- Olympus Corporation of the Americas (Tampa, FL)
- …team. The primary responsibility of this role is to manage and enhance the utilization of our disposable energy line within our key regional hospitals. This position ... strategies. **Job Duties** + Develop and execute strategies to increase the utilization of disposable products within our current hospital networks. + Collaborate… 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
- CVS Health (Tallahassee, FL)
- …insights and consultative solutions tailored to client needs. * Analyze utilization and performance data to inform recommendations and interventions. * Coordinate ... proficiency) * Financial acumen, including understanding of pricing and utilization metrics * Collaborative mindset with experience working across functions… more
- Centene Corporation (Tallahassee, FL)
- …data verification, data management, table creation and indexing, query optimization, utilization of stored procedures, developing complex queries using SQL or other ... Experience with table creation and indexing, query optimization, and utilization of stored procedures. Preferred knowledge of programmatic coding languages… 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
- Elevance Health (St. Petersburg, FL)
- …chronic illnesses, co-morbidities, and/or disabilities, to ensure cost effective and efficient utilization of long-term services and supports. + At the direction of ... and may be involved in process improvement initiatives. + Submits utilization /authorization requests to utilization management with documentation supporting and… more
- HCA Healthcare (Sanford, 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
- Select Medical (Orlando, 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
- Molina Healthcare (Miami, FL)
- …key medical management initiatives and analytical studies aimed at optimizing utilization of medical resources and maximizing operational efficiencies. + Engages ... with contracting/ network to standardize contracts for quality and utilization . **Job Qualifications** **REQUIRED EDUCATION:** Bachelor's Degree in Healthcare,… more
- HCA Healthcare (Brooksville, FL)
- …our Director, you will provide 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