- Humana (Tallahassee, FL)
- …terminology and/or ICD-10 codes. + Member service experience + Experience with Utilization Review and/or Prior Authorization, preferably within a managed care ... will be moving forward to next round of interviews. **Work at Home Guidance** To ensure Home or Hybrid Home /Office associates' ability to work effectively,… more
- Humana (Tallahassee, FL)
- …first** The Corporate Medical Director (CMD) relies on medical background to review health claims and preservice appeals. The Corporate Medical Director works on ... on continuously improving consumer experiences **Preferred Qualifications** + Medical utilization management experience + Working with health insurance organizations,… more
- HCA Healthcare (Ocala, FL)
- …required + 4 year Bachelor Degree preferred. + Certification in Case Management or Utilization Review preferred HCA Florida Ocala Hospital is a 323-bed facility. ... protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage,… more
- HCA Healthcare (Fort Pierce, FL)
- …protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, ... and adoption assistance. + Referral services for child, elder and pet care, home and auto repair, event planning and more + Consumer discounts through Abenity… more
- HCA Healthcare (Tallahassee, 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 +...flow, patient satisfaction, practice volume, billing and collections, service utilization , coding, physician and staff training + You will… more
- HCA Healthcare (St. Petersburg, 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 +...HBP services in their respective Division to ensure maximum utilization of pathology resources and the efficient delivery of… more
- HCA Healthcare (Fort Lauderdale, 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 +...application support and will help drive the implementation and utilization of key applications they are assigned. They will… more
- Cardinal Health (Tallahassee, FL)
- …supply to their facility. This role will also promote and sell our dialysis at home specialty products through our metro medical offering for home patient use. + ... seize the identified opportunity, execute strategy. Resulting in additional utilization of the Cardinal Service offering. + Prepare and...other status protected by federal, state or local law._ _To read and review this privacy notice click_ here… more
- Matrix Providers (Jacksonville, FL)
- …Health Agency (DHA), and TRICARE directives, coordinating with the local Medical Home Port (MHP) clinic, utilization and Referral Management policies, and ... a pattern of high risk, unstable and resource intensive utilization of Military Treatment facility (MTF) or network services...facilities. + Follow up with MHP team members regarding review of patient charts, medical records, and other documents… more
- HCA Healthcare (Kissimmee, 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 +...disposal of all expired medications + Monitors trends in utilization of reverse distributors to minimize wastage + Assists… more