- AdventHealth (Sanford, FL)
- …and give instructions. + Perform pre-visit RAF review . + Welcome Patient/tour practice/ review welcome packet. + Confirm all medical records are available for ... **Health Coach Medical Assistant AdventHealth Well 65 Sanford** **All the...to increase quality, increase patient satisfaction and reduce unnecessary utilization of health care resources. AdventHealth Senior Care is… more
- University of Miami (Miami, FL)
- …of UMHC SCCC Business Operations has an exciting opportunity for a full time Utilization Review Case Manager to work to work remote. The incumbent conducts ... initial, concurrent and retrospective chart reviews for clinical utilization and authorization. The Utilization Review Case Manager coordinates with the… more
- Veterans Affairs, Veterans Health Administration (Pensacola, FL)
- Summary This Medical Support Assistant (MSA) position is in the Diagnostic Service of the Gulf Coast Veterans Health Care System located in Pensacola,Florida. ... Responsibilities Total-Rewards-of-an-Allied-Health-VA-Career-Brochure.pdf Medical Support Assistant: vacareers.va.gov/wp-content/uploads/sites/5/Total-Rewards-of-a-MSA-VA-Career-Flyer.pdf The Medical Support… more
- Elevance Health (Miami, FL)
- …**Carelon Medical Benefits Management** **Post Acute Care Benefit Utilization Management** **Schedule: 10:00-7:00 Central Time** **** **Virtual:** This role ... decisions. + Brings to their supervisors attention, any case review decisions that require Medical Director ...attention, any case review decisions that require Medical Director review or policy interpretation. **Minimum… more
- Veterans Affairs, Veterans Health Administration (Miami, FL)
- …and team player who is adaptable to the needs of a growing medical center. Responsibilities This position is eligible for the Education Debt Reduction Program ... are determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply. VA… more
- Elevance Health (Miami, FL)
- …or case management experience and requires a minimum of 2 years clinical, utilization review , or managed care experience; or any combination of education ... 7am - 6pm EST and will include weekends. The ** Medical Management Nurse** will be responsible for review of the most complex or challenging cases that require… more
- CVS Health (Jacksonville, FL)
- …consistent responses to members and providers. Leads all aspects of utilization review /quality assurance, directing case management Provides clinical expertise ... CVS Health Company, has an exciting opportunity for a Medical Director (Spine) that can be remote based, work...that can be remote based, work from home. The Medical Director (Spine) will be a Subject Matter Expert… more
- Humana (Tallahassee, FL)
- …focused on continuously improving consumer experiences **Preferred Qualifications** + Medical utilization management experience + Working with health ... health first** The Corporate Medical Director (CMD) relies on medical background to review health claims and preservice appeals. The Corporate Medical … more
- CVS Health (Tallahassee, FL)
- …Management staff ensuring timely and consistent responses to members and providers. As a Medical Director you will focus primarily on review appeal cases for ... Delivery System eg, Clinical Practice and Health Care Industry. *Prior UM ( Utilization Management) experience *Active and current state medical license without… more
- BayCare Health System (Plant City, FL)
- … staff's mutual interests and responsibility for quality assurance, appropriate utilization review , process improvement teams, credentialing and appointment of ... excellence. **Location:** South Florida Baptist Hospital **Status:** **Part Time** **Chief Medical Officer - South Florida Baptist Hospital Summary:** + Management… more