- Danaher Corporation (Miami, FL)
- …clinical testing, and are used in hospitals, reference and research laboratories, and physician offices around the world. Every hour around the world, more than one ... supplier quality planning, digital integration, and advanced quality tool utilization . + Lead Cross-Functional and Transformational Initiatives Drive projects… more
- University of Miami (Miami, FL)
- …insurance eligibility of patient coverage benefits, notifying patient and referring physician in the event of failed eligibility. + Collaborates with scheduling ... via in-basket messaging. + Extensive collaboration with providers, nursing unit, and utilization review department in coordinating admissions. CTU + Must possess a… more
- Florida Health Care Plans, Inc. (Daytona Beach, FL)
- …and treatment of Behavioral Health patients * Case Management functions * Utilization Management functions. * Special Projects functions * Promotes positive patient ... as a liaison * Develops and implements psychoeducational program. * Assist the Physician Director with tasks and policy and procedures of the Department. * Provides… more
- AdventHealth (Maitland, FL)
- …who are at high risk for readmission or for high emergency room utilization . Follows up with patients at location of post discharge transfer. Conducts patient ... and family education, utilizing Teach Back method. Incorporates patient, physician , and customer needs and concerns into decision-making and organizational action.… more
- Fresenius Medical Center (Miami, FL)
- …and filing documents and completes within 24 hours of completed visit including physician reports to referral sources. + Communicate all changes about procedure and ... to parties engaged in research or study projects involving patient care and utilization of services in accordance with policy. + Oversees the materials going in… more
- AdventHealth (Orlando, FL)
- …with providers and facilitates changes in plan of care as directed by physician . + Shadows all new contracted Hospitalist providers. Performs chart audits and helps ... + Experience in Case Management, Managed Care, Discharge Planning and Utilization Management + Case Management training **LICENSURE, CERTIFICATION, OR REGISTRATION… more
- ZOLL Medical Corporation (Jacksonville, FL)
- …customers, and where possible, identifying and expanding opportunities to increase utilization and revenue.Essential Functions + Work in collaboration with your ... skills. + Travel and meet with existing and potential clients (eg, physicians, physician office groups at hospitals) to identify their clinical needs, goals, and… more
- Cognizant (Tallahassee, FL)
- …* A minimum of 2 years claim processing is required. * Knowledge of physician practice and hospital coding, and medical terminology, CPT, HCPCS, ICD-10 * Experience ... experience. * Experience in the analysis and processing of claims for payments, utilization review/quality assurance procedures. * Must be able to work with minimal… more
- University of Miami (Doral, FL)
- …insurance eligibility of patient coverage benefits, notifying patient and referring physician in the event of failed eligibility. + Collaborates with scheduling ... via in-basket messaging. + Extensive collaboration with providers, nursing unit, and utilization review department in coordinating admissions. CTU + Must possess a… more
- Elevance Health (Miami, FL)
- …plan and modifies as necessary. + Interfaces with Medical Directors and Physician Advisors on the development of care management treatment plans. + Negotiates ... providers, claims or service issues. + Assists with development of utilization /care management policies and procedures. **Minimum Requirements:** + Requires BA/BS in… more