- CVS Health (Lakeland, FL)
- …your understanding of patient safety and error prevention, quality assurance drug utilization review (DUR), pharmacy professional standards such as corresponding ... of continuous improvement, with the goal of changing health care for the better. **Position Summary:** At CVS Health,...+ Any additional tasks as directed by Supervisor or Manager **Preferred Qualifications:** + 1+ years of related work… more
- Sharecare (Tallahassee, FL)
- …individual through the lens of their personal health and making high-quality care more accessible and affordable for everyone. To learn more, visit www.sharecare.com ... in an appropriate, efficient and cost-effective manner while ensuring high quality care . The Disease Management Nurse works with participating members to become… more
- CenterWell (Daytona Beach, FL)
- …and help us put health first** The Physician Lead serves as a health- care professional and capable of handling a variety of health-related problems. The Physician ... to substantial. The Physician Lead focuses on outpatient medicine, continuity of care , health maintenance, and disease prevention. Keeps a medical history and… more
- HCA Healthcare (Miami, FL)
- …of critical care experience + Certification in case management or utilization review preferred + InterQual experience preferred HCA Florida Kendall Hospital ... your knowledge and expertise! **Job Summary and Qualifications** The Case Manager (CM) ensures high-quality, patient-centered care by managing Rehabilitative… more
- Elevance Health (Miami, FL)
- …documents to convey the determination. + Responsibilities exclude conducting any utilization or medical management review activities which require the ... related to clinical and non clinical services, quality of service, and quality of care issues to include executive and regulatory grievances. **How you will make an… more
- KBR (Hurlburt Field, FL)
- …the world responsibly and safely . We maintain a highly qualified workforce to help care for service people and astronauts across the world . We attract the best ... effects of physical training protocols under the supervision of the HP program Manager and/or Coordinator. + Coordinate training programs with the HP staff to ensure… more
- MyFlorida (Jacksonville, FL)
- …Profile (application) must be complete in its entirety. + Work History (in easy to review chronological order) Consists of: + Any position held by a State of Florida ... your packet may be held up at the final review step. NOTE: Responses to qualifying questions must be...clients, through proper training and supervision. This includes the utilization of workforce data and tools such as Labor… more
- HCA Healthcare (Aventura, FL)
- …of critical care experience + Certification in case management or utilization review preferred + InterQual experience preferred HCA Florida Aventura Hospital ... our goals. Unlock your potential! **Job Summary and Qualifications** The Case Manager (CM) ensures high-quality, patient-centered care by managing Rehabilitative… more
- Elevance Health (Miami, FL)
- … management or case management experience and requires a minimum of 2 years clinical, utilization review , or managed care experience; or any combination of ... weekends. The **Medical Management Nurse** will be responsible for review of the most complex or challenging cases that...not be receiving appropriate type, level, or quality of care , eg, if services are not in line with… more
- BrightSpring Health Services (Sarasota, FL)
- …Serving on professional committees such as Advisory Committee or Clinical Record Review / Utilization Review Committee, remaining available for consultation ... On Bonus Available for Full-Time Responsibilities + Assists Director or Clinical Manager with selection, orientation, and supervision of program's clinical staff +… more