- Humana (Tallahassee, FL)
- …enterprise leader, with responsibility for evolving Humana's Utilization Management of medical review by physician or nurse, with a focus on our 5+ million ... health outcomes for some of our most vulnerable members. The Director, Physician leadership will lead Medical Directors performing utilization management for… more
- AdventHealth (Tampa, FL)
- …reviews within 24 hours of admission; and when warranted by length of stay, utilization review plan, and/or best practice guidelines, on a continuing basis. ... diseases. **The role you'll contribute:** The role of the Utilization Management (UM) Registered Nurse (RN) is to use...the UM nurse is responsible for escalation to the Physician Advisor or designated leader for additional review… more
- AdventHealth (Altamonte Springs, FL)
- …and quality outcomes. Through primary support of Utilization Management, the Physician Advisor is responsible for providing clinical review of utilization ... **Job Location** : Altamonte Springs, FL **The role you will contribute:** The Physician Advisor provides primary support for Utilization Management (UM) and… more
- Veterans Affairs, Veterans Health Administration (Miami, FL)
- …System's Mental Health/Behavioral Science Service is seeking an experienced and dynamic Physician (Mental Health) - Associate Chief of Staff. Ideal applicants are ... are determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply. VA… more
- HCA Healthcare (Tallahassee, FL)
- …such as patient flow, patient satisfaction, practice volume, billing and collections, service utilization , coding, physician and staff training + You will have ... 156,000 hours impacting our communities. As a Director of Physician Services I with HCA Healthcare, you can be...medical records, nursing, and ancillary services to ensure maximum utilization of resources and the efficient delivery of services… more
- ChenMed (Miami, FL)
- … Physician Reviewer is the primary physician reviewer for Utilization Management/Clinical Appropriateness review cases in our organization. Other duties ... include advising other physician reviewers and attending daily calls with health plan...medicine preferred + At least one (1) year of utilization review experience preferred We're ChenMed and… more
- Veterans Affairs, Veterans Health Administration (West Palm Beach, FL)
- …performs psychiatry Quality of Care audits and functions as the Department Physician Utilization Management Advisor (PUMA) to ensure compliance. Coordinates, ... by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. VA offers a comprehensive total rewards package.… more
- Ascension Health (Jacksonville, FL)
- …5 years of recent work experience in a hospital setting, preferably with some Physician Advisory/ Utilization Management work experience. If you are ready to ... **Position Highlights** Ascension St. Vincent is looking for a Physician Advisor to join our team. We are looking...talented group of physicians apply today! **Responsibilities** : + Review medical records of identified patients to assist with… more
- Veterans Affairs, Veterans Health Administration (Sebring, FL)
- …VA Healthcare System's Primary Care Service is seeking an experienced and dynamic Physician (Primary Care). Ideal applicants are those who want to contribute to the ... are determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply. VA… more
- Veterans Affairs, Veterans Health Administration (West Palm Beach, FL)
- …West Palm Beach VA Medical Center is currently seeking a Fee Basis Physician (Radiation Oncology). The incumbent will be responsible for maintaining and improving ... systems of health care by participating in programs, following policies, improving utilization of resources and suggesting process changes for clinical programs in… more