- 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 +...supporting a balance of optimal care and appropriate resource utilization . What you will do in this role: +… more
- HCA Healthcare (Fort Walton Beach, FL)
- …is preferred + BSN is preferred + Certification in Case Management, Nursing or Utilization Review is preferred HCA Florida Fort Walton-Destin Hospital is a ... protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage,… more
- CenterWell (Jacksonville, FL)
- …performance in patient experience, quality of care, clinical outcomes, and avoidable utilization + Periodically review clinician charts to identify opportunities ... of health (SDOH) efforts, improving clinical outcomes and avoidable utilization + Monitor and manage daily patient care and...and monitor clinical & financial performance and metrics. + Review clinician schedules and incentive plans to align with… more
- CenterWell (Daytona Beach, FL)
- …in patient experience, quality of care, clinical outcomes, and avoidable utilization *Periodically review clinician charts to identify opportunities in ... social determinants of health (SDOH) efforts, improving clinical outcomes and avoidable utilization *Monitor and manage daily patient care and initiatives to improve… more
- Concentrix (Tallahassee, FL)
- …**A NEW CAREER POWERED BY YOU** Are you looking for a "work from home " career change with a forward-thinking global organization that nurtures a true people-first, ... we are. **CAREER GROWTH AND PERSONAL DEVELOPMENT** This is a great "work from home " opportunity that will allow you to reimagine an all-new career journey and… more
- HCA Healthcare (Lehigh Acres, FL)
- …responsibility typically includes Accounting, Reimbursement, Managed Care, Health Information, and Utilization Review . Functions at an executive level in an ... protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage,… more
- Centene Corporation (Tallahassee, FL)
- …for clinical service offerings assigned in designated area + Engages in drug utilization review (DUR) by supporting the execution of DUR initiatives via ... zone) M-F - Remote** This is a work from home Pharmacy Technician, Call Center position. The main function...of responses to regulatory audits associated with the over utilization program. + Performs other duties as assigned. +… more
- AdventHealth (New Smyrna Beach, FL)
- …to nurses, physicians and the interdisciplinary team on issues related to utilization of resources, medical necessity, CMS CoP for Discharge Planning and care ... the patient including, but not limited to the following: Home Health, Infusion Services, Durable Medical Equipment, Palliative Care,...(as permitted by the patient) as well as a review of the current and past inpatient and outpatient… more
- BayCare Health System (Clearwater, FL)
- …medical staff's mutual interests and responsibility for quality assurance, appropriate utilization review , process improvement, and clinical performance. + Will ... network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians. With the… more
- CVS Health (Tallahassee, FL)
- …with transferring patients to lower levels of care. + 1+ years' experience in Utilization Review . + CCM and/or other URAC recognized accreditation preferred. + ... heart, each and every day. **Position Summary** **This is a remote work from home role anywhere in the US with virtual training.** **Shift schedule is 8:30am-5:00pm… more