• Medical Director

    Elevance Health (Miami, FL)
    …must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US ... ** Medical Director** **Location:** This role enables associates to...reviews with attending physicians or other providers to discuss review determinations and patient's office visits with providers and… more
    Elevance Health (08/13/25)
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  • Director of Case Management ( RN / RT / MSW / LPN…

    Select Medical (Gainesville, FL)
    …and professional growth of the department, including, but not limited to: Utilization Review (UR) and resource management, discharge planning, treatment plan ... therapist or master's in social work and minimum three (3) years of medical case management or similar experience._** **Previous case mangement ( discharge planning… more
    Select Medical (08/02/25)
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  • Site Medical Director

    YesCare Corp (Tallahassee, FL)
    …measures including sentinel event review + Actively participant of the Utilization Review process and follow proper procedures. + Follows standard ... **Experience & Requirements** + Graduate of an accredited medical school. + Fully licensed to practice medicine...staff. + Ensure and provide on-call services. + Annually review and approve clinical protocols, policies and procedures, and… more
    YesCare Corp (08/22/25)
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  • Physician Advisor - UM MSQ

    BayCare Health System (Riverview, FL)
    …the hospital through teaching, consulting, and advising the care management and utilization review departments and the hospital leadership. + Develops expertise ... Preferred - Board certification by the American Board of Quality Assurance and Utilization Review Physicians, Inc. (ABQAURP) + Preferred - Physician Advisor… more
    BayCare Health System (08/29/25)
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  • Medical Management Specialist I

    Elevance Health (Tampa, FL)
    …regarding case and determines appropriate area to refer or assign case ( utilization management, case management, QI, Med Review ). + Provides information ... ** Medical Management Specialist I** **Location** : **Virtual:** This...and documents all actions. + Responsibilities exclude conducting any utilization management review activities which require interpretation… more
    Elevance Health (08/28/25)
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  • Associate Medical Director

    CenterWell (Jacksonville, FL)
    …performance in patient experience, quality of care, clinical outcomes, and avoidable utilization + Periodically review clinician charts to identify opportunities ... community and help us put health first** The Associate Medical Director (AMD) is an instrumental clinical leader of...of health (SDOH) efforts, improving clinical outcomes and avoidable utilization + Monitor and manage daily patient care and… more
    CenterWell (07/22/25)
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  • Associate Medical Director

    CenterWell (Daytona Beach, FL)
    …in patient experience, quality of care, clinical outcomes, and avoidable utilization *Periodically review clinician charts to identify opportunities in ... community and help us put health first** Job Description Summary The Associate Medical Director (AMD) is an instrumental clinical leader of our primary care team,… more
    CenterWell (06/12/25)
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  • Medical Records Technician (CDIS-Out…

    Veterans Affairs, Veterans Health Administration (West Palm Beach, FL)
    …billing denials and prevention against fraud and abuse and to optimize the medical center's authorized reimbursement for utilization of resources provided. Work ... This position is located in the Health Information Management Section of the Medical Administration Service at VAMC West Palm Beach, Florida. The West Palm Beach… more
    Veterans Affairs, Veterans Health Administration (08/28/25)
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  • Medical Director Cancer Institute

    BayCare Health System (Clearwater, FL)
    … staff's mutual interests and responsibility for quality assurance, appropriate utilization review , process improvement, and clinical performance. + Will ... here for Leadership Position Profile :_** **_Medical Director Cancer Institute_** ** Medical Director Cancer Institute Summary:** **_The Medical Director will… more
    BayCare Health System (08/19/25)
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  • Tampa FL Associate Chief Medical Officer…

    AdventHealth (Tampa, FL)
    …the Case Management staff and serves as physician liaison to promote appropriate utilization of resources by the medical staff. Performance improvement efforts ... Associate CMO assists the CMO in performance improvement, risk management, continuing medical education, medical staff office, medical school affiliation(s)… more
    AdventHealth (08/07/25)
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