- Highmark Health (Tallahassee, FL)
- …the requested treatment of service. Depending on the nature of the case, telephonic peer to peer discussions may be required. The incumbent ensures compliance to ... DOL regulations at all times. In addition to utilization review , the incumbent participates as the physician member of...cases against medical policy criteria, which may include telephonic peer to peer discussions, to determine medical… more
- Elevance Health (FL)
- …+ Provides guidance for clinical operational aspects of a program. + Conducts peer -to- peer clinical reviews with attending physicians or other providers to ... discuss review determinations, and patients' office visits with providers and...visits with providers and external physicians. + May conduct peer -to- peer clinical appeal case reviews with attending… more
- University of Miami (Miami, FL)
- …or staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . CORE JOB ... and digital learning platforms. + Lead and contribute to grant proposals and peer -reviewed publications to secure funding and disseminate findings focused on AI and… more
- MyFlorida (La Belle, FL)
- …as a Family Support Worker and assumes the role of the WIC Breastfeeding Peer Counselor with the Department of Health in Hendry County (DOH-Hendry). Employee will be ... tasked to provide one-on-one peer support to clients in the Women, Infants and...up to 50 pounds as needed + Ability to review data for accuracy & completeness + Ability to… more
- Elevance Health (FL)
- …and providers. **How you will make an impact:** + Perform physician-level case review , following initial nurse review , of Medical Oncology regimens and ... supportive care. + Perform physician-level case review , following initial nurse review , of chemotherapy regimens. + Determine medical necessity of requests using… more
- Truist (Winter Park, FL)
- …(Required) **Work Shift:** 1st shift (United States of America) **Please review the following job description:** Provides in-office client and advisor support ... and client acquisition activities. 2. Support administrative fitness efforts through review of relevant reports and ensuring timely updates to book management… more
- Truist (Orlando, FL)
- …(Required) **Work Shift:** 1st shift (United States of America) **Please review the following job description:** Provides in-office client and advisor support ... and client acquisition activities. + Support administrative fitness efforts through review of relevant reports and ensuring timely updates to book management… 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 ... has an exciting opportunity for a full time Utilization Review Case Manager to work to work remote. The...and guidelines + Facilitates communication of denials and or Peer to Peer requests between payers and… more
- Microsoft Corporation (Orlando, FL)
- …Partners with internal peers and external stakeholders to ask/share best practices and review performance. Partners with staff within the coverage area to plan for ... or stores. **Growth Mindset** + Asks for and integrates supervisory, peer , and partner feedback, seeks mentorship, shadows experienced staff, and provides/receives… more
- MyFlorida (Sanford, FL)
- …will provide education based on the WIC Breastfeeding Curriculum. The role of Peer Counselor is to provide information to help clients make an educated infant ... is performed in the clinic setting and by phone. Peer counselors are available outside of normal work hours...is listed alphabetically & numerically, follow instructions, input and review data for accuracy & completeness, work independently or… more
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