- 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
- CenterWell (Daytona Beach, FL)
- …largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is ... in patient experience, quality of care, clinical outcomes, and avoidable utilization *Periodically review clinician charts to identify opportunities in… 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. ... HCA Florida Ocala Hospital, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The available plans and programs… 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 ... focused on continuously improving consumer experiences **Preferred Qualifications** + Medical utilization management experience + Working with health insurance… more
- HCA Healthcare (Kissimmee, FL)
- …HCA Florida Osceola 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 (Kissimmee, FL)
- …HCA Florida Osceola 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 (Palm Harbor, FL)
- …giving! **Benefits** HCA Healthcare, 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 (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 ... Florida Fort Walton-Destin 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)
- …HIPAA, provider and vendor contracting, compliance, population health (including utilization management), Medicare, and Medicaid. + Draft, review and ... **Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes...President, Deputy General Counsel, the Attorney will prepare and review a variety of complex contracts and provide legal… more
- CenterWell (Tallahassee, FL)
- …largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is ... **Become a part of our caring community and help us put health first** **Interdisciplinary Care Integration Team (CIT)** The LCSW serves as a core member of the Care… more