- HCA Healthcare (Tallahassee, FL)
- …and assess observation patients for appropriateness in observation status + Performs utilization management reviews and communicates information to third party ... is acceptable for position if current and compliant** + **Certification in Case Management , Nursing, or Utilization Review, preferred** + **Three years of… more
- HCA Healthcare (Tallahassee, FL)
- …and assess observation patients for appropriateness in observation status + Performs utilization management reviews and communicates information to third party ... is acceptable for position if current and compliant** + **Certification in Case Management , Nursing, or Utilization Review, preferred** + **Three years of… more
- HCA Healthcare (Tallahassee, FL)
- …and assess observation patients for appropriateness in observation status + Performs utilization management reviews and communicates information to third party ... is acceptable for position if current and compliant** + **Certification in Case Management , Nursing, or Utilization Review, preferred** + **Three years of… more
- Community Based Care of Brevard, Inc. (Rockledge, FL)
- …Microsoft and a web-based application for daily entry of case activity and the utilization management of service authorizations. 3. 2+ years of Team Facilitation ... Position Summary: This position oversees and manages the authorization and utilization of services delivered for families determined by the Department of… more
- Community Based Care of Brevard, Inc. (Rockledge, FL)
- …and a web based application for daily entry of case activity and the utilization management of service authorizations. 2+ years' experience serving at risk ... case plan outlining family needs, goals and services. Service Utilization UM/Wrap: This is strongly recommended in order to...in order to manage and track the daily service utilization log, monitors costs and tracks 3rd party resources.… more
- HCA Healthcare (Kissimmee, FL)
- …caregivers, case management , and admitting departments to promote effective utilization management through coordination of efforts involving patient flow. ... the patient flow program effectiveness as it relates to utilization review, resource management , and discharge planning...as it relates to utilization review, resource management , and discharge planning and care coordination. + Establish… more
- Evolent (Tallahassee, FL)
- …**What You'll Be Doing:** As a FMD, Radiology you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference ... the Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. +… more
- Evolent (Tallahassee, FL)
- …Doing:** As a Field Medical Director, Oncology, you will be a key member of the utilization management team. We can offer you a meaningful way to make a ... the Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. .… more
- Humana (Tallahassee, FL)
- …interpretation skills, with prior experience participating in teams focusing on quality management , utilization management , case management , discharge ... Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management . + Utilization management experience in a… more
- Select Medical (Pensacola, FL)
- … within the plan of care. + Demonstrates compliance with facility-wide Utilization Management policies and procedures. + Coordinates UR compliance with ... what is right. The Case Manager is responsible for utilization reviews and resource management , discharge planning, treatment plan management and financial… more