- MTC (Quincy, FL)
- …professional nursing experience with one (1) year supervisory experience. Must be a licensed registered nurse in the state of Florida or compact state. Must ... the duties of the position. 11. Practice advanced cost containment and utilization management for inmate care and facility operations. 12. Maintain absolute security… more
- HCA Healthcare (St. Petersburg, FL)
- …of professional nursing is required. + Bachelor's Degree in Nursing preferred. + Current Registered Nurse License in the State of Florida Northside Hospital is a ... a team of sepsis champions including charge and unit nurse , key physician representing the Emergency Department, Intensivist Group,...+ Mortality rate Vent day, ICU LOS, sepsis CVC utilization rate for overall severe sepsis, severe sepsis with… more
- CenterWell (Daytona Beach, FL)
- …the strategic intent + Overseeing other clinicians which includes Physicians, Advanced Registered Nurse Practitioners (ARNP), and Physicians Assistants (PA) + ... inquiries, requests, and complaints from patients + Ongoing chart review / audit of clinical staff to ensure quality...+ Identifying trends and areas of opportunity in pharmacy utilization (pharmacy management) to impact Part D per Member… more
- 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
- HCA Healthcare (Ocala, FL)
- …and costs to patient and patient families. What qualifications you will need: + Registered Nurse + Associate Degree HCA Florida Ocala Hospital is a 323-bed ... planning. + Performs admission certification screening for patients in accordance with Utilization Plan using ISD criteria, and performs concurrent stay reviews at… more
- Healthfirst (FL)
- The Case Manager, Utilization Management coordinates the care plan for assigned members and conducts pre-certification, concurrent review , discharge planning, ... and case management as assigned. The Case Manager, Utilization Management is also responsible for efficient utilization...necessary + Additional duties as assigned Minimum Qualifications: + RN , LPN, LMSW, LMHC, LMFT, LCSW, PT, OT, and/or… more
- BAYADA Home Health Care (Jacksonville, FL)
- …including admission rates, re-hospitalizations, visit productivity, and clinician utilization . + Collaborate with referral sources, physicians, hospitals, and ... community partners to support business development partners and census growth. + Review and manage key financial indicators including PDGM performance, LUPAs, visit … more
- CVS Health (Tallahassee, FL)
- …visit, inpatient, skilled nursing, or rehabilitative stay. Under the direction of a Registered /Licensed RN , the TOC Coach ensures the member experiences a ... or changes in condition to be transitioned back to RN . - Complete post discharge call and required assessments...who cannot advocate for themselves. The TOC team will review prior claims to address potential impact on current… more
- CVS Health (Tallahassee, FL)
- …visit, inpatient, skilled nursing, or rehabilitative stay. Under the direction of a Registered /Licensed RN , the TOC Coach ensures the member experiences a ... or changes in condition to be transitioned back to RN + Complete post discharge call and required assessments...who cannot advocate for themselves. The TOC team will review prior claims to address potential impact on current… more
- MyFlorida (Bradenton, FL)
- …area before, during and after services. + Under the direction of the RN or Provider, conducts pre-clinical interviews. + Completes: Medical history intake and update ... position. + Participates in quality improvement activities, including medical record review , attend in-service programs and staff meetings. Other duties as assigned.… more