- MyFlorida (Largo, FL)
- …+ Four (4) or more years of experience as a Licensed Registered Nurse in Long-Term Care facility. + Experience as a Director of Nursing or Nurse Manager in a ... Skilled Nursing Facility, Assited Living Facility, or other long-term care setting. + Regional experience as a clinical Nurse Consultant in an organization that… more
- AdventHealth (Altamonte Springs, FL)
- …than 168,000 patients a year. We are proud to be revolutionizing health care with visionary leadership and world-class resources. **The role you'll contribute:** The ... pharmacy, and/or satellite pharmacy areas. Oversees and ensures appropriate utilization of medication automation, technology, and computer systems. Accurately… more
- HCA Healthcare (Sun City Center, FL)
- …Healthcare Quality) OR CHCQM (Diplomate in American Board of Quality Assurance and Utilization Review Physicians) _Individuals without CPHQ or ABQUARP will be ... of over 180 hospitals and about 2,000 sites of care in 21 states and the United Kingdom. We...Registered Nurse preferred _**If serving as facility's primary Risk Manager , VP must have current Florida license in Healthcare… more
- Elevance Health (Miami, FL)
- …Associate Medical Director** **Carelon Medical Benefits Management** **Post Acute Care Benefit Utilization Management** **Schedule: 10:00-7:00 Central Time** ... how healthcare is delivered and promoting the advancement of care for the people we serve._ The **Clinical Operations...decisions. + Brings to their supervisors attention, any case review decisions that require Medical Director review … more
- HCA Healthcare (Trinity, FL)
- …Healthcare Quality) OR CHCQM (Diplomate in American Board of Quality Assurance and Utilization Review Physicians) _Individuals without CPHQ or ABQUARP will be ... of over 180 hospitals and about 2,000 sites of care in 21 states and the United Kingdom. We...Registered Nurse preferred _**If serving as facility's primary Risk Manager , VP must have current Florida license in Healthcare… more
- AdventHealth (Orange City, FL)
- …AdventHealth EFD Orthopedic Program, from preoperative education through the continuum of care following discharge. This individual will have the ability to interact ... with patients and their families, physicians, their care partners, as well as several key hospital departments... of the patient. Regularly collects data through chart review and computer generated reports. Presents data and reports… more
- MyFlorida (Bradenton, FL)
- …levels and on referrals; assists families in need to obtain further medical care as indicated by abnormal findings following routine screenings; intervenes on behalf ... according to state and local guidelines; acts as case manager for students with special acute and chronic conditions,...are identified and addressed; initiates and updates student health care plans for those students with special medical problems.… more
- AdventHealth (Tavares, FL)
- …pharmacy, and/or satellite pharmacy areas. Oversees and ensures appropriate utilization of medication automation, technology, and computer systems. Accurately ... Pharmacy Practice - Completes critical medication order scrutiny, drug profile review , and patient monitoring to identify, prevent, or mitigate medication-related… more
- Humana (Tallahassee, FL)
- …terminology and/or ICD-10 codes. + Member service experience + Experience with Utilization Review and/or Prior Authorization, preferably within a managed ... policies and procedures ensuring best and most appropriate treatment, care or services for members. Bilingual Outbound Telephonic UM...in special projects as assigned by your Supervisor or Manager **Use your skills to make an impact** **Required… more
- Wolters Kluwer (Tallahassee, FL)
- …opportunities in the named customer base, including: + Conducting regular account review meetings and reviewing account utilization management reporting to ... the US. If you have a passion for improving care for patients around the world, a drive to...and marketing campaigns + Other duties as assigned by Manager **Job Qualifications** **Education** : + Bachelor's degree or… more