- HCA Healthcare (Pensacola, FL)
- …protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, ... while supporting a balance of optimal care and appropriate resource utilization . Identify potential barriers to patient throughput and quality outcomes and… more
- Humana (Hallandale Beach, FL)
- …and psycho-social health issues. + Monitor and maintain awareness of utilization and conducts outreach based on acuity to assess medical/social/BH needs ... for a period up to 11 weeks. + **Workstyle:** Home . Home workstyle is defined as remote...protection. Please be aware that applicants selected for leader review may be asked to provide their social security… more
- HCA Healthcare (Aventura, FL)
- …protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, ... + Referral services for child, elder and pet care, home and auto repair, event planning and more +...and support the operationalized improved processes as needed. + Review quantitative and qualitative initiative feedback and integrate iterations… more
- HCA Healthcare (Gainesville, FL)
- …physical, psycho-social, financial). 1. Participates in IDT rounds, 1. Conducts utilization review , evaluates clinical information, and communicates findings to ... physicians and payors on a timely basis in accordance with the NFRMC Utilization Review Plan and managed care contractual agreements. 1. Submits clinical… more
- MyFlorida (Fort Myers, FL)
- …performing work in the Onsite Sewage Treatment and Disposal Systems program, Mobile Home /RV parks, as well as other environmental programs. The incumbent in this ... Administrative Code. OSTDS Program: The environmental specialist is expected to review residential applications and plans, accept and issue permits for residential… more
- Evolent (Tallahassee, FL)
- …to adeptly negotiate internally and externally around interpretation and application of utilization review law, accreditation standards and policy. + Ensures ... **What You Will Be Doing:** + Responsible for oversight of utilization management (UM)/care management (CM) correspondence development, internal and external… more
- HCA Healthcare (Palm Harbor, FL)
- …position control, scheduling excellence, productivity management, and premium pay utilization . Maintains staffing to ensure appropriate patient care. + Stays ... standards and ensures compliance. + Manages operating expenses, including the utilization of supplies and equipment. Identifies cost reduction opportunities and… more
- HCA Healthcare (Ocala, FL)
- …required + 4 year Bachelor Degree preferred + Certification in Case Management or Utilization Review preferred + 1 year experience in acute hospital with ... protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage,… more
- AdventHealth (Tampa, FL)
- …Case Management staff and serves as physician liaison to promote appropriate utilization of resources by the medical staff. Performance improvement efforts will ... in case management, appropriate levels of care for patients, efficient utilization of resources, and enforcing compliance with laws and organizational policies.… more
- Evolent (Tallahassee, FL)
- …role in **Performance Suite risk arrangements with payers and strategic utilization management initiatives.** This is an opportunity for a **Cardiologist** to ... cardiovascular programs that include improvements to clinical effectiveness of utilization management (UM) and risk-based models.** + Process improvement and… more