- Centers Plan for Healthy Living (Margate, FL)
- …applications for Full Time Registered Nurse without experience. The Utilization Management Clinical Reviewer works within a multidisciplinary team to help ... in their home to improve their quality of life. Utilization Management Clinical Reviewer will assess and process all authorization requests to determine medical… more
- Humana (Tallahassee, FL)
- …tasks. Typically works on routine and patterned assignments. **Job Description** The UM Administration Coordinator 1 provides non- clinical support for the ... a part of our caring community and help us put health first** The UM Administration Coordinator 1 contributes to administration of utilization management. The UM … more
- Humana (Tallahassee, FL)
- …works on routine and patterned assignments. A pharmacy authorization specialist or UM Administration Coordinator 1 provides non- clinical support for policies and ... a part of our caring community and help us put health first** The UM Administration Coordinator 1 contributes to administration of utilization management. The UM … more
- University of Miami (Miami, FL)
- …logistical knowledge of organ donation/recovery process in a timely manner. + Keeps UM LAORA Clinical Operations Director and Organ Allocation and Recovery ... 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 Life Alliance… more
- AdventHealth (Altamonte Springs, FL)
- …support of Utilization Management, the Physician Advisor is responsible for providing clinical review of utilization, claims management, and quality assurance ... contribute:** The Physician Advisor provides primary support for Utilization Management ( UM ) and secondary support for Care Management (CM) departments and serves… more
- AdventHealth (Tampa, FL)
- …support of Utilization Management, the Physician Advisor is responsible for providing clinical review of utilization, claims management, and quality assurance ... Research Institute, also located at AdventHealth Tampa, leads the way in clinical and academic research in the areas of neuroscience, cardiovascular medicine,… more
- University of Miami (Miami, FL)
- …staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The ... to work in Miami, FL. The Recovery Coordinator 1 ( UM LAORA) assists in the recovery, packaging, preservation and...JOB FUNCTIONS + Works with surgical staff in the clinical recovery, preservation, and transportation of tissues. Documents all… more
- BayCare Health System (Riverview, FL)
- …that's built on a foundation of trust, dignity, respect, responsibility and clinical excellence. BayCare is currently in search of our newest Physician Advisor ... through teaching, consulting, and advising the care management and utilization review departments and the hospital leadership. + Develops expertise on matters… more
- Evolent (Tallahassee, FL)
- …request. + Submitting IT tickets to address barriers to generating cases for clinical review and following the ticket through to completion. + Addressing ... our daily operations this individual also works with our clinical team, which includes our medical reviews: LVNs, LPNs,...to determine if submitted requests require a prior authorization review or redirect as required. + Entering data into… more
- Humana (Tallahassee, FL)
- …health first** The Utilization Management Behavioral Health Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of ... medical records sent from Behavioral Health Facilities to obtain sufficient clinical information. The Utilization Management Behavioral Health Nurse 2 work… more