- CVS Health (Palm Springs, FL)
- …your understanding of patient safety and error prevention, quality assurance drug utilization review (DUR), pharmacy professional standards such as corresponding ... care by solving or escalating patient problems + Offering to counsel, fielding medical questions, and soliciting information on a patient's medical history to… more
- Humana (Tallahassee, FL)
- …Facilities (MTF), other Care Management programs (such as Disease Management and Utilization Management), physicians, staff, or providers to ensure there is a fully ... **Role Responsibilities** + Assess, plan, coordinate, implement, monitor, and evaluate medical / behavioral health services required to meet the complex health… more
- HCA Healthcare (Trinity, 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...prioritize procedures to ensure efficient patient flow and optimum utilization of OR resources. You will deal with each… more
- 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 ... as well as free telemedicine services and free AirMed medical transportation. + Additional options for dental and vision...supporting a balance of optimal care and appropriate resource utilization .** + BSN Preferred + RN with current state… more
- Amentum (Jacksonville, FL)
- …for reference purposes + Accomplish various projects through the creation and utilization of design drawings and specifications + Perform tasks requiring repeated ... department to maintain adequate inventory on station + Access, review , and approve employee timesheets and Maximo Work Orders...to Antarctica for extended periods + Successful completion of Medical and Dental examinations required by the NSF for… more
- Cognizant (Tallahassee, FL)
- …experience. * Experience in the analysis and processing of claims for payments, utilization review /quality assurance procedures. * Must be able to work with ... UB or HCFA paper or EDI information. * Responsible for reviewing medical records when necessary to determine if service rendered was medically appropriate… more
- 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 (Hudson, FL)
- …You will promote cost effectiveness through the integration of case management, utilization review management and discharge planning. **What qualifications you ... 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 (Tamarac, FL)
- …or 2 years of critical care experience + Certification in case management or utilization review preferred + InterQual experience preferred + This position is ... 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
- Humana (Tallahassee, FL)
- …medical terminology and/or ICD-10 codes. + Member service + Experience with Utilization Review and/or Prior Authorization, preferably within a managed care ... orders and arrange a safe facility discharge. + Work with UM Nurses, Pharmacy, Medical Directors and other Departments. + During downtime make calls to UM Nurses,… more