- BAYADA Home Health Care (Orlando, FL)
- …should be available Monday-Friday from 8:30am-5:00pm. _Medicare, Coder, OASIS Review , Utilization Review , Quality Assurance, Remote, Home Health Coding_ ... Review and Coding Manager. The OASIS and Coding Review Manager provides support to all BAYADA Home... Review Manager provides support to all BAYADA Home Health Care Medicare service offices by monitoring Outcome… more
- BAYADA Home Health Care (Orlando, FL)
- …with an industry leader. Apply now for immediate consideration. OASIS Review , Utilization Review , Quality Assurance, Remote, Home Health Coding, Coder, ... considered, there is no flexibility around this requirement.** BAYADA Home Health Care has an immediate opening for a...immediate opening for a **Full Time,** OASIS and Coding Review Manager with OASIS and Coding certification to work… more
- BayCare Health System (Bradenton, FL)
- …the area of responsibility. + Ensure quality assurance program and utilization review is followed in accordance with Home Care protocol. + Oversees and ... **There's home care and then there's BayCare HomeCare!** Explore...Participates with Case Manager on initial Plan of Care review with a focus on quality, utilization … more
- Actalent (Sunrise, FL)
- …+ Prepare and present reports on department activities as assigned. Essential Skills + Clinical review + Utilization review + Utilization management + ... of resources such as durable medical equipment, hospitalizations, and home healthcare. + Provide current and timely documentation reflecting...or LPN License. + Minimum of one year of utilization review experience and discharge planning in… more
- BayCare Health System (Clearwater, FL)
- …foundation of trust, dignity, respect, responsibility and clinical excellence. **The Utilization Review Specialist Senior responsibilities include:** + Functions ... of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians....Nursing or Business **Experience:** + Required 2 years in Utilization Review or + Required 2 years… more
- Ascension Health (Pensacola, FL)
- …Provide health care services regarding admissions, case management, discharge planning and utilization review . + Review admissions and service requests ... planning needs with healthcare team members. + May prepare statistical analysis and utilization review reports as necessary. + Oversee and coordinate compliance… more
- CVS Health (Tallahassee, FL)
- …(RN) - active license. + 3+ Years of clinical experience. + 1+ Year of Utilization Review Management and/or Medical Management experience. + Must have active and ... Occasional Overtime may be required. This position will be remote working from home anywhere in the US. **Position Summary** + Utilizes clinical experience and… more
- CVS Health (Tallahassee, FL)
- …UM ( utilization management) experience within an **outpatient** setting, concurrent review or prior authorization. + 5 years of a variety clinical experience ... required including acute care, home health, or long-term care. + 5 years demonstrated...call center environment. + 1 year of varied UM ( utilization management) experience within an inpatient, concurrent review… more
- Humana (Tallahassee, FL)
- …new systems (proficient to advanced) **Preferred Qualifications** + Experience with Utilization Review and/or Prior Authorization, preferably within a managed ... first** The UM Administration Coordinator contributes to administration of utilization management. The UM Administration Coordinator 2 performs varied activities… more
- AdventHealth (Tampa, FL)
- …reviews within 24 hours of admission; and when warranted by length of stay, utilization review plan, and/or best practice guidelines, on a continuing basis. ... and gynecology, internal medicine and transitional year. AdventHealth Tampa is home to the renowned AdventHealth Pepin Heart Institute, a recognized leader… more