• RN Case Manager Evenings

    HCA Healthcare (Gainesville, FL)
    …admission process. + Assist the physician offices in obtaining necessary assessments prior to surgery, procedures, and/or admission. + Includes patient and family in ... psycho-social, financial). + Participates in IDT rounds, + Conducts utilization review, evaluates clinical information, and communicates findings to physicians… more
    HCA Healthcare (06/21/25)
    - Related Jobs

  • Medical Director - Mid West Region

    Humana (Tallahassee, FL)
    …communication skills . + Evidence of analytic and interpretation skills, with prior experience participating in teams focusing on quality management, utilization ... insurance, other healthcare providers, clinical group practice management. + Utilization management experience in a medical management review organization, such… more
    Humana (05/14/25)
    - Related Jobs

  • Registered Nurse- Community Living Center

    Veterans Affairs, Veterans Health Administration (Lake City, FL)
    …education, orientation, competencies and providing quality improvement and outcomes utilization . Partners with the resident, family, and interdisciplinary team to ... Set (MDS) Coordinator to ensure accuracy of the Resource Utilization Group (RUG) score. VA offers a comprehensive total...subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested… more
    Veterans Affairs, Veterans Health Administration (07/31/25)
    - Related Jobs

  • Sr. Associate, Government Compliance - Asset…

    L3Harris (Malabar, FL)
    …additional reports + Analyze the asset portfolio to identify areas for potential re- utilization or increased utilization of assets to reduce capital expenditures ... Bachelor's Degree and a minimum of 2 years of prior related experience. Graduate Degree or equivalent with 0...Degree or equivalent with 0 to 2 years of prior related experience. In lieu of a degree, minimum… more
    L3Harris (07/10/25)
    - Related Jobs

  • Specialist, CAD Cable Designer

    L3Harris (Palm Bay, FL)
    …& standard Essential Functions: + Pin to pin 3D routing + High-level utilization of solid modeling/drawing application such as PTC Creo Parametric. + Utilization ... accredited college or university and minimum 4 years of prior relevant experience. Graduate Degree and a minimum of...Graduate Degree and a minimum of 2 years of prior related experience. In lieu of a degree, minimum… more
    L3Harris (07/09/25)
    - Related Jobs

  • Advanced Medical Support Assistant

    Veterans Affairs, Veterans Health Administration (West Palm Beach, FL)
    …the data into VISTA if applicable. Promotes Veterans registration for and utilization of MyHealthyVet (MHV) and kiosks usage. Follows procedures regarding Community ... Coordinates with the patient care team to review clinic appointment availability utilization to ensure that clinic schedules are closely monitored to effectively… more
    Veterans Affairs, Veterans Health Administration (07/01/25)
    - Related Jobs

  • Regional Team Leader, Specifications

    CDM Smith (West Palm Beach, FL)
    …of your team. - Coordinating workload within your Technical Services group and utilization goals for the individuals on your team. - Coordinating with your TDM ... a deep understanding of the business, including key metrics such as utilization , project profitability, overhead, and staffing. - Advanced knowledge of necessary… more
    CDM Smith (08/01/25)
    - Related Jobs

  • Transition of Care Associate

    CVS Health (Tallahassee, FL)
    …for members who cannot advocate for themselves. The TOC team will review prior claims to address potential impact on current case management and eligibility status. ... the subsequent care continuum until member can return to prior level of functioning in the community. - Utilizes...community. - Utilizes weekly and daily reporting to identify utilization for the purpose of reducing Emergency Department … more
    CVS Health (07/31/25)
    - Related Jobs

  • Transition of Care Associate - Licensed Practical…

    CVS Health (Tallahassee, FL)
    …for members who cannot advocate for themselves. The TOC team will review prior claims to address potential impact on current case management and eligibility status. ... the subsequent care continuum until member can return to prior level of functioning in the community + Utilizes...community + Utilizes weekly and daily reporting to identify utilization for the purpose of reducing Emergency Department … more
    CVS Health (07/31/25)
    - Related Jobs

  • Physician (Psychiatry) - Section Chief

    Veterans Affairs, Veterans Health Administration (West Palm Beach, FL)
    …of mental health. Incumbent collaborates and participates with facility leadership and Utilization Management to ensure practices follow JC, CARF, and CO Directives ... Quality of Care audits and functions as the Department Physician Utilization Management Advisor (PUMA) to ensure compliance. Coordinates, develops and supervise… more
    Veterans Affairs, Veterans Health Administration (07/03/25)
    - Related Jobs