- HCA Healthcare (Gainesville, FL)
- …recognizes physicians as important customers. What qualifications you will need: + State Registered Radiologic Technician, or Registered Nurse + Associate ... material and human resource management.? + Maintains and monitors utilization of resources, physical space, equipment, department protocols, standards, policies,… more
- Cleveland Clinic (Coral Springs, FL)
- …the use of surgical instrumentation and knowledge of surgical procedure. + Assist RN Circulator to ensure proper room utilization through decreased turnover time ... resources, all while following the guidelines set by the Association of Perioperative Registered Nurses (AORN). You will also be cross-trained as a GI Tech, offering… more
- Highmark Health (Tallahassee, FL)
- …**Job Description :** **JOB SUMMARY** This job implements effective complimentary utilization and case management strategies for an assigned member panel. Provides ... to appropriate resources for additional support. + Implement care management review processes that are consistent with established industry, corporate, state, and… more
- Elevance Health (FL)
- ** Nurse Reviewer I** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing ... set of clinical domains, including radiology, cardiology and oncology. The ** Nurse Reviewer I** is responsible for conducting preauthorization, out of network… more
- Evolent (Tallahassee, FL)
- …focusing on appeals and post-determination requests. We maintain the principles of utilization management by adhering to Evolent and Client policies and procedures ... work with a group of nurses, providing appeal intake review for one dedicated client. They interact with coordinators...Be Doing:** + Practices and maintains the principles of utilization management and appeals management by adhering to company… more
- HCA Healthcare (Kissimmee, FL)
- …performance improvement, education, stroke program hospital services utilization , community outreach, pre-hospital education, and marketing/communications. The ... Director coordinates and provides support to the clinical peer review process for stroke center patients: + Accurate and...process **What qualifications you will need:** + Current Florida RN license, or Florida eligible + BLS provider required… more
- HCA Healthcare (Kissimmee, FL)
- …experienced traumatic injuries which includes discharge planning and psychosocial needs. + Review of patient notes to help identify psychosocial needs and possible ... to appropriateness of level of care, length of stay and resource utilization issues. + Identifying barriers to discharge and contacting relevant personnel to… more
- Elevance Health (FL)
- …and outpatient professional treatment health benefits through telephonic or written review . **How you will make an impact:** + Uses appropriate screening ... equivalent background. + Current active unrestricted license such as RN LCSW LMSW LMHC LPC LBA (as allowed by...is licensed staff supervision. + Previous experience in case management/ utilization management with a broad range of experience with… more
- Parexel (Tallahassee, FL)
- …reproducible research practices like version control and literate programming. + BSN, RN , RPh, Pharm D, PA, MPH, or other applicable health professional credentials, ... solutions, and ensure high-quality, compliant data. + Use surveillance tools to review data at an aggregate level, identifying patterns or anomalies to ensure… more
- HCA Healthcare (Port Charlotte, FL)
- …rehabilitation services prior to returning home. The Clinical Rehabilitation Specialist will review these patients daily until they have strong clinical evidence to ... source within 2 hours. + Performs on-site and off-site review of patients in designated facilities to assist Case...commitments to referral sources. Develops a call-plan to prioritize utilization of time. + Assists in developing the annual… more