- AdventHealth (Orlando, FL)
- …Care Management Supervisor is under the general leadership of the Care Management Manager or Facility Director and assists in** **monitoring and performing the daily ... for the daily front line operations as assigned by the Care Management Manager or** **Facility Director. The Care Management Supervisor will serve as the primary… more
- Jupiter Rehabilitation and Healthcare Center (Jupiter, FL)
- …with federal and state regulations and company policy and procedures.Acts as in-house case manager by considering all aspects of the residents care and ... that govern the process + Acts as an in-house Case Manager demonstrating detailed knowledge of residents...basis + Responsible for timely and accurate completion of Utilization Review and Triple Check + Serves… more
- Elevance Health (Tampa, 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 ... ensuring clinical integrity of broad and significant clinical programs. May perform clinical review . **How you will make an impact:** + May provide clinical guidance… more
- Evolent (Tallahassee, FL)
- …Oncology clinical Q&As for provider portal, prior authorizations, lists, regimens, scope diagnoses, case review and related activities. + Review of Carepro ... value- based care and initiatives within pathway, policy, and beyond utilization management solutions. + Introduce innovative initiatives supported with evidence and… more
- 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 ... clinical reviews with attending physicians or other providers to discuss review determinations, and patients' office visits with providers and external physicians.… more
- MyFlorida (West Palm Beach, 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 clearly...clients, through proper training and supervision. This includes the utilization of workforce data and tools such as Labor… more
- ChenMed (Miami, FL)
- …of a plan of care that may include health education, physician referrals, case management referrals and patient/family counseling. + Plans patient care based on ... to enhance the quality of telehealth practices and systems through the utilization of data demonstrating program effectiveness and success. + Communicates using a… more
- Insight Global (Immokalee, FL)
- …threshold for business continuity. Validate received material for: correct items, case counts, total quantities, lot validations, and paperwork. Ensure efficient and ... storage of goods including identifying potential storage needs, optimizing space utilization with all relevant Managers Develop and implement inventory control… more
- ChenMed (Miami, FL)
- …and explain nurse practitioner role. + Facilitates patient/family conferences to review treatment goals, optimize resource utilization , provide family education ... of the nursing plan of care, health education, physician referrals, case management referrals, follow-up and clear documentation according to ChenMed standards… more
- SitusAMC (Tallahassee, FL)
- …and colleagues in terms of clients' inquiries, model implementation issues and utilization . + Provides internal support to peers including peer report reviews and ... etc. + Such other activities as may be assigned by your manager Qualifications/ Requirements: + Bachelor's Degree in finance, economics, statistics, or mathematics… more