- Elevance Health (Miami, FL)
- **Clinical Operations Medical Director** **Medical Oncology** **Carelon Medical Benefit Management ** **Virtual** : This role enables associates to work virtually ... proud member of the Elevance Health family of companies, Carelon Medical Benefits Management , formerly AIM Specialty Health, is a benefit- management leader in… more
- Molina Healthcare (FL)
- …with multidisciplinary teams to promote the Molina care model. * Adheres to utilization management (UM) policies and procedures. Required Qualifications * At ... or emergency room. Preferred Experience Previous experience in managed care Prior Auth, Utilization Review / Utilization Management and knowledge of… more
- Herc Rentals (Bonita Springs, FL)
- …performance. Lead the company's total earthmoving category to deliver dollar utilization above the company's average. Identify market trends, customer needs, and ... growth opportunities. Collaborate with senior management to align rental services with overall company goals. Contribute to the annual fleet planning and disposal… more
- HCA Healthcare (Gainesville, FL)
- …and improve the patient flow program effectiveness as it relates to utilization review, resource management , and discharge planning and care coordination. ... location._** It is an exciting time to be a nurse at HCA Healthcare! Come unlock your career potential...PCP's to address and resolve issues related to facility utilization and patient flow process and facilitate strong working… more
- Trinity Health (Fort Lauderdale, FL)
- …Director as part of the Board report** **Working knowledge of quality management and resource utilization methodologies** **Computer skills in Microsoft office ... Type:** Full time **Shift:** **Description:** **Purpose** **: Collaborates with the management team to integrate evidence based practice at the bedside with… more
- HCA Healthcare (Ocala, FL)
- …patient throughput while supporting a balance of optimal care and appropriate resource utilization . + Provides case management services for both inpatient and ... assigned **What qualifications you will need:** + (RN) Registered Nurse + Associate Degree + 2 years acute hospital...4 year Bachelor Degree preferred. + Certification in Case Management or Utilization Review preferred HCA Florida… more
- ZOLL Medical Corporation (Leesburg, FL)
- …patients suffering from serious cardiopulmonary and respiratory conditions.ZOLL Cardiac Management Solutions offers a unique portfolio of novel technologies designed ... patients at risk of sudden cardiac death. + HFMS (https://cardiacdiagnostics.zoll.com/products/heart-failure-arrhythmia- management -system/) (Heart Failure Management system) is a… more
- Centers Plan for Healthy Living (Margate, FL)
- …Plan For Healthy Living is currently accepting applications for Full Time Registered Nurse without experience. The Utilization Management Clinical Reviewer ... or support in their home to improve their quality of life. Utilization Management Clinical Reviewer will assess and process all authorization requests to… more
- HCA Healthcare (Orange Park, FL)
- … experience is required for this PRN role. + Certification in Case Management or Utilization Review is preferred. + InterQual experience is preferred. ... you have the PRN career opportunities as a **Registered Nurse (RN) Case Manager** you want with your current...stay, managing the length of stay, ensuring appropriate resource management , while developing a safe appropriate discharge plan. +… more
- BayCare Health System (Bradenton, FL)
- …bodies within the area of responsibility. + Ensure quality assurance program and utilization review is followed in accordance with Home Care protocol. + Oversees and ... investigates patient and physician concerns, risk management concerns and implements changes and training where necessary....Plan of Care review with a focus on quality, utilization and individual patient care goals. + Knowledge of… more