- Organon & Co. (Pensacola, FL)
- …Residency programs, Federally Qualified Health Centers, Universities, Independent Physician Associations, Management Service Organizations, Planned Parenthood ... Knowledge of Managed Care, State Medicaid, Managed Medicaid, Kaiser, Management Service Organizations, Group Purchasing Organizations, Independent Physician … more
- ChenMed (Orlando, FL)
- …plan of care, providing health education, specialty referrals and case management referrals, providing follow-up care and applying clear, in-depth documentation ... and conferences. At ChenMed, we remain committed to: 1. Physician Work/life balance 2. No nights/ no weekends /...coordination b. Focused on early chronic disease detection & management , preventative care, leading to improved patient outcomes and… 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
- 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
- AdventHealth (Altamonte Springs, FL)
- …case management , appropriate levels of care for patients, efficient utilization of resources(including appropriate length of stay, consult usage and turn-around ... GENERAL SUMMARY: The Chief Medical Officer (CMO) provides physician leadership and serves in an administrative capacity providing support to the assigned facility.… more
- ChenMed (Plantation, FL)
- …and treatment, development of the nursing plan of care, health education, physician referrals, case management referrals, follow-up and clear documentation ... in collaboration with other health care professionals. Consults with the manager, physician , and medical director to ensure compliance with guidelines. This position… more
- Adecco US, Inc. (Altamonte Springs, FL)
- …. Demonstrates a thorough understanding of the cost consequences resulting from Care Management decisions through utilization of reports and systems such as ... experience in an acute clinical care setting or equivalent. . Previous care management , utilization review or discharge planning experience. . RN License in… more
- Elevance Health (Tampa, FL)
- …preferred. + Extensive spine surgery experience preferred. + Experience with utilization management , especially with CMS guidelines preferred. + **Orthopedic ... Determines the medical necessity of requests using clinical criteria. + Performs physician -level case review of musculoskeletal utilization requests. + Conducts… more
- Molina Healthcare (Jacksonville, FL)
- …and/or Tableau and data management + Knowledge of healthcare operations ( utilization management , disease management , HEDIS quality measures, claims ... and Finance team through analyzing key business issues related to cost, utilization and revenue for multiple Molina Healthcare products. Designs and develops reports… more
- University of Miami (Hialeah, FL)
- …The Chief Supply Chain Officer has executive responsibility for supply chain management operations across all business entities of the University of Miami, including ... includes sourcing, contracting, strategic procurement, value analysis, warehousing, distribution, management of capital assets, and routine purchasing for equipment… more