrophic events and perform utilization review and tracking. 8. Submit and implement recommendations ... for planning and implementing all professional psychological service programs of a non- medical nature in the facility. The psychologist coordinates and directs the… more
    MTC (08/02/25)
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  • Registered Nurse Care Manager PRN

    AdventHealth (Palm Coast, FL)
    …education to nurses, physicians and the interdisciplinary team on issues related to utilization of resources, medical necessity, CMS CoP for Discharge Planning ... Days **The community you'll be caring for:** 60 MEMORIAL MEDICAL PKWY, Palm Coast, 32164 **Location:** AdventHealth Palm Coast...(as permitted by the patient) as well as a review of the current and past inpatient and outpatient… more
    AdventHealth (08/27/25)
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  • RN Case Manager PRN

    HCA Healthcare (Ocala, FL)
    …required + 4 year Bachelor Degree preferred + Certification in Case Management or Utilization Review preferred + 1 year experience in acute hospital with ... and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low… more
    HCA Healthcare (08/09/25)
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