- Elevance Health (Miami, FL)
- …diploma or equivalent, and a minimum of 2 years of clinical experience and/or utilization review experience. + Current active, valid and unrestricted LPN/LVN or ... Excel. + Previous clinical experience at a skilled nursing facility or utilization management experience strongly preferred. Please be advised that Elevance Health… 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. ... throughput while supporting a balance of optimal care and appropriate resource utilization . + Provides case management services for both inpatient and observation… more
- HCA Healthcare (Kissimmee, FL)
- …as patient flow, patient satisfaction, practice volume, billing and collections, service utilization , coding, physician and staff training + You will have strategic ... providers, front desk, medical records, nursing, and ancillary services to ensure maximum utilization of resources and the efficient delivery of services of his or… more
- HealthTrust Workforce Solutions (Bradenton, FL)
- …Case Managers to assure that the following functions of the role are completed: Utilization Review for medical necessity of admission and concurrent stay, Social ... and resource management, cost control, contract compliance, quality improvement, utilization management, denials management and management of relationships with… more
- Oracle (Tallahassee, FL)
- …procedures, contractual budgets, providing expert-level insight on the development, utilization , and revision of contractual agreements. + Maintains customer ... to key leaders. Technical Delivery Management: + Leading the review of and advises customers on optimal use and...service to customers and optimize overall product and service utilization to achieve ROI goals, influencing roadmaps and customer… more
- HCA Healthcare (Gainesville, FL)
- …is preferred + BSN is preferred + Certification in Case Management, Nursing or Utilization Review is preferred HCA Florida North Florida Hospital is a 523-bed, ... physicians, patients, families, hospital staff, and outside agencies + Performs utilization management reviews and communicates information to third party payors +… more
- Siemens Energy (Orlando, FL)
- …spending, and supporting strategic decisions. You'll move between data review , cross-functional meetings, model-building, and operational problem-solving, playing a ... productivity while partnering with HR and operations to improve labor utilization ; develop forecasting and budgeting models to guide strategic workforce decisions.… more
- HCA Healthcare (Gainesville, FL)
- …and improve the patient flow program effectiveness as it relates to utilization review , resource management, and discharge planning and care coordination. ... hospitalists & PCP's to address and resolve issues related to facility utilization and patient flow process and facilitate strong working relationship between… more
- City of Boynton Beach (Boynton Beach, FL)
- …and maintain a valid Florida Driver's License. Supplemental Information Data Utilization : Requires the ability to calculate and/or tabulate data. Includes performing ... established policies, procedures and standards. Equipment, Machinery, Tools, and Materials Utilization : Requires the ability to operate, maneuver and/or control the… more
- Community Based Care of Brevard, Inc. (Orlando, FL)
- …coordinator will actively participate in, and facilitate, as needed, Local Review Teams and other applicable staffings/meetings. They will document activities and ... to maximize resources and adhere to policies and procedures. Responsible for utilization and monitoring flexible funding and service coordination in order to meet… more