- MTC (Quincy, FL)
- …record or other forms as appropriate. + Practice basic cost containment and utilization management for inmate care and facility operations. + Maintain absolute ... of Florida with an acceptable driving record required, unless waived by management . Management & Training Corporation (MTC) is an Equal Opportunity Employer. All… more
- Elevance Health (FL)
- …patients with IDD and patients with special needs is preferred. + Home Health, Utilization Management or Case Management experience strongly preferred. + ... responsible for participating in delivery of patient education and disease management interventions and for performing health coaching for members, across multiple… more
- CVS Health (Tallahassee, FL)
- …appropriate member care. . Attends and participates in case rounds, including utilization management rounds for behavioral health and physical health to ... and/or face to face assessing, planning, implementing, and coordinating all care management activities with members to evaluate the medical and behavioral health… more
- ChenMed (North Miami Beach, FL)
- …years' clinical work experience required. + A minimum of 1 year of utilization review and/or case management , home health, hospital discharge planning experience ... to preferred providers. + Coordinates the integration of social services/case management functions in the pre-acute, ER, acute and post-acute setting. Coordinates… more
- CVS Health (Tallahassee, FL)
- …Delivery System eg, Clinical Practice and Health Care Industry. *Prior UM ( Utilization Management ) experience *Active and current state medical license without ... provide oversight for medical policy implementation. You will support the Medical Management staff ensuring timely and consistent responses to members and providers.… more
- Veterans Affairs, Veterans Health Administration (Winter Park, FL)
- …knowledge of the internal referral care process, clinical review criteria, utilization management standards, clinical documentation requirements, community care ... position responsibilities that demonstrate leadership, experience and creative approaches to management of complex client care beyond the immediate practice setting.… more
- Wolters Kluwer (Tallahassee, FL)
- …including: + Conducting regular account review meetings and reviewing account utilization management reporting to provide recommendations + Overseeing contract ... + Closely managing the deal through closure and keeping management informed of any risks or delays + Retaining...level and other key decision makers + Excellent account management skills and ability to manage external and internal… more
- Bristol Myers Squibb (Tampa, FL)
- …measurement skills. + Procurement process knowledge, supplier selection, contract management , supplier management , technology utilization , strategic ... the position of Senior Manager, Procurement, Third Party Risk Management . The Senior Manager will perform duties within the...place as per the in-force enterprise Third Party Risk Management (TPRM) Standards and functional SOPs. On the on-going… more
- Ascension Health (Jacksonville, FL)
- …stakeholder and business demands, and assesses and implements appropriate resource utilization . + Participate in labor management projects, providing support ... **Details** + **Department:** Labor Management + **Schedule:** Full-time + **Location:** Jacksonville, FL **Benefits** Paid time off (PTO) Various health insurance… more
- Elevance Health (Miami, FL)
- …**Carelon Medical Benefits Management ** **Post Acute Care Benefit Utilization Management ** **Schedule: 10:00-7:00 Central Time** **** **Virtual:** This ... Operations Associate Medical Director** is responsible for supporting the medical management staff ensuring timely and consistent medical decisions to members and… more