- CVS Health (Tallahassee, FL)
- … Management and Utilization Management . AHH delivers flexible medical management services that support cost-effective quality care for members. Work in ... / 8:30am-5pm EST, Monday-Friday.** American Health Holding, Inc (AHH) is a medical management company that is a division within Aetna/CVS Health. Founded in 1993,… more
- CenterWell (Tallahassee, FL)
- …of our caring community and help us put health first** The **Denials Management Specialist** is responsible to respond to, monitor and analyze all governmental ... the dissemination of information. + Provides trended reports for operations and clinical management in order to improve performance, collaborates with and acts as a… more
- AdventHealth (Altamonte Springs, FL)
- …of Altamonte Springs, our facility is consistently named "Best Hospital" for overall quality , reputation, doctors and nurses by local residents. + As the largest ... and world-class resources. **The role you'll contribute:** The Registered Professional Nurse (RN) is responsible for providing and supervising direct and indirect… more
- Veterans Affairs, Veterans Health Administration (Miami, FL)
- …care delivery through technology. They are responsible for program development, staff management , quality assurance, and collaboration with other department. The ... Summary The Miami VAMC is looking for a Nurse Manager - Virtual care who functions as...for the coordination of care focused on patient education, self- management , and customer satisfaction throughout the continuum of care.… more
- Veterans Affairs, Veterans Health Administration (Lake City, FL)
- …VA Healthcare System's Primary Care Service is seeking an experienced and dynamic Nurse Practitioner (NP). Ideal applicants are those who want to contribute to the ... achievement of quality care standards, as well as the growth and...hospital program. Responsibilities As a Licensed Independent Provider, the Nurse Practitioner practices autonomously and in coordination with health… more
- CVS Health (Tallahassee, FL)
- …state of Florida. **Applicant must reside in Florida** . As a Utilization Management Nurse Consultant, you will utilize clinical skills to coordinate, document ... we do it all with heart, each and every day. **Position Summary** Utilization Management is a 24/7 operation and work schedule may include weekends, holidays and… more
- CVS Health (Tallahassee, FL)
- …do it all with heart, each and every day. **Position Summary** _Utilization management is a 24/7 operation. Work schedules will include weekend/holiday and evening ... other products, services and/or programs + Identifies opportunities to promote quality effectiveness of Healthcare Services and benefit utilization + Consults and… more
- CVS Health (Tallahassee, FL)
- …required. This is a typical office working environment with productivity and quality expectations. Work requires the ability to perform close inspection of and ... time, talking on the telephone, and typing on the computer. The UM Nurse Consultant utilizes clinical skills to coordinate, document and communicate all aspects of… more
- CVS Health (Tallahassee, FL)
- …other products, services and/or programs. + Identifies opportunities to promote quality effectiveness of Healthcare Services and benefit utilization. + Consults and ... constituents in the coordination and administration of the utilization/benefit management function. + Typical office working environment with productivity and… more
- University of Miami (Miami, FL)
- …national standards. + Consults with and serves as a clinical resource for unit management to ensure quality patient care. + Educates technical and patient care ... of Miami Gordon Center, as well as our community clinical partners, to ensure high quality clinical outcomes. The Simulation Nurse Educator is part of the Gordon… more
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