- Florida Atlantic University (Boca Raton, FL)
- …Mapping and Documentation Coordinator reports directly to the Director of Space Utilization or designee and serves all University sites and campuses. This position ... of infrastructure drawings, specifications and as-built records. + Space Planning and Utilization : + Collect relevant data for space utilization studies to… more
- CVS Health (Tallahassee, FL)
- …level. The Associate Manager is also responsible for oversight of utilization management nurses including the organization and development of high performing ... team maintains compliance and privacy practices. + Oversees the implementation of utilization management services for assigned area + Implements clinical policies &… more
- Healthfirst (FL)
- The Case Manager, Utilization Management coordinates the care plan for assigned members and conducts pre-certification, concurrent review , discharge planning, ... and case management as assigned. The Case Manager, Utilization Management is also responsible for efficient utilization of health services and optimal health… more
- University of Miami (Miami, FL)
- …staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The ... 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
- AssistRx (Orlando, FL)
- …and provide ongoing Copay program metrics for internal and external business review meetings. Responsible for forecasts and analyzing claims data to determine Copay ... utilization , establish escrow account minimum balances as well as...and behaviors as well as make recommendations to increase utilization based on Copay claims and patient compliance/adherence activities.… more
- Humana (Tallahassee, FL)
- …health insurance, other healthcare providers, clinical group practice management. + Utilization management experience in a medical management review ... this knowledge in their daily work. The Medical Director's work includes computer-based review of moderately complex to complex clinical scenarios, review of all… more
- Humana (Tallahassee, FL)
- …health insurance, other healthcare providers, clinical group practice management. + Utilization management experience in a medical management review ... this knowledge in their daily work. The Medical Director's work includes computer-based review of moderately complex to complex clinical scenarios, review of all… more
- Sevita (FL)
- …documentation; maintain confidentiality and adherence to individual rights standards; review and respond accordingly to adverse action regulatory correspondence and ... protocol; manage timely incident reporting and response to higher-level incidents; review trends; work with state operations and quality improvement leadership to… more
- AdventHealth (Maitland, FL)
- …data from the various financial systems and interface tools Responsible for review of analysis of complex and varied healthcare data including financial modeling ... of reporting Manage extracts, collects, analysis and interpretations of health utilization and financial data of various types Interpret an analyze data… more
- CVS Health (Tallahassee, FL)
- …outcomes. * Leverage extensive knowledge of health care delivery system, utilization management, reimbursement methods and treatment protocols for DSNP/MMP and other ... Health, Pharmacy, Member Outreach, Care Management, National Quality Management, Utilization Management, Compliance, and other departments to integrate social,… more