- Evolent (Tallahassee, FL)
- …timely and accurate manner. + May assist the Senior Medical Director in research activities/questions related to the Utilization Management process, ... utilization and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National Committee for Quality… more
- Select Medical (Gainesville, FL)
- …and professional growth of the department, including, but not limited to: Utilization Review (UR) and resource management, discharge planning, treatment plan ... **Overview** **Critical Illness Recovery Hospital** ** Director of Case Management** **$10,000 Sign On Bonus**...in social work and minimum three (3) years of medical case management or similar experience._** **Previous case mangement… more
- CVS Health (Tallahassee, FL)
- …do it all with heart, each and every day. **Position Summary:** Ready to take your Medical Director skills to the next level with a Fortune 6 company? Checkout ... Ohio, Oklahoma, Pennsylvania, Texas, Virginia and West Virginia. This Medical Director will be a "Work from...as a Physician Advisor or working for an Independent Review Organization A Plus +. + Electronic medical… more
- YesCare Corp (Tallahassee, FL)
- …manage regular physicians. Below is a list of your responsibilities as a **Site Medical Director with YesCare at the Leon County in Tallahassee, FL** ... need for non-formulary medication on non-formulary request form for Medical Director 's approval when non-formulary medication is...event review + Actively participant of the Utilization Review process and follow proper procedures.… more
- Elevance Health (Miami, FL)
- ** Medical Director -Internal Medicine or Family Medicine Appeals** **Location:** This role enables associates to work virtually full-time, with the exception of ... an accommodation is granted as required by law. The ** Medical Director -Internal Medicine or Family Medicine Appeals**...state or territory of the United States when conducting utilization review or an appeals consideration and… more
- CVS Health (Tallahassee, FL)
- …illnesses through peer review and educational interventions. * Work with medical director teams focusing on inpatient care management, clinical coverage ... * Leverage extensive knowledge of health care delivery system, utilization management, reimbursement methods and treatment protocols for DSNP/MMP...review , member appeals clinical review , … more
- Sevita (FL)
- …status, citizenship, or any other characteristic protected by law._ **Executive Director of Operations** **Starting at $150,000 | Florida-Based Opportunity** Are you ... leader ready to make a meaningful impact? We're seeking a **dynamic Executive Director of Operations** to lead with strategy, vision, and results. + **Starting… more
- Elevance Health (Tampa, FL)
- ** Medical Director - Medicare Fee for Service** Location: This role enables associates to work virtually full-time, with the exception of required in-person ... and Medicaid Services to transform federal health programs. The ** Medical Director ** is responsible for drafting and...state or territory of the United States when conducting utilization review or an appeals consideration and… more
- CenterWell (Jacksonville, FL)
- …a part of our caring community and help us put health first** The Associate Medical Director (AMD) is an instrumental clinical leader of our primary care team, ... performance in patient experience, quality of care, clinical outcomes, and avoidable utilization + Periodically review clinician charts to identify opportunities… more
- CenterWell (Daytona Beach, FL)
- …caring community and help us put health first** Job Description Summary The Associate Medical Director (AMD) is an instrumental clinical leader of our primary ... in patient experience, quality of care, clinical outcomes, and avoidable utilization *Periodically review clinician charts to identify opportunities in… more