- Elevance Health (Tampa, FL)
- …or equivalent. Requires a minimum of 4 years of clinical experience and/or utilization review experience. Current active, valid and unrestricted LPN/LVN license ... **Medical Management Clinician** - Licensed Nurse **Locations:** Tampa, FL...- Friday, 8:00AM - 5:00PM Eastern Time The **Medical Management Clinician** is responsible for ensuring appropriate, consistent administration… more
- CVS Health (Tallahassee, FL)
- …and consistent responses to members and providers. Leads all aspects of utilization review /quality assurance, directing case management Provides clinical ... including post-graduate direct patient care experience specifically. Expands Aetna's medical management programs to address member needs across the continuum of… more
- University of Miami (Miami, FL)
- …for a faculty or staff position, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . Director, Space ... + Lead the development and implementation of a comprehensive space management strategy for the academic health campus, encompassing clinical, research, academic,… more
- TECO Energy (Tampa, FL)
- …short-term resource availability and preparation of the Unit Commitment Plan for review and approval by Grid Operations. This includes topics involving economic ... Fuels department. + Conducts short-term analyses to develop energy resource utilization alternatives and makes recommendations on each alternative. The alternatives… more
- HCA Healthcare (Gainesville, FL)
- …services and administrative activities including fiscal, material and human resource management .? + Maintains and monitors utilization of resources, physical ... policies, equipment, and practices. + Manages staff performance through regular review , real time feedback, and performance planning. Ensures performance reviews are… more
- Highmark Health (Tallahassee, FL)
- …business relationships, the impact of Highmark's business decisions on Informatics, personnel utilization , and the use and planning of technology. The role involves ... executing all facets of the Informatics project management process, leading multiple project managers, and potentially guiding,...in the resolution of issues or problems. + Access, review , utilize, contribute content to and participate in the… more
- CenterWell (Orlando, FL)
- …review of clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates and ... requirements. + Responsible for the QA/PI activities. Works with Utilization Review staff relative to data tracking...care analysis to determine efficiency, the efficacy of case management system as well as any other systems and… more
- CenterWell (Lake City, FL)
- …review of clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates and ... requirements. + Responsible for the QA/PI activities. Works with Utilization Review staff relative to data tracking...care analysis to determine efficiency, the efficacy of case management system as well as any other systems and… more
- Molina Healthcare (Jacksonville, FL)
- …healthcare claims data, pharmacy data, and lab data regarding network utilization and cost containment information. Evaluates, writes, and presents healthcare ... utilization and cost containment reports and makes recommendations based...ensure appropriate creation of reports and analyses. Uses peer-to-peer review process and end-user consultation to reduce report writing… more
- J&J Family of Companies (Pensacola, FL)
- …development and clinical success, including procedure sales, support and driving utilization for all Auris Surgical Robotics Technologies. The Field Sales Account ... part of the sales process, referral education sales activities, conducting Business Review Program sessions, managing any post sales installation and will support… more