- Elevance Health (Miami, FL)
- …medical decisions to members 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. +… more
- Elevance Health (FL)
- …state mandated policies, and CMS Coverage Determinations, as applicable. + Perform physician -level case review of utilization requests for procedures ... policies when making medical necessity decisions. + Brings to their supervisors attention, any case review decisions that require Medical Director review or… more
- ChenMed (St. Petersburg, FL)
- …patient's primary care physician to meet urgent patient needed with the aim of preventing unnecessary hospital arrivals + Performs other duties as assigned and ... other members of the care team that provides hyperfocus case management and field nursing interventions to prevent unnecessary...episode of care management the register nurse (RN) will review patient chart for discharge and conduct final discharge… more
- Elevance Health (FL)
- …policies when making medical necessity decisions. + Brings to their supervisors attention, any case review decisions that require Medical Director review or ... the Elevance Health family of companies, Carelon Medical Benefits Management, formerly AIM Specialty Health, is a benefit-management leader in Illinois. Our platform… more