Utilization Manager Jobs in Florida
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Search Results - Utilization Manager Jobs in Florida
Tampa
passion and drive, and start living your purpose at Better Health Group.
Responsibilities:
Position Objective:
The Utilization Management Analyst is an administrative role and is responsible for gathering, interpreting, and using complex data to develop...
icims.com -
Sunshine State Health Plan-Hialeah
leadership of all for utilization management, cost containment, and medical quality improvement activities.
• Performs medical review activities pertaining to utilization review, quality assurance, and medical review of complex, controversial...
Centers Care Solutions-Margate (FL)
Manager works within a multidisciplinary team to help identify and manage members who are in need of additional care or support in their home to improve their quality of life. Through interventions such as complex case management and utilization management...
2 similar jobs: Farmingdale, Staten Island
Sunshine State Health Plan-Tallahassee
leadership of all for utilization management, cost containment, and medical quality improvement activities.
• Performs medical review activities pertaining to utilization review, quality assurance, and medical review of complex, controversial...
Baptist Health South Florida-Miami
in order to meet patient needs, manage the length of stay (LOS), and promote efficient utilization of resources. Specific functions within this role include: Facilitation of the collaborative management of patient care across the continuum, intervening...
Sunshine State Health Plan-Pompano Beach
leadership of all for utilization management, cost containment, and medical quality improvement activities.
• Performs medical review activities pertaining to utilization review, quality assurance, and medical review of complex, controversial...
MedChi, The Maryland State Medical Society-Jacksonville
matched our fourth fellow to start in July 2024.
PHM faculty serve in many leadership roles in the hospital, residency program, utilization management, and clinical operations. Faculty are part of the VIP network and are involved in multi-site projects...
appcast.io -
4 Corner Resources-Lake Mary (FL)
in a healthcare-related field is preferred.
Working knowledge of MS SharePoint.
Hands-on experience with Utilization Management, government healthcare programs, and managed care processes, including organizational determinations, approvals, denials, appeals...
resume-library.com -
Sunshine State Health Plan-West Palm Beach
leadership of all for utilization management, cost containment, and medical quality improvement activities.
• Performs medical review activities pertaining to utilization review, quality assurance, and medical review of complex, controversial...
Pyramid Consulting, Inc-Tampa
Dependency Case Manager
Child Protective Investigator
DCF Navigator
Adoption Case Manager
Targeted Case Manager
Community Agency Worker
Internal- Sunshine Health Care Management Department, Utilization Management, Medical Directors, Provider Engagement...
resume-library.com -
Sunshine State Health Plan-Hialeah
leadership of all for utilization management, cost containment, and medical quality improvement activities.
• Performs medical review activities pertaining to utilization review, quality assurance, and medical review of complex, controversial...
Monogram Health, Inc.-Miami
and chronic condition treatment are delivered. Monogram’s innovative, in-home approach utilizes a national nephrology practice powered by a suite of technology-enabled clinical services, including case and disease management, utilization management and review...
appcast.io -
Ocoee (FL)
assessing patients’ risk factors and the need for
care coordination, clinical utilization management and the transition to the next appropriate level of care
Responsibilities:
Essential Functions
• Initially and concurrently assesses all patients within...
orlandohealth.com -
Monogram Health, Inc.-Fort Lauderdale
in-home approach utilizes a national nephrology practice powered by a suite of technology-enabled clinical services, including case and disease management, utilization management and review, and medication therapy management services that improve health...
appcast.io -
HCA Florida North Florida Hospital-Gainesville
Acts as a liaison through effective and professional communications with physicians, patients, families, hospital staff, and outside agencies
• Performs utilization management reviews and communicates information to third party payors
• Facilitates...
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