- Sedgwick (Jacksonville, FL)
- …state and physician filings and decisions on appropriate treatments recommended by utilization review . + Maintains professional client relationships. + Performs ... other duties as assigned. + Supports the organization's quality program(s). + Travels as required. **QUALIFICATIONS** Education & Licensing Bachelor's degree from an accredited college or university preferred. Experience Two (2) years of claims management… more
- Sedgwick (Orlando, FL)
- …and physician filings and decisions on appropriate treatments recommended by utilization review . + Maintains professional client relationships. **ADDITIONAL ... FUNCTIONS and RESPONSIBILITIES** + Performs other duties as assigned. + Supports the organization's quality program(s). + Travels as required. **QUALIFICATIONS** **Education & Licensing** Bachelor's degree from an accredited college or university preferred.… more
- Sedgwick (Miami, FL)
- …and physician filings and decisions on appropriate treatments recommended by utilization review . + Maintains professional client relationships. **ADDITIONAL ... FUNCTIONS and RESPONSIBILITIES** + Performs other duties as assigned. + Supports the organization's quality program(s). + Travels as required. **QUALIFICATIONS** **Education & Licensing** Bachelor's degree from an accredited college or university preferred. NY… more
- Sedgwick (Jacksonville, FL)
- …and physician filings and decisions on appropriate treatments recommended by utilization review . + Maintains professional client relationships. **ADDITIONAL ... FUNCTIONS and RESPONSIBILITIES** + Performs other duties as assigned. + Supports the organization's quality program(s). + Travels as required. **QUALIFICATIONS** **Education & Licensing** Bachelor's degree from an accredited college or university preferred.… more
- NHS Management, LLC (West Melbourne, FL)
- …of subordinate nurses engaged in quality assurance, infection control, and utilization review activities. + Receives physicians' instructions regarding resident ... care and ensures that orders are transmitted to other units as needed. + Oversees delegation of simple nursing and other therapeutic procedures to other level professionals and paraprofessional associates. + Makes regular patient rounds to observe and assess… more
- CVS Health (Weston, FL)
- …your understanding of patient safety and error prevention, quality assurance drug utilization review (DUR), pharmacy professional standards such as corresponding ... responsibility and red flag detection. While in the pharmacy, you will assist the pharmacy team to ensure that pharmacy operations run smoothly, our patients' prescriptions are filled promptly, safely, and accurately, and we are providing caring service that… more
- Ascension Health (Pensacola, FL)
- …of proven leadership or management experience, preferably overseeing Case Management or Utilization Review teams in an Acute Care setting. + **Certification:** ... Current Case Manager certification from a recognized body, such as the American Case Management Association (ACMA) or the Commission for Case Manager Certification (CCMC). **Why Join Our Team** Ascension Sacred Heart is a leading provider of high-quality… more
- Cleveland Clinic (Vero Beach, FL)
- …of eligibility (CTM, ACM, CCM or AHA) + 2 years of recent experience in utilization review , quality or care management + Knowledge of acute care and ... accreditation requirements + Experience in discharge planning and quality improvement Our caregivers continue to create the best outcomes for our patients across each of our facilities. Click the link and see how we're dedicated to providing what matters most… more
- Cleveland Clinic (Stuart, FL)
- …year of eligibility (CTM, ACM or CCM) + Two years of recent experience in utilization review , quality or care management + Knowledge of acute care and ... accreditation requirements + Experience in discharge planning and quality improvement **Physical Requirements:** + Requires normal or corrected hearing and vision to normal range. + Ability to perform work in a stationary position for extended periods. +… more
- Veterans Affairs, Veterans Health Administration (Tampa, FL)
- …with the Administrative Officer (AOD), Transfer Coordinator, the Emergency Room, Admissions, Utilization Review , and Acute Care charge nurses for patient bed ... placement within all inpatient units. Coordinates with the Medical Director, Emergency Room Director, and the Chief of Staff to place the Hospital on Critical, Emergency Room, Cath Lab, or total hospital diversion. The incumbent is a well-rounded professional… more