- AdventHealth (Altamonte Springs, FL)
- …role you will contribute:** The Physician Advisor provides primary support for Utilization Management (UM) and secondary support for Care Management (CM) ... documentation, patient safety, and quality outcomes. Through primary support of Utilization Management , the Physician Advisor is responsible for providing… more
- AdventHealth (Tampa, FL)
- …role you'll contribute** **:** The Physician Advisor provides primary support for Utilization Management (UM) and secondary support for Care Management ... documentation, patient safety, and quality outcomes. Through primary support of Utilization Management , the Physician Advisor is responsible for providing… more
- Veterans Affairs, Veterans Health Administration (West Palm Beach, FL)
- …(HRO), performs psychiatry Quality of Care audits and functions as the Department Physician Utilization Management Advisor (PUMA) to ensure compliance. ... of mental health. Incumbent collaborates and participates with facility leadership and Utilization Management to ensure practices follow JC, CARF, and CO… more
- Humana (Tallahassee, FL)
- …will be a key enterprise leader, with responsibility for evolving Humana's Utilization Management of medical review by physician or nurse, with a focus on ... The Director, Physician leadership will lead Medical Directors performing utilization management for inpatient authorizations training medical director team… more
- Ascension Health (Jacksonville, FL)
- …5 years of recent work experience in a hospital setting, preferably with some Physician Advisory/ Utilization Management work experience. If you are ready ... **Details** + **Department** : Case Management + **Schedule:** Full Time | Hybrid (frequently...**Position Highlights** Ascension St. Vincent is looking for a Physician Advisor to join our team. We are looking… more
- ChenMed (Miami, FL)
- …people to join our team. The Physician Reviewer is the primary physician reviewer for Utilization Management /Clinical Appropriateness review cases in our ... Process and Quality improvement in our developing area of Delegated Utilization Management . **ESSENTIAL JOB DUTIES/RESPONSIBILITIES:** + Provides Delegated… more
- AdventHealth (Orlando, FL)
- …creating a holistic environment. **The role you'll contribute:** The role of the Utilization Management (UM) Registered Nurse (RN) is to use clinical expertise ... years acute care clinical nursing experience required. + Minimum two years Utilization Management experience, or equivalent professional experience. + Excellent… more
- Elevance Health (Miami, FL)
- **Wound Care Utilization Management RN** A proud member of the Elevance Health family of companies, **Carelon Post Acute Solutions** , formerly myNEXUS, is the ... + WOCNCB certification preferred. Home health experience preferred. + 1 year of Utilization Management experience preferred. + Compact license would be preferred… more
- AdventHealth (Tampa, FL)
- …cancer and other diseases. **The role you'll contribute:** The role of the Utilization Management (UM) Registered Nurse (RN) is to use clinical expertise ... 3 years acute care clinical nursing experience required. Minimum 2 years Utilization Management experience, or equivalent professional experience. This facility… more
- Veterans Affairs, Veterans Health Administration (Bay Pines, FL)
- …departments and staff on projects pertaining to the delivery of comprehensive Pain Management . May function as the collaborating physician for the inpatient and ... Primary Care Service is seeking an experienced and dynamic Primary Care Pain Physician . Ideal applicants are those who want to contribute to the achievement of… more