- Fresenius Medical Center (Venice, FL)
- …supporting billing and collection activities. + Responsible for efficient utilization of medication, laboratory, inventory, supplies and equipment to achieve ... supply cost goals following all guidelines established in FMS formularies + Participates in the completion and interpretation of the Pl-17 inventory supply use analysis. + Reviews and approves facility payroll. + Reviews profit and loss statements with… more
- Centers Plan for Healthy Living (Margate, FL)
- …For Healthy Living is currently accepting applications for Full Time Registered Nurse without experience. The Utilization Management Clinical Reviewer works ... care or support in their home to improve their quality of life. Utilization Management Clinical Reviewer will assess and process all authorization requests to… more
- Molina Healthcare (Orlando, FL)
- …and interacts with network and group providers and medical managers regarding utilization practices, guideline usage, pharmacy utilization and effective resource ... management. + Develops and implements a Utilization Management program and action plan, which includes strategies that ensure a high quality of patient care,… more
- HCA Healthcare (Tallahassee, FL)
- …for benefits may vary by location._** It is an exciting time to be a nurse at HCA Healthcare! Come unlock your career potential and see how rewarding it can ... throughput while supporting a balance of optimal care and appropriate resource utilization . The RN CM Care Coordinator will identify potential barriers to patient… more
- Humana (Tallahassee, FL)
- …for evolving Humana's Utilization Management of medical review by physician or nurse , with a focus on our 5+ million Medicare members. You will also facilitate ... The Director, Physician leadership will lead Medical Directors performing utilization management for inpatient authorizations training medical director team to… more
- HCA Healthcare (Pensacola, FL)
- …while supporting a balance of optimal care and appropriate resource utilization . Identify potential barriers to patient throughput and quality outcomes and ... processes, for the appropriate level of care, patient status, and resource utilization . + Conducts interdisciplinary team meetings to provide a mechanism for all… more
- Molina Healthcare (South Florida, FL)
- …**Required Education** Any of the following: Completion of an accredited Registered Nurse (RN), Licensed Vocational Nurse (LVN) or Licensed Practical ... Certification, Association** Active, unrestricted State Registered Nursing (RN), Licensed Vocational Nurse (LVN) or Licensed Practical Nurse (LPN) license in… more
- University of Miami (Miami, FL)
- …require close interaction with physicians and department directors/managers, nurse coordinators and ARNP's regarding interpretation and distribution of ... support system to ensure availability of accurate and timelyrevenue, cost, and utilization of data used by all levels of management within the organization.5.… more
- Humana (Miramar, FL)
- …medical prescriptions and best practices in wound care but also aim at controlling utilization to improve patient outcomes. The expertise of a Home Health Wound Care ... practices in wound care but also aim at controlling utilization to improve patient outcomes. The expertise of a...Florida. - Certification as a Wound and Ostomy Care Nurse (CWOCN or WOCN). - Proven experience in wound… more
- Matrix Providers (Jacksonville, FL)
- …ratios and fair, reliable schedules. Matrix Providers is hiring a Licensed Practical Nurse /Licensed Vocational Nurse - Pain Management to join our team of ... + Degree: Be a graduate from a Licensed Practical Nurse (LPN) or Licensed Vocational Nurse (LVN)...coordinating with the local Medical Home Port (MHP) clinic, utilization and Referral Management policies, and obtains additional clinical… more