- ChenMed (Jacksonville, FL)
- …and explain nurse practitioner role. + Facilitates patient/family conferences to review treatment goals, optimize resource utilization , provide family education ... your kindness and joy? We're different than most primary care providers. We're rapidly expanding and we need great...practice. + Other duties as assigned and modified at manager 's discretion. KNOWLEDGE, SKILLS AND ABILITIES: + Demonstrated record… more
- AdventHealth (Orlando, FL)
- …patient tower and 80 new private rooms designed to enhance the holistic care experience + Annual number of emergency cases: 89,018 **The role you'll contribute:** ... pharmacy, and/or satellite pharmacy areas. Oversees and ensures appropriate utilization of medication automation, technology, and computer systems. Accurately… more
- AdventHealth (Orlando, 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
- MyFlorida (Tallahassee, FL)
- MEDICAL/HEALTH CARE PROG ANALYST - SES - 64055877 Date: Aug 14, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... . Requisition No: 858520 Agency: Department of Health Working Title: MEDICAL/HEALTH CARE PROG ANALYST - SES - 64055877 Pay Plan: SES Position Number:… more
- Highmark Health (Tallahassee, FL)
- …drug utilization reports, and write drug monographs for Committee review to develop the Organization's Drug formulary and/OR provide recommendations for NDC ... not limited to: prior authorization, dose and duration edits, quantity limits, step- care edits, generic sampling medical policy review and development, member… more
- KBR (Elgin AFB, FL)
- …current with the provision of care . + Provide input for the development and utilization of required databases. + Conduct peer (record) review s for the HP ... . We maintain a highly qualified workforce to help care for service people and astronauts across the world...POTFF Staff, and as directed by local HP program manager and/or coordinator. + Document work performed, utilization… more
- AdventHealth (Orlando, FL)
- …pre-authorization and provides information to the Utilization Review Specialist, Utilization Review Case Manager and the Clinical Support Specialist ... in critical clinical fact gathering and analysis, to identify appropriate levels of care , timely acceptance and specialty care needed for transport. Coordinates… more
- Molina Healthcare (Tampa, FL)
- … Care Experience in the specific programs supported by the plan such as Utilization Review , Medical Claims Review , Long Term Service and Support, or ... of service provided, length of stay and level of care . + Applies appropriate criteria on PAR and Non-PAR...Officer on denial decisions. + Resolves escalated complaints regarding Utilization Management and Long-Term Services & Supports issues. +… more
- ChenMed (Miami, FL)
- …experience in Hospital medicine preferred + At least one (1) year of utilization review experience preferred We're ChenMed and we're transforming healthcare for ... our team. The Physician Reviewer is the primary physician reviewer for Utilization Management/Clinical Appropriateness review cases in our organization. Other… more
- General Dynamics Information Technology (Key West, FL)
- …as assigned by the HP program Manager and/or Coordinator. + Documents care provided, work performed, utilization , referrals, and all other information in the ... scope of practice. + Participates in periodic meetings to review the care provided to patients to...improvement. + Serves as advisor to the HP program Manager and/or Coordinator in matters related to injury prevention,… more