- Humana (Tallahassee, FL)
- …and help us put health first** The Staff Utilization Management Pharmacist (VSP/PT) is a clinical expert responsible for conducting medical necessity ... required. Mandatory overtime during peak season.** **Job Description:** The Staff Utilization Management Pharmacist (VSP/PT)...**Job Description:** The Staff Utilization Management Pharmacist (VSP/PT) is a clinical professional… more
- AdventHealth (Orlando, FL)
- …collaborative relations with the other medical directors. Advise and educate Utilization Management staff regarding clinical issues. Acts as liaison for ... information to members of the Medical Staff and clinical departments on Utilization Management guidelines and protocols. **The expertise and experiences… more
- Humana (Tallahassee, FL)
- …part of our caring community and help us put health first** The Utilization Management Behavioral Health Professional 2 utilizes behavioral health knowledge and ... and communication of medical services and/or benefit administration determinations. The Utilization Management Behavioral Health Professional 2 work assignments… more
- BayCare Health System (Largo, FL)
- …built on a foundation of trust, dignity, respect, responsibility and clinical excellence. **The Utilization Coordinator (Homecare) responsibilities include:** + ... appropriateness and admission documentation completeness. + Communicates to and educates staff regarding utilization and paperwork issues. + One UR will… more
- Sedgwick (Tallahassee, FL)
- …to verify and enter data in appropriate system(s); and to provide general support to clinical staff in a team environment. **ARE YOU AN IDEAL CANDIDATE?** We are ... Work(R) Fortune Best Workplaces in Financial Services & Insurance Utilization Review Coordinator **PRIMARY PURPOSE** : To assign ...+ Enters demographics and UR information into claims or clinical management system; maintains data integrity. +… more
- Sedgwick (Tampa, FL)
- …and enter data in appropriate system(s); and to provide general support to clinical staff in a team environment. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + ... Work(R) Fortune Best Workplaces in Financial Services & Insurance Utilization Review Coordinator **PRIMARY PURPOSE** : To assign ...+ Enters demographics and UR information into claims or clinical management system; maintains data integrity. +… more
- CenterWell (Orlando, FL)
- …for review of the appropriate number of Case Managers and clinical staff documentation to include starts-of-care, resumption-of-cares, and re-certifications, ... documentation in addition to feedback and recommendations by Utilization Review staff . Upon completion of the...systems and process. Competently performs patient care assignments and staff management activities. + Provides direct patient… more
- CenterWell (Tallahassee, FL)
- …for review of the appropriate number of Case Managers and clinical staff documentation to include starts-of-care, resumption-of-cares, and re-certifications, ... documentation in addition to feedback and recommendations by Utilization Review staff . Upon completion of the...systems and process. Competently performs patient care assignments and staff management activities. + Provides direct patient… more
- Fresenius Medical Center (Hollywood, FL)
- …as a resource to facility staff . + Provides counseling for all clinical staff members at regular intervals offering support and encouraging professional ... to the disease management company. Maintains current knowledge of disease management software and systems as pertinent. ** STAFF :** + Responsible for… more
- University of Miami (Miami, FL)
- …improve clinical outcomes by optimizing antimicrobial use, enhance resource utilization while decreasing therapeutic resistance and adverse events, and to bridge ... vaccine protocols, order sets, and facilitates medication and vaccine utilization reviews and PI projects + Provides mentorship and...and PI projects + Provides mentorship and is a clinical resource for staff , pharmacy students, pharmacy… more
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