• Medical Director Physician Advisor UM

    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 (08/07/25)
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  • Physician (Psychiatry) - Section Chief

    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
    Veterans Affairs, Veterans Health Administration (08/14/25)
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  • Director, Physician Leadership - Medical…

    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
    Humana (08/21/25)
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  • Physician - Physician Advisor

    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
    Ascension Health (08/13/25)
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  • Licensed Physician Reviewer - Ortho…

    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
    ChenMed (06/05/25)
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  • Registered Nurse Utilization

    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 ... standards. When screening criteria does not align with the physician order or a status conflict is indicated, the...of critical care nursing experience preferred. 1 years of utilization management experience preferred. This facility is… more
    AdventHealth (08/21/25)
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  • Physician (Primary Care)-Pain…

    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
    Veterans Affairs, Veterans Health Administration (08/14/25)
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  • Physician (Mental Health) - Associate Chief…

    Veterans Affairs, Veterans Health Administration (Miami, FL)
    …achieve goals for eligibility, referral and authorization, care coordination, and utilization management to ensure improved Veteran experience. Makes ... improving the Veteran's experience and outcomes. Defines mental health policies, utilization management process and procedures, financial and utilization more
    Veterans Affairs, Veterans Health Administration (06/28/25)
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  • Director of Physician Services I

    HCA Healthcare (Tallahassee, FL)
    …such as patient flow, patient satisfaction, practice volume, billing and collections, service utilization , coding, physician and staff training + You will have ... Healthcare colleagues invested over 156,000 hours impacting our communities. As a Director of Physician Services I with HCA Healthcare, you can be a manager in an… more
    HCA Healthcare (08/22/25)
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  • Fee Basis Physician (Radiation Oncology)

    Veterans Affairs, Veterans Health Administration (West Palm Beach, FL)
    …West Palm Beach VA Medical Center is currently seeking a Fee Basis Physician (Radiation Oncology). The incumbent will be responsible for maintaining and improving ... systems of health care by participating in programs, following policies, improving utilization of resources and suggesting process changes for clinical programs in… more
    Veterans Affairs, Veterans Health Administration (06/08/25)
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