- Humana (Tallahassee, FL)
- …health insurance, other healthcare providers, clinical group practice management + Utilization management experience in a medical management review organization, ... provider relations, quality of care, audit, grievance and appeal and policy review . The Behavioral Health Medical Director will develop and present educational… more
- YesCare Corp (Tallahassee, FL)
- …measures including sentinel event review + Actively participant of the Utilization Review process and follow proper procedures. + Follows standard ... EOE including Disability/Protected Veterans._ **Responsibilities** Serves as the responsible physician and health authority required by national standards. Provides… more
- University of Miami (Hialeah, FL)
- …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 Chief ... governance, data integration, data mining, spend analytics, comparative benchmarking, utilization trends, procedure costing, spend forecasting, and opportunity analysis.… more
- BayCare Health System (Sarasota, FL)
- …bodies within the area of responsibility. + Ensure quality assurance program and utilization review is followed in accordance with Home Care protocol. + ... AM - 9:00 PM, Friday, Saturday, Sunday + **Status:** Full time, Salary + **On Call:** Yes BayCare is...Participates with Case Manager on initial Plan of Care review with a focus on quality, utilization … 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
- CVS Health (Tallahassee, FL)
- …it all with heart, each and every day. **Position Summary** _This is a full -time telework position._ _The schedule for this role is_ **_Monday through Friday 8:00 AM ... we collaborate with members, providers, and community organizations to address the full continuum of our members' health care and social determinant needs. Join… more
- AdventHealth (Daytona Beach, FL)
- …& Decision Support. Serves as regional executive liaison with Revenue Cycle, Utilization Review , Case Management, Supply Chain, Managed Care, Corporate ... Oversee functions directed by centralized division services such as Patient Access, Utilization Review , Case Management, Patient Financial Services, HIM, Coding,… more
- AdventHealth (Daytona Beach, FL)
- …team. All while understanding that **together** we are even better. **Schedule:** Full Time **Shift** : Mon- Friday 8-5pm **Location:** 1595 N WILLIAMSON BLVD, ... goals to enhance quality, patient satisfaction, and reduce unnecessary healthcare resource utilization , thereby creating a new paradigm in how whole-person care is… more
- CVS Health (Tallahassee, FL)
- …we collaborate with members, providers, and community organizations to address the full continuum of our members' health care and social determinant needs. Join ... meal delivery, assists with securing DME, and helps to ensure timely physician follow-up + Understands Payer/Plan benefits, policies, procedures, and can articulate… more
- HCA Healthcare (St. Petersburg, FL)
- …+ 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 ... a team of sepsis champions including charge and unit nurse, key physician representing the Emergency Department, Intensivist Group, Hospitalists and Surgeons. + You… more