- Evolent (Tallahassee, FL)
- … utilization and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National Committee for Quality ... Oncology, you will be a key member of the utilization management team. We can offer you a meaningful...and management staff, other Physicians, and staff whenever a physician `s input is needed or required. **What You Will… more
- Evolent (Tallahassee, FL)
- … utilization and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National Committee for Quality ... Director you will be a key member of the utilization management team. We can offer you a meaningful...and management staff, other Physicians, and staff whenever a physician `s input is needed or required. **What You Will… more
- Evolent (Tallahassee, FL)
- … utilization and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National Committee for Quality ... Director you will be a key member of the utilization management team. We can offer you a meaningful...and management staff, other Physicians, and staff whenever a physician `s input is needed or required. As well as,… more
- AdventHealth (Tampa, FL)
- …as physician advisor to the Case Management staff and serves as physician liaison to promote appropriate utilization of resources by the medical staff. ... that come with evidence based model approach. + Provides counsel and physician perspective at senior leadership discussions and action plans related to business… more
- AdventHealth (Orlando, FL)
- …medical terms, diagnosis, medication codes and supporting clinical documentations are met. Utilization review to facilitate the sending of clinical information ... all. **The value you'll bring to the team:** + Responsible for review of chemotherapy regimen/treatment orders and determines insurance benefits and authorization… more
- MyFlorida (Chattahoochee, FL)
- …basis with accurate documentation. + Assisting the physician /ARNP/PA during resident assessment, treatment, physical examinations, medical/psychiatric/behavioral ... chart. + Accepting written, oral and phone orders from physician /ARNP/PA/Dentist, transcribing orders/signs and initiating/carrying out orders as required. +… more
- HCA Healthcare (Tallahassee, FL)
- …position if current and compliant** + **Certification in Case Management, Nursing, or Utilization Review , preferred** + **Three years of nursing experience in ... throughput while supporting a balance of optimal care and appropriate resource utilization . The RN CM Care Coordinator will identify potential barriers to patient… more
- CenterWell (Deland, FL)
- …review of clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates and ... delivery, and documentation requirements. + Responsible for the QA/PI activities. Works with Utilization Review staff relative to data tracking for performance … more
- ChenMed (Tamarac, FL)
- …and explain primary care provider role. Facilitate patient/family conferences to review treatment goals, optimize resource utilization , provide family education ... people to join our team. ESSENTIAL JOB FUNCTIONS: The Primary Care Physician (PCP) is a licensed/Board Certified/Board Eligible trained professional in internal or… 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 ... physicians and payors on a timely basis in accordance with the NFRMC Utilization Review Plan and managed care contractual agreements. 1. Submits clinical… more