- HCA Healthcare (Sun City Center, FL)
- …As our Director, you willprovide direction to ensure the facilitation and utilization of diverse strategies and communication for quality and performance improvement ... Quality) OR CHCQM (Diploma in American Board of Quality Assurance and Utilization Review Physicians). _Individuals without CPHQ or_ CHCQM _will be granted a… more
- MyFlorida (Chattahoochee, FL)
- …and two years of documented employment. Knowledge, skills and abilities, including utilization of equipment, required for the position: * Knowledge of nursing ... of clients. * Ability to analyze complex reports and determine the service utilization habits of clients and to evaluate the appropriateness of that utilization… more
- AdventHealth (Orlando, FL)
- …will drive excellence in quality, education, workforce engagement, and optimal utilization of APPs in delivering whole-person care while upholding the AdventHealth ... **Strategic Leadership:** + Develop and implement a strategic vision for APP utilization and integration across service lines, aligned with AHMG's mission and… more
- CenterWell (Madison, 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
- Community Based Care of Brevard, Inc. (Brevard, FL)
- …Position Summary: This position is responsible for the clinical coordination, utilization management, and authorization of initial and ongoing services for children ... whenever possible. The position facilitates Team Review Meetings and the utilization review process, reviews and approves service requests, provides bypass service… more
- Select Medical (Gainesville, FL)
- …professional growth of the department, including, but not limited to: Utilization Review (UR) and resource management, discharge planning, treatment plan management ... patient-specific, safe and timely discharge plan. + Performing verification of utilization criteria reviews. + Building relationships and coordinating with payor… more
- Select Medical (Miami, FL)
- …by doing what is right. The Case Manager is responsible for utilization reviews and resource management, discharge planning, treatment plan management and financial ... patient specific, safe and timely discharge plan. + Performs verification of utilization criteria reviews. + Builds relationships and coordinate with payor sources… more
- Mayo Clinic (Jacksonville, FL)
- …of care throughout the continuum of care by ensuring appropriate utilization management, care coordination, resource utilization , and clinical documentation. ... RN Case Manager provides leadership through education on case management/ utilization management concepts, committee work, research, and community involvement. 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 post ... insurance, other healthcare providers, clinical group practice management. + Utilization management experience in a medical management review organization, such… more
- NBC Universal (Orlando, FL)
- …role leverages data-driven analytics to optimize labor efficiency, asset utilization , and capacity planning, driving continuous improvement initiatives that enhance ... decision-making and operational performance through improved labor efficiency, asset utilization , and capacity optimization. + Works cross-functionally to identify… more