- ChenMed (Orlando, FL)
- …participates in clinical rounds and conferences. At ChenMed, we remain committed to: 1. Physician Work/life balance 2. No nights/ no weekends / no call 3. Population ... maximize and promote clinical value, improve clinical quality, efficiency, physician /patient satisfaction and advance strategic business objectives. + Manages the… more
- Trinity Health (Fort Lauderdale, FL)
- …Summary:** The Lead APP is responsible for the supervision of the Physician Assistants and Nurse Practitioners of the designated service line. Duties include ... This includes developing and updating of an APP orientation program + Participates in physician meetings + Schedules and leads ongoing APP meetings to keep the team… more
- Humana (Tallahassee, FL)
- …scope. The Medical Director may speak with contracted external physicians, physician groups, facilities, or community groups to support regional market priorities, ... with prior experience participating in teams focusing on quality management, utilization management, case management, discharge planning and/or home health or… more
- CenterWell (Madison, FL)
- …care plans and interpreting patient needs, while adhering to Company, physician , and/or health facility procedures/policies. + Manages the assignment of caregivers. ... review of clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates and conducts… more
- Humana (Tallahassee, FL)
- …scope. The Medical Director may speak with contracted external physicians, physician groups, facilities, or community groups to support regional market priorities, ... with prior experience participating in teams focusing on quality management, utilization management, case management, discharge planning and/or home health or post… more
- ChenMed (St. Petersburg, FL)
- …wellness tools and resources for the care team's awareness and utilization with patients in need. **Communication:** + Maintains communication with interdisciplinary ... with challenged caregivers/family systems of high-risk patients + Appropriate utilization of community-based resources + Teamwork skills in care coordination… more
- Molina Healthcare (Tampa, FL)
- …and Finance team through analyzing key business issues related to cost, utilization and revenue for multiple Molina Healthcare products. Analyzes data and dashboard ... medical facilities, healthcare vendor, commercial health insurance company, large physician practices, managed care organization, etc.) + Strong Knowledge of… more
- CenterWell (Ocala, FL)
- …care plans and interpreting patient needs, while adhering to Company, physician , and/or health facility procedures/policies. + Manages the assignment of caregivers. ... review of clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates and conducts… more
- Abbott (Pensacola, FL)
- …includes influencing stakeholders within the hospital, driving product utilization , support on contracting, relationship development, relationship management, market ... on clinical differentiation in the procedure, value proposition, product launch, physician onboarding, early case coverage and training. + Influence stakeholders… more
- Highmark Health (Tallahassee, FL)
- …business relationships, the impact of Highmark's business decisions on Informatics, personnel utilization , and the use and planning of technology. The role involves ... nature for profiling providers, assessing patient outcomes, studying cost and utilization trends and quantitative projections of industry and competitor performance,… more