- CVS Health (Tallahassee, FL)
- …advocates for members who cannot advocate for themselves. The TOC team will review prior claims to address potential impact on current case management and ... functioning in the community. - Utilizes weekly and daily reporting to identify utilization for the purpose of reducing Emergency Department Utilization and… more
- AssistRx (Orlando, FL)
- …assigned project managers + Ensures PM utilize scope management practices + Review and/or approve Status Reports, Project Schedules, Financial Summaries, etc + ... transition to operations + Drive to business outcomes & utilization , not just deadlines + Drives adherence to IT...pay structure. + Matching 401(k) with immediate vesting. + Medical , dental, vision, life, & short-term disability insurance. +… more
- AdventHealth (Land O' Lakes, FL)
- …for one another and respect for each persons unique contributions, provides utilization review care that is non-judgmental and non-discriminatory. Consider ... on a specific group of patients.The Case Manager is responsible for utilization reviews and resource management, discharge planning, treatment plan management and… more
- Matrix Providers (Jacksonville, FL)
- …Defense Health Agency (DHA), and TRICARE directives, coordinating with the local Medical Home Port (MHP) clinic, utilization and Referral Management policies, ... a pattern of high risk, unstable and resource intensive utilization of Military Treatment facility (MTF) or network services...facilities. + Follow up with MHP team members regarding review of patient charts, medical records, and… more
- HCA Healthcare (Okeechobee, 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...of equipment in the facilities and reporting of facility utilization /need. **In this role you will be responsible for:**… more
- 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) . APP, ... not limited to , onboarding and mentorship of new staff , development, review , and implementation of unit specific competencies, and annual evaluations. This role… more
- Veterans Affairs, Veterans Health Administration (Lake City, FL)
- Summary The Malcom Randall VA Medical Center is currently seeking a full-time Physician to join the North Florida/South Georgia VA Medical Center Mental Health ... and privileging processes, monitoring and evaluation of clinical practice, peer review , and other appropriate quality assurance activities. The Program Manager will… more
- MyFlorida (Chattahoochee, FL)
- …on medical and health care services, patient assessments, and utilization practices. + Ability to develop program policy, procedures, manuals, administrative ... a magnitude of daily resident incident reports in a priority manner. Review reports for timeliness, content, accuracy, and ensuring compliance with applicable… more
- 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 ... assignments in order to provide safe, quality care. + Responsible for the utilization and maintenance of appropriate nursing care plans, and assure nursing staff is… more
- Humana (Miramar, FL)
- …verification of benefits coverage and eligibility for services per Health Plan contract. Review referral data matching it against specified medical terms and ... in the Health Plan contractual agreements. The Pre-Service Coordinator will review inbound referrals and correspondence for processing, fulfilment or resolution… more