- Prime Therapeutics (Tallahassee, FL)
- …of post-degree clinical experience. + Experience in managed care, specialty drugs, care management and utilization review. + Meets Credentialing criteria. + At ... Under supervision, is responsible for performing referral services to support independent physician offices with maintaining member drug infusions in office or to… more
- Trinity Health (Fort Lauderdale, FL)
- …primary nurse in developing an appropriate plan of care for comprehensive wound management ** **Makes recommendations to the physician for changes to wound care ... Director as part of the Board report** **Working knowledge of quality management and resource utilization methodologies** **Computer skills in Microsoft office… more
- HCA Healthcare (Gainesville, FL)
- …is responsible for the safe, effective, evidence-based, and cost-effective selection and utilization of medications for the patients in which they serve. The ... policies and procedures (eg Pharmacy & Therapeutics, Medication Safety, Antimicrobial Management Program) + Is primarily responsible for the direction of one… 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
- AdventHealth (Orange City, FL)
- …provides leadership, strategic direction, and operational execution to the AdventHealth Physician Network (AHPN). Population Health is defined as "A model that ... Provider Engagement & Performance Quality & Network Design, Chronic Care Management , Network Operations and Network Development, ensuring effective support of… more
- AdventHealth (Orlando, FL)
- …through decreased length of stay, and control of resource utilization . Provides Patient/family instruction, scheduled physician appointments, any ... home health, physical / psych facilities + Acts as liaison with physician to assure appropriate and complete documentation + Prioritizes activities and completes… more
- HCA Healthcare (Panama City, FL)
- …work to deliver clinical excellence behind the scenes in data science, case management or transfer centers. Unlock your potential at HCA Florida Gulf Coast Hospital! ... Hospital. Prioritizes and organizes patient flow to ensure best utilization of time. Is given general guidance and is...and education post procedurally, reporting any abnormalities to the Physician . 9. Actively seeks ways to control costs without… more
- Veterans Affairs, Veterans Health Administration (Tampa, FL)
- …more outpatient clinics. The applicant is responsible for accurate appointment management and the correct coordination of all administrative information between the ... with the patient care team to review the clinic utilization by using various reports, ensure that the clinic...Duty Available: 8:30am- 5:00pm, 7:30am-4:00pm. Subject to change with management discretion to accommodate the needs of the VA… more
- The Hartford (Lake Mary, FL)
- …and regulations preferred + Understanding of PPD rules and requirements, claim management , case management , and/or utilization review methodology preferred ... strategy to assist with settlement. + Review and interpret all treating physician impairment ratings and supportive medical records to determine impairment in… more
- AdventHealth (Orlando, FL)
- …case management , appropriate levels of care for patients, efficient utilization of resources, and enforcing compliance with laws and organizational policies. ... protocols that come with evidence based model approach. Provides counsel and physician perspective at senior leadership discussions and action plans related to… more