- CenterWell (Tallahassee, FL)
- …healthcare industry. The UM Administration Coordinator - Phone Intake contributes to administration of utilization management . The UM Administration ... works on semi-routine assignments. Shift Hours - 8a - 5 The UM Administration Coordinator - Phone Intake provides non-clinical support for the policies and… more
- Veterans Affairs, Veterans Health Administration (West Palm Beach, FL)
- …systems of health care by participating in programs, following policies, improving utilization of resources and suggesting process changes for clinical programs in ... the Radiation Oncology Section. NOTE: The utilization of the Fee Basis appointments are focused on...clinical staff of current automated technology for Health Information Management Sections (HIMS), patient data tracking, patient orders, etc.… more
- Veterans Affairs, Veterans Health Administration (Palm Bay, FL)
- …age appropriate cervical and breast cancer screening, menopause and contraceptive management , and initial evaluation of basic gynecological concerns. Performs a ... variety of disease prevention related activities including gender and age specific...and treatment as appropriate. Provide Buprenorphine treatment in the management of Opioid Use Disorder per DEA guidance. Primary… more
- Veterans Affairs, Veterans Health Administration (Bradenton, FL)
- …age appropriate cervical and breast cancer screening, menopause and contraceptive management , and initial evaluation of basic gynecological concerns. Performs a ... variety of disease prevention related activities including gender and age specific...and treatment as appropriate. Provide Buprenorphine treatment in the management of Opioid Use Disorder per DEA guidance. Primary… more
- Molina Healthcare (Tampa, FL)
- …HMO regulations, managed healthcare systems, quality improvement, medical utilization management , risk management , risk adjustment, disease management ... Summary** Responsible for serving as the primary liaison between administration and medical staff. Assures the ongoing development and...resource management . + Develops and implements a Utilization Management program and action plan, which… more
- Molina Healthcare (Jacksonville, FL)
- …HMO regulations, managed healthcare systems, quality improvement, medical utilization management , risk management , risk adjustment, disease management ... and effective resource management . + Develops and implements a Utilization Management program and action plan, which includes strategies that ensure… more
- AdventHealth (Davenport, FL)
- …and performance excellence . Develops, monitors, and evaluates performance/process improvement, disease management , utilization review activities, and ... members of the medical staff on regulatory updates and changes related to CDI,HIM, utilization management and care management . Serves as a community resource… more
- Humana (Tallahassee, FL)
- …the coordination, documentation, and communication of medical services and/or benefit administration determinations. The Senior Utilization Management ... of our caring community and help us put health first** The Senior Utilization Management Behavioral Health Professional utilizes behavioral health knowledge and… more
- HCA Healthcare (Panama City, FL)
- … review/ management + You will consult with facility-level staff regarding delegated utilization management and disease management operations under ... ongoing in-service programs to facility medical staff regarding clinical resource management , appropriate documents standards, utilization and quality issues,… more
- AdventHealth (Orlando, FL)
- …and serves as a resource to Medical Staff colleagues regarding best practices, Utilization Management and Care Management structures, and functions and ... facilitates productive internal/external relationships with all physicians and constituents of Utilization Management , Care Management and CDI departments.… more