- MyFlorida (St. Petersburg, FL)
- …to imported documents. Writes Progress Notes in HMS and identifies the correct center/ physician to send to for electronic review of the document. + ... Establishes and maintains positive working relationships with other members of Utilization Management/Referral team. + Use multiple computer applications to perform… more
- The Hartford (Lake Mary, FL)
- …Understanding of PPD rules and requirements, claim management, case management, and/or utilization review methodology preferred + Excellent verbal and written ... appropriate fair PPD strategy to assist with settlement. + Review and interpret all treating physician impairment...settlement. + Review and interpret all treating physician impairment ratings and supportive medical records to determine… more
- HCA Healthcare (St. Petersburg, FL)
- …a team of sepsis champions including charge and unit nurse, key physician representing the Emergency Department, Intensivist Group, Hospitalists and Surgeons. + You ... recognition and activation of the sepsis team. Unit and physician compliance (ED physician , Intensivist) + Mortality...+ Mortality rate Vent day, ICU LOS, sepsis CVC utilization rate for overall severe sepsis, severe sepsis with… more
- HCA Healthcare (Tallahassee, FL)
- …or CCI or an equivalent registry. This position will assist the physician with obtaining images during Transesophogeal Echo's. This position shows sound knowledge ... diagnosis of patient disorders. Prioritizes and organizes patient flow to ensure best utilization of time. Is given general guidance and is expected to function with… more
- Pfizer (Tallahassee, FL)
- …and applying insights in local planning + Act decisively by prioritizing resource utilization to meet customer needs + Provide key HQ colleagues, including Brand ... actionable, and solutions focused feedback + Ensure effective and compliant utilization of promotional materials. + Ensure successful, compliant selling activities… more
- HCA Healthcare (Ocala, FL)
- …required + 4 year Bachelor Degree preferred + Certification in Case Management or Utilization Review preferred + 1 year experience in acute hospital with ... supporting a balance of optimal care and appropriate resource utilization . + Provides case management services for both inpatient...health care team and in particular with the patient's physician to facilitate a successful care transition + In… more
- CVS Health (Tallahassee, FL)
- …meal delivery, assists with securing DME, and helps to ensure timely physician follow-up. - Understands Payer/Plan benefits, policies, procedures, and can articulate ... who cannot advocate for themselves. The TOC team will review prior claims to address potential impact on current...community. - Utilizes weekly and daily reporting to identify utilization for the purpose of reducing Emergency Department … 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. ... supporting a balance of optimal care and appropriate resource utilization . + Provides case management services for both inpatient...health care team and in particular with the patient's physician to facilitate a successful care transition + In… more
- CVS Health (Tallahassee, FL)
- …meal delivery, assists with securing DME, and helps to ensure timely physician follow-up + Understands Payer/Plan benefits, policies, procedures, and can articulate ... who cannot advocate for themselves. The TOC team will review prior claims to address potential impact on current...community + Utilizes weekly and daily reporting to identify utilization for the purpose of reducing Emergency Department … more
- Veterans Affairs, Veterans Health Administration (West Palm Beach, FL)
- …coordinated care delivery model. Coordinates with the patient care team to review clinic appointment availability utilization to ensure that clinic schedules ... the data into VISTA if applicable. Promotes Veterans registration for and utilization of MyHealthyVet (MHV) and kiosks usage. Follows procedures regarding Community… more