- CenterWell (Deland, FL)
- …review of clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates and conducts ... problems, identifies and evaluates alternative courses of action through the utilization of Performance Improvement principles. + Responsible for review of the… more
- Humana (Tallahassee, FL)
- …with prior experience participating in teams focusing on quality management, utilization management, case management, discharge planning and/or home health or ... insurance, other healthcare providers, clinical group practice management. + Utilization management experience in a medical management review organization, such… more
- Molina Healthcare (Jacksonville, FL)
- …and Finance team through analyzing key business issues related to cost, utilization and revenue for multiple Molina Healthcare products. Designs and develops reports ... and/or Tableau and data management + Knowledge of healthcare operations ( utilization management, disease management, HEDIS quality measures, claims processing, etc.)… more
- Evolent (Tallahassee, FL)
- …+ Leading a team in the analysis and interpretation of cost and utilization data (medical and pharmaceutical) to explain potential upside/downside risks of a given ... Previous experience in a medical economics related position within Utilization Management/Clinical Vendor Management functions + Knowledge of healthcare underwriting… more
- University of Miami (Miami, FL)
- …Database Analyst analyzes data from various databases and develops scheduling and utilization reports, as well as various related reporting tools, such as dashboards ... design, development, implementation, and support of database systems through the utilization of industry-current database tools and technologies. + Ensures the… more
- Colliers Engineering & Design (Miami, FL)
- …of work and the sharing of resources within the discipline, maximizing staff utilization . Reviews staff utilization regularly and promptly addresses staff not ... meeting utilization goals. + Prepares for the future state of the discipline through succession planning. + Responsible for fostering staff professional development, monitoring staffing/recruiting activity, and effectively managing employee relations. +… more
- HCA Healthcare (Gainesville, FL)
- …and patient throughput while supporting a balance of optimal care and appropriate resource utilization . You would be part of a phenomenal team that works hard to ... physicians, patients, families, hospital staff, and outside agencies + Performs utilization management reviews and communicates information to third party payors +… more
- HCA Healthcare (Gainesville, FL)
- …psycho-social, financial). + Participates in IDT rounds, + Conducts utilization review, evaluates clinical information, and communicates findings to physicians ... and payors on a timely basis in accordance with the NFRMC Utilization Review Plan and managed care contractual agreements. + Submits clinical information to… more
- Genesis Healthcare (Oxford, FL)
- …Operations Area Director). 9. Assumes responsibility for daily staffing and utilization with input from treating therapists, consideration of clinical requirements, ... delivery of the highest standard of rehabilitation services through appropriate utilization of resources, the promotion of clinical programs, and staff development… more
- Rep-Lite (Orlando, FL)
- …conditions. You will be responsible for expanding awareness, increasing treatment utilization in established accounts, and building a strong network of referring ... Case Support + Develop and execute account-level strategies to increase product utilization + Provide in-field case support as needed, reinforcing adoption and… more