- Rep-Lite (Orlando, FL)
- …improving patient access and outcomes Performance Metrics Include + Revenue and utilization growth + Physician referral network expansion + Report attribution ... conditions. You will be responsible for expanding awareness, increasing treatment utilization in established accounts, and building a strong network of referring… more
- Sedgwick (Tallahassee, FL)
- …narcotic use contract with client. + Maintains accurate record system of pharmacy utilization review and complex pharmacy reviews to include cost savings, ... trends, and data collection. + Interacts and coordinates work of physician advisors as needed; performs complex review of cases to identify referral for case… more
- Humana (Tallahassee, FL)
- …health insurance, other healthcare providers, clinical group practice management. + Utilization management experience in a medical management review ... this knowledge in their daily work. The Medical Director's work includes computer-based review of moderately complex to complex clinical scenarios, review of all… more
- Humana (Tallahassee, FL)
- …health insurance, other healthcare providers, clinical group practice management. + Utilization management experience in a medical management review ... this knowledge in their daily work. The Medical Director's work includes computer-based review of moderately complex to complex clinical scenarios, review of all… more
- HCA Healthcare (Ocala, FL)
- …areas of critical thinking, interpersonal relationships, and technical skills. + Review non-formulary requests and provide overall formulary management for the ... of the Pharmacy department. + Maintain an active role in the Medication Utilization Evaluation and Adverse Drug Reaction reporting. + Supports staff in the Pharmacy… more
- Elevance Health (Tampa, FL)
- …+ Determines the medical necessity of requests using clinical criteria. + Performs physician -level case review of musculoskeletal utilization requests. + ... Conducts peer-to-peer consultation with ordering physicians, physician assistants and advanced practice nurses regarding established guidelines and accepted… more
- MyFlorida (Land O' Lakes, FL)
- …and other health care personnel per established policies and procedures. Monitor physician 's orders for completion. Review and follow-up on resident incidents ... requirements for diagnostic procedures as requested by the attending physician on an assigned shift per established policies and...(3) (d) FAC Will supervise subordinates on assigned unit. Review work assignments with staff on unit and assign… more
- MyFlorida (Port Saint Lucie, FL)
- …and other health care personnel per established policies and procedures. + Monitor physician 's orders for completion. + Review and follow-up on resident ... requirements for diagnostic procedures as requested by the attending physician on an assigned shift per established policies and...(d) FAC + Supervise subordinates on assigned units. + Review work assignments with staff on the unit and… more
- Travelers Insurance Company (Tallahassee, FL)
- …Medical Consortiums and other medical resources as appropriate. Train and evaluate physician and non- physician medical review personnel and activities. ... which can impact claim outcomes. Organize and coordinate Travelers' medical review functions. This includes interpreting Federal and State regulations and medical… more
- University of Miami (Miami, FL)
- …staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . APP, ... advance d practice providers (APPs) ( ie, Advanced Registered Nurse Practitioners, Physician Assistants etc.). Key responsibilities of this position include , but… more