- HCA Healthcare (Gainesville, FL)
- …a data-driven environment of quality and cost improvement and develops systems to review utilization of resources and objectively measure outcomes of care in ... for appeals and denials process, discharge planning, case management, and utilization review /management. + Consults with facility-level staff regarding delegated… more
- AdventHealth (Altamonte Springs, FL)
- …CEO, the Chief Medical Officer (CMO) assumes a pivotal role in providing physician leadership and enhancing clinical outcomes. The CMO spearheads efforts to bolster ... school affiliations, and coordinate residency programs. Additionally, the CMO shall devote full -time effort to providing CMO duties and responsibilities, acting as a… more
- Centene Corporation (Tallahassee, FL)
- …management, cost containment, and medical quality improvement activities. + Performs medical review activities pertaining to utilization review , quality ... physician education with respect to clinical issues and policies. + Identifies utilization review studies and evaluates adverse trends in utilization of… 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, ... Supervisor - General Internal Medicine - Full Time The Supervisor, Advance d Practice Providers supervises advance d practice providers (APPs) ( ie, Advanced… more
- University of Miami (Plantation, FL)
- … physician calls, logs data into applicable databases, and performs drug utilization review . CORE JOB FUNCTIONS 1. Implements and maintains procedures for ... faculty or staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The Pharmacy Department… more
- University of Miami (Miami, FL)
- … physician calls, logs data into applicable databases, and performs drug utilization review . CORE JOB FUNCTIONS 1. Implements and maintains procedures for ... faculty or staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The Department of… more
- University of Miami (Hollywood, FL)
- … physician calls, logs data into applicable databases, and performs drug utilization review . JOB FUNCTIONS + Implements and maintains procedures for mixing, ... faculty or staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The Pharmacy Department… 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) . The ... Eye Institute, has an exciting job opportunity for a full time Clinical Program Coordinator - Virtual Eye Care...with high risk medications. + Researches and confirms outside physician contact information and requests updates to the Health… 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
- HCA Healthcare (Tallahassee, FL)
- …position if current and compliant** + **Certification in Case Management, Nursing, or Utilization Review , preferred** + **Three years of nursing experience in ... + Employee Health Assistance Fund that offers free employee-only coverage to full -time and part-time colleagues based on income. Learn more about Employee Benefits… more