- CVS Health (FL)
- …consistent responses to members and providers related to precertification, concurrent review , and appeal request. This position is primarily responsible for ... including prior authorization and precertification as well as concurrent review . Cases could focus on inpatient or outpatient, acute...inpatient or outpatient, acute and post-acute as well as peer to peer calls and first level… more
- Evolent (Tallahassee, FL)
- …reviews to be completed by the subject matter expert. . Discusses determinations ( peer to peer phone calls) with requesting physicians or ordering providers, ... provides clinical rationale for standard and expedited appeals. . Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD … 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) . APP CORE ... management for side effects related to hematologic oncologic treatment. + Assist with Peer -to- Peer authorizations and filling out medical forms for patients. +… 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) . Sebastian ... collaborative team scientists, with a track record of excellence in research, peer -reviewed publications, and the potential to develop and/or lead clinical trials,… 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) . Advanced ... Necessity for procedures and medications. + Conduct insurance communications, including peer -to- peer reviews as needed. Provide patient education and guidance… more
- Elevance Health (Miami, FL)
- …The medical director provides clinical expertise in all aspects of utilization review and case management. Provides input on the clinical relevance to account ... + Leading multidisciplinary rounds for case management /complex clinical management. + Peer -to- peer outreach for both utilization reviews and also for case… 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 ... + Responds to medical and oncologic emergencies in CTU/clinics + Assist with Peer -to- Peer authorizations and filling out medical forms for patients. + Ensure… 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) . Research ... to develop and execute research projects.- Publish research findings in peer -reviewed scientific journals and present research at conferences and meetings.- Assist… more
- IQVIA (Orlando, FL)
- …and education only; no sales responsibilities, and no bedside care. + Provide peer -to- peer education and in-servicing to nurses, and hospital staff to support ... this role. Candidates must possess a valid driver's license and will be subject to a review of their driving record prior to hire. + Located within 1 hour of a major… more
- USAA (Tampa, FL)
- …of internal stakeholders and external intelligence sources (eg suppliers, peer financial institutions, information-sharing groups). + Prepares cases for presentation ... with external partners, including the National Cyber Forensic Alliance (NCFTA), peer financial institutions (FI) and law enforcement personnel. + Engagement with… more