- Sevita (FL)
- …come join our team -** **_Apply Today!_** Sevita is a leading provider of home and community-based specialized health care. We believe that everyone deserves to ... documentation; maintain confidentiality and adherence to individual rights standards; review and respond accordingly to adverse action regulatory correspondence and… more
- AdventHealth (Altamonte Springs, FL)
- …available to the patient including, but not limited to the following: Home Health , Infusion Services, Durable Medical Equipment, Palliative Care, Hospice, ... Clinical Ladder Program*For eligible positions* + Whole Person Well-being and Mental Health Resources **Our promise to you:** Joining AdventHealth is about being… more
- HCA Healthcare (Sanford, FL)
- …is preferred + BSN is preferred + Certification in Case Management, Nursing or Utilization Review is preferred HCA Florida Lake Monroe Hospital is a 221-bed ... Florida Lake Monroe Hospital, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The available plans and… more
- HCA Healthcare (Brooksville, FL)
- …Healthcare Quality) OR CHCQM (Diploma in American Board of Quality Assurance and Utilization Review Physicians). _Individuals without CPHQ or_ CHCQM _will be ... Florida Oak Hill Hospital, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The available plans and programs… more
- MyFlorida (Fort Myers, FL)
- …. Requisition No: 848946 Agency: Department of Health Working Title: ENVIRONMENTAL SPECIALIST II - 64005698 ... Environmental Specialist II position working fulltime at the Department of Health in Lee County.* This professional Environmental Specialist II position functions… more
- Molina Healthcare (Tampa, FL)
- …Managed Care Experience in the specific programs supported by the plan such as Utilization Review , Medical Claims Review , Long Term Service and Support, ... as needed or equivalent experience (such as specialties in: surgical, Ob/Gyn, home health , pharmacy, etc.). + Experience demonstrating knowledge of ICD-9,… more
- HCA Healthcare (Aventura, FL)
- …HCA Florida Aventura Hospital, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The available plans and ... cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.… 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 ... Hospital, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The...on a timely basis in accordance with the NFRMC Utilization Review Plan and managed care contractual… 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 ... Florida West Marion Hospital, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The available plans and… more
- Evolent (Tallahassee, FL)
- **Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health ... care, we seek to connect the pieces of fragmented health care system and ensure people get the same...and maintain the definitive source of truth for specialty Utilization Management (UM) agreements. This important work is achieved… more