- Elevance Health (Miami, FL)
- … medical necessity decisions. + Brings to their supervisors attention, any case review decisions that require Medical Director review or policy ... + Minimum of 1 year of experience with clinical case reviews for medical necessity. _The minimum...specific position is based on a number of legitimate, non -discriminatory factors set by the Company. The Company is… more
- Elevance Health (Miami, FL)
- ** Medical Director- Florida Medicare Plans** Location: This role enables associates to work virtually full-time, with the exception of required in-person training ... in Florida near our Miami or Tampa locations.** The ** Medical Director** will support the following Florida Medicare plans:...Healthcare Plans and will be responsible for utilization review case management for these markets. May be responsible for… more
- Elevance Health (Miami, FL)
- … medical necessity decisions. + Brings to their supervisors attention, any case review decisions that require Medical Director review or policy ... + Minimum of 1 year of experience with clinical case reviews for medical necessity. _The minimum...specific position is based on a number of legitimate, non -discriminatory factors set by the Company. The Company is… more
- Carnival Cruise Line (Miami, FL)
- This role reports to the Manager , Case Management and assists with supporting various population health, case management and seafarer health operations ... support. They will help maintain necessary documentation with regarding the crew members case while also ensuring that communication of the progress of the case… more
- ChenMed (St. Petersburg, FL)
- …(CSW) is a member of the care treatment team including the PCP, other Medical Specialists and Care Nurses. The incumbent in this role is responsible for providing ... psychosocial assessment, social case work and linkage to community resources for patients...+ Performs other duties as assigned and modified at manager 's discretion. **KNOWLEDGE, SKILLS AND ABILITIES:** + Keen business… more
- ChenMed (Jacksonville, FL)
- …conditions to the PCP, Clinician, Specialist and/or other clinical personnel. + Perform non -critical medical and therapeutic procedures based on medical ... people to join our team. The Care Promoter 1 is an unlicensed medical professional cross-trained to perform routine administrative and clinical tasks to keep the… more
- ChenMed (North Miami Beach, FL)
- …conditions to the PCP, Clinician, Specialist and/or other clinical personnel. + Perform non -critical medical and therapeutic procedures based on medical ... join our team. The Care Promoter 1, Early Embrace is an unlicensed medical professional cross-trained to perform routine administrative and clinical tasks to keep… more
- ChenMed (Hollywood, FL)
- …conditions to the PCP, Clinician, Specialist and/or other clinical personnel. + Perform non -critical medical and therapeutic procedures based on medical ... people to join our team. The Care Promoter 1 is an unlicensed medical professional cross-trained to perform routine administrative and clinical tasks to keep the… more
- Amazon (Port St. Lucie, FL)
- …workforce. To support these goals, Amazon is seeking an experienced and dynamic Onsite Medical Representative (OMR) to join our team. In this position, you will work ... closely with the WHS Site Manager , WHS Specialist, and occasionally the Injury Prevention Specialist...one-on-one interaction. Additionally, the OMR will participate in weekly case management review meetings as necessary. As an OMR,… more
- Datavant (Tallahassee, FL)
- …experience preferred. **You Will:** + Conduct inpatient coding audits on medical records, utilizing ICD-10-CM, CPT, and appropriate coding references for accurate ... DRG and APC assignment. + Review non -CC/MCC records to assess proper coding or identify the...+ Review disagreements on APC/DRG changes with the appropriate manager . + Prepare the final reports for the coding… more