- AdventHealth (Minneola, FL)
- …and spirit in the Minneola community. **The role you'll contribute:** The Manager Sterile Processing is responsible for the personnel, financial and operational ... instruments and equipment, specifications for instruments, assembled trays, quality assurance, case carts and materials output to provide information on departmental… more
- Sysco (St. Augustine, FL)
- **JOB SUMMARY** The District Sales Manager (DSM) role requires exceptional management of sale performance among Sales Consultants (SCs). This position is responsible ... developing the talent of their sales consultants to achieve profitable planned case and GP growth **RESPONSIBILITIES** + Manages the performance and development of… more
- Nestle (Boca Raton, FL)
- …+ Risk Assessment and Elimination - Leads the effective implementation and utilization of risk assessment and risk prediction processes across sites to ensure ... recurrence are effectively implemented while also ensuring an effective injury case management process is fully implemented, well understood, and functioning as… more
- Cleveland Clinic (Stuart, 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 ... made it an excellent medical facility and a home away from home. RN Case Managers work collaboratively with inter-professional teams across the continuum of care to… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …Chief Medical Officer, Medical Director, Pharmacy team, Member Services, Utilization Management, IT/Analytics, Finance, Case Management, Provider Relations, ... member communications including correspondence associated with coverage determination decisions + Review prescription utilization data to identify outliers and… more
- Elevance Health (Tampa, FL)
- …to members and providers. **How you will make an impact:** + Perform physician-level case review , following initial nurse review , of Medical Oncology ... regimens and supportive care. + Perform physician-level case review , following initial nurse review...maintain knowledge of relevant policies and regulations pertaining to utilization review of oncology care. + Participate… more
- Evolent (Tallahassee, FL)
- …the support services review process. Responsible for the quality of utilization review determinations, including appeals. + Provides input into audit ... member of the Medical leadership team, providing timely medical review of service requests. Oversees the Surgery Field Medical...and findings with matrixed Physician Business Manager . + Provides medical direction to… more
- Highmark Health (Tallahassee, FL)
- …Inc. **Job Description :** **JOB SUMMARY** This job implements effective complimentary utilization and case management strategies for an assigned member panel. ... industry, corporate, state, and federal law standards and are within the care manager 's professional discipline. + For assigned case load, create care plans… more
- HCA Healthcare (Panama City, FL)
- …financial hardship or other problems; functions as a liaison with insurance/managed care/ utilization review companies and provides documentation of the above per ... and along the healthcare continuum. + Assists the RN Case Manager with updates from insurance providers...apply for our Social Worker BSW opening. We promptly review all applications. Highly qualified candidates will be contacted… more
- Actalent (Sunrise, FL)
- …or State Licensure in Social Work or related field (Preferred). + Certified Case Manager (Preferred). + License Clinical Social Work (LCSW), Licensed Mental ... and substance use needs, including crisis intervention, discharge planning, and complex case management. + Engage with Medical Directors and care management staff to… more