- Elevance Health (Miami, FL)
- …must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US ... foundation upon which we are creating greater access to care for our members, greater value for our customers,...reviews with attending physicians or other providers to discuss review determinations and patient's office visits with providers and… more
- HCA Healthcare (Kissimmee, FL)
- …auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. + Free counseling ... assistance. + Referral services for child, elder and pet care , home and auto repair, event planning and more...in the pharmacy when the tech supervisor or pharmacy manager is unavailable. + Under the supervision of Director… more
- Elevance Health (FL)
- …must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US ... health medical services, to ensure the appropriate and most cost-effective medical care is received. May be responsible for developing and implementing programs to… more
- Molina Healthcare (St. Petersburg, FL)
- …role must complete courses required to obtain licensure in all states. + Utilization Review Lead responsibilities also include but not limited to, collaborate ... in Nursing preferred. **Preferred Experience** 3-5 years clinical practice with managed care , hospital nursing, utilization and/or care management… more
- CenterWell (Jacksonville, FL)
- …in patient experience, quality of care , clinical outcomes, and avoidable utilization + Periodically review clinician charts to identify opportunities in ... of health (SDOH) efforts, improving clinical outcomes and avoidable utilization + Monitor and manage daily patient care...and monitor clinical & financial performance and metrics. + Review clinician schedules and incentive plans to align with… more
- CenterWell (Daytona Beach, FL)
- …in patient experience, quality of care , clinical outcomes, and avoidable utilization *Periodically review clinician charts to identify opportunities in ... and social determinants of health (SDOH) efforts, improving clinical outcomes and avoidable utilization *Monitor and manage daily patient care and initiatives to… more
- HCA Healthcare (Tallahassee, FL)
- …As a Director of Physician Services I with HCA Healthcare, you can be a manager in an organization that is devoted to giving! **Benefits** HCA Healthcare, offers a ... auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. + Free counseling… more
- General Dynamics Information Technology (Eglin AFB, FL)
- …with the provision of care . + Provide input for the development and utilization of required databases. + Conduct peer (record) reviews for the HP Staff as ... conditions. They are licensed independent practitioners and credentialed as direct care providers in specific military HP settings. As such, the contractor… more
- MyFlorida (St. Petersburg, FL)
- …interviews for job applicants when required. + Participates in various Specialty care meetings. Assists manager in making decisions and solving problems ... for both the County Medical Director and the Program Manager of the Pinellas County Health Program. Some high...personal inquiries from public and private sources, the specialty care providers, CHD staff, and can research any issue… more
- HCA Healthcare (Ocala, FL)
- …auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. + Free counseling ... assistance. + Referral services for child, elder and pet care , home and auto repair, event planning and more...Pharmacist will assist the Director of Pharmacy and Clinical Manager in the development of Pharmacy clinical services and… more