- Molina Healthcare (St. Petersburg, FL)
- …Required Qualifications * At least 2 years experience, including experience in hospital acute care , inpatient review , prior authorization, managed care , ... JOB DESCRIPTION Job SummaryProvides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary… more
- Molina Healthcare (Tampa, FL)
- …At least 2 years health care experience, including experience in hospital acute care , inpatient review , prior authorization, managed care , or ... licensure required** **Preferred Experience** Previous experience in Hospital Acute Care , ER or ICU, Prior Auth, Utilization Review... Care , ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual /… more
- Centene Corporation (Tallahassee, FL)
- …review process preferred. Experience working with providers and healthcare teams to review care services related to mental health and substance abuse ... including a fresh perspective on workplace flexibility. **Position Purpose:** Performs a clinical review and assesses care related to mental health and substance… more
- AdventHealth (Land O' Lakes, FL)
- …one another and respect for each persons unique contributions, provides utilization review care that is non-judgmental and non-discriminatory. Consider factors ... are necessary and appropriate for the achievement of patient care outcomes within effective time frames on a specific...complete all initial admission assessments within 24 hours of inpatient admission and match the patients ongoing needs with… more
- University of Miami (Miami, FL)
- …Functions + Direct care to PAG patients in the outpatient and inpatient setting. + Consultation for nonservice unit patients by telephone. + PAG consultation 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 (Miami, FL)
- …Newborn inpatient wards. He/she/they will provide direct in-patient medical care to pediatric and newborn patients. He/she/they will also provide in-patient and ... 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) . Transforming Lives The… more
- Veterans Affairs, Veterans Health Administration (Bay Pines, FL)
- …Appeals, and Incarcerated Veteran requests. Incumbent prepares the request for initial review /orders by the clinician , schedules all appointments into the ... interdisciplinary coordinated care delivery model. Coordinates with the patient care team to review clinic appointment availability (utilization) to ensure… more
- University of Miami (Miami, FL)
- …pediatrics units, students and residents are active participants in our multidisciplinary care . Our faculty are highly dedicated clinician educators committed to ... 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) . Academic Pediatric Hospitalist… more