- Humana (Tallahassee, FL)
- …focused on continuously improving consumer experiences **Preferred Qualifications** + Medical utilization management experience + Working with health insurance ... first** The Corporate Medical Director (CMD) relies on medical background to review health claims and preservice appeals. The Corporate Medical Director works on… more
- HCA Healthcare (Lake City, FL)
- …be a part of our team. **Job Summary and Qualifications** Provides hospital case management / utilization review and discharge planning to assure that the ... case management and/or supervisory / management position involving case management / utilization review /responsibility in an acute care hospital and/or… more
- Elevance Health (Tampa, FL)
- …with providers, claims or service issues. + Assists with development of utilization /care management policies and procedures. **Minimum requirements:** + Requires ... the criteria._** The **Telephonic Nurse Case Manager II** is responsible for care management within the scope of licensure for members with complex and chronic care… more
- Elevance Health (Tampa, FL)
- …with providers, claims or service issues. + Assists with development of utilization /care management policies and procedures. **Minimum Requirements:** + Requires ... be required.** The **Telephonic Nurse Case Manager II** is responsible for care management within the scope of licensure for members with complex and chronic care… more
- The Walt Disney Company (Orlando, FL)
- …determining product handling and storage requirements, equipment utilization , inventory management , quality control, and shipping + Review and prepare ... team of Cast. This position will supervise the order fulfillment and inventory management activities, ensuring quality standards and client service are met at every… more
- Florida Atlantic University (Boca Raton, FL)
- …design. Salary: $75,000 - $80,000 per year. College or Department: Facilities Management : Space Utilization and Analysis Administration Location: Boca Raton Work ... Mapping and Documentation Coordinator reports directly to the Director of Space Utilization or designee and serves all University sites and campuses. This position… more
- HCA Healthcare (Port Charlotte, FL)
- …and satisfaction. + You will promote cost effectiveness through the integration of case management , utilization review management and discharge planning. ... center. We have an orthopedic and spine center, wound management and hyperbaric medicine. We have inpatient, outpatient and...apply for our Case Manager RN opening. We promptly review all applications. Highly qualified candidates will be contacted… more
- CenterWell (Daytona Beach, FL)
- …opportunities for education/coaching + Identifying trends and areas of opportunity in pharmacy utilization (pharmacy management ) to impact Part D per Member per ... Collaborative / Supervisory Agreements per state protocols + Assisting with panel management + Providing direct education to clinicians around clinical protocols /… more
- HCA Healthcare (Englewood, FL)
- …and satisfaction. + You will promote cost effectiveness through the integration of case management , utilization review management and discharge planning. ... encourage you to apply for our Case Manager RN opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews. **Unlock… more
- HCA Healthcare (St. Petersburg, FL)
- …and satisfaction. + You will promote cost effectiveness through the integration of case management , utilization review management and discharge planning. ... you to apply for our Case Manager RN PRN opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews. **Unlock the… more