- HCA Healthcare (St. Petersburg, FL)
- …PI labor and facility leaders and executives to ensure optimal utilization to support staffing requirements/expectations. This individual should possess excellent ... other Financial Resiliency initiatives to include but not limited to PRN utilization , overtime, weekend commitment, and under/over commitment. + Responsible for the… more
- Florida Atlantic University (Boca Raton, FL)
- …Mapping and Documentation Coordinator reports directly to the Director of Space Utilization or designee and serves all University sites and campuses. This position ... of infrastructure drawings, specifications and as-built records. + Space Planning and Utilization : + Collect relevant data for space utilization studies to… more
- Evolent (Tallahassee, FL)
- …the mission. Stay for the culture. **What You'll Be Doing:** To ensure the appropriate utilization of services act as an advocate for our members and to ensure the ... care. **Collaboration Opportunities** : As a Radiation Technologist in the Utilization Management department, you will work closely with other nurses, managers,… more
- Molina Healthcare (FL)
- …to medical care costs. * Analyzes the financial performance, including cost, utilization and revenue of all Molina products - identifying favorable and unfavorable ... Tableau and data management. * Knowledge of health care operations ( utilization management, disease management, HEDIS quality measures, claims processing, etc.) *… more
- Oracle (Tallahassee, FL)
- …with healthcare executives, clinical leaders, and IT teams to drive adoption and utilization of the Oracle Population Health suite. o Provide expert guidance on ... to continuously assess and identify opportunities for expansion and deeper utilization of Oracle Population Health solutions across the organization. o Identify… more
- Centene Corporation (Tallahassee, FL)
- …taken on member medical records in health management systems according to utilization management policies and guidelines + Works with healthcare providers to approve ... and concurrent review findings + Assists with providing education to providers on utilization processes to ensure high quality appropriate care to members + Provides… more
- Elevance Health (Cape Coral, 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
- Molina Healthcare (FL)
- …with multidisciplinary teams to promote the Molina care model. * Adheres to utilization management (UM) policies and procedures. Required Qualifications * At least 2 ... or emergency room. Preferred Experience Previous experience in managed care Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual /… more
- Highmark Health (Tallahassee, FL)
- …Inc. **Job Description :** **JOB SUMMARY** This job implements effective utilization management strategies including: review of appropriateness of health care ... services, application of criteria to ensure appropriate resource utilization , identification of opportunities for referral to a Health Coach/case management, and… 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