- Sevita (Jacksonville, FL)
- …snapshots and evaluations for direct reports in consultation with the PD's manager ; reviews and approves Direct Support Professional and other staff member's ... in decisions regarding discipline and termination in consultation with the PD's manager and Human Resources; manages the termination of Direct Support Professionals… more
- HCA Healthcare (Port Charlotte, FL)
- …to protocol requirements/compliance + Ensures the integrity of the data submitted on Case Report Forms or other data collection tools by careful source document ... not provided by sponsor + Collects, completes, and enters data into study specific case report forms or electronic data capture systems + Generates and tracks drug… more
- CenterWell (Jacksonville, FL)
- …in patient experience, quality of care, clinical outcomes, and avoidable utilization + Periodically review clinician charts to identify opportunities in care, ... precise + Identify critical issues for high-risk patients during case reviews & other forums, and modeling and driving...of health (SDOH) efforts, improving clinical outcomes and avoidable utilization + Monitor and manage daily patient care and… more
- BayCare Health System (Bradenton, FL)
- …education regarding the Emergency Management program for office and agency staff. + Participates with Case Manager on initial Plan of Care review with a focus on ... area of responsibility. + Ensure quality assurance program and utilization review is followed in accordance with Home Care...quality, utilization and individual patient care goals. + Knowledge of… more
- Elevance Health (Tampa, FL)
- …program, including Prior Authorizations, Medication Therapy Management (MTM), Lock-in, and Drug Utilization Review (DUR) programs. **How you will make an impact:** + ... monographs, and formulary recommendations. + Develop strategies to drive formulary utilization and optimization. + Complete a year-long project targeted at improving… more
- Molina Healthcare (Tampa, FL)
- …+ Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM) or ... submitted to the Eastern US Quality Improvement Collaborative (EQIC) and/or utilization management committees. + Participates as needed in joint operation committees… more
- Elevance Health (FL)
- …providers to discuss review determinations. + May conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering providers to discuss ... state or territory of the United States when conducting utilization review or an appeals consideration and cannot be...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- BayCare Health System (Dunedin, FL)
- …education regarding the Emergency Management program for office and agency staff + Participates with Case Manager on initial Plan of Care review with a focus on ... area of responsibility + Ensure quality assurance program and utilization review is followed in accordance with Home Care...quality, utilization and individual patient care goals **Required Experience:** +… more
- CenterWell (Daytona Beach, FL)
- …in patient experience, quality of care, clinical outcomes, and avoidable utilization *Periodically review clinician charts to identify opportunities in care, ... coaching initiatives are precise *Identify critical issues for high-risk patients during case reviews & other forums, and modeling and driving clinical excellence… more
- Elevance Health (Tampa, FL)
- …thinking skills and nursing judgment and experience. + Collaborates with case management nurses on discharge planning, ensuring patient has appropriate equipment, ... Educates members about plan benefits and physicians and may assist with case management. + Collaborates with leadership in enhancing training and orientation… more