Utilization Review Jobs in Florida
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Search Results - Utilization Review Jobs in Florida
Aspire Health Center-Jacksonville
Position Summary
Aspire Health is seeking an experienced Utilization Review Coordinator to support clinical operations through timely, accurate review of medical services. This remote position plays a critical role in ensuring care delivery aligns...
careers-page.com -
LanceSoft-Tallahassee
if current and compliant
• Certification in Case Management, Nursing, or Utilization Review, preferred
About LanceSoft
Established in 2000, LanceSoft is a Certified MBE and Woman-Owned organization. Lancesoft Inc. is one of the highest rated companies...
Viera
Description:
Are you looking to advance your career in Admissions & Utilization Review? If you answered yes, then consider joining our team where you can take your career to the next level.
Being the Utilization Review Coordinator at Devereux has...
icims.com -
LanceSoft-Tallahassee
for position if current and compliant
• Certification in Case Management, Nursing, or Utilization Review, preferred
About LanceSoft
Established in 2000, LanceSoft is a Certified MBE and Woman-Owned organization. Lancesoft Inc. is one of the highest rated...
eviCore healthcare-Jacksonville
Provides timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria while located in a state or territory of the United States.
Reviews appeals for denied services related...
myMDcareers-Fort Lauderdale
Seeking a Medical Director of Clinical Effectiveness (CE)
Overview
Posted: 06/21/2017
Working with the hospital's CMO, Utilization Review Committee, medical staff leadership, and the Clinical Effectiveness team, you will proactively identify...
appcast.io -
eviCore healthcare-Jacksonville
Provides timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria while located in a state or territory of the United States.
Reviews appeals for denied services related...
SNI Companies-Tampa
in an acute care setting a plus.
• Associate’s degree in Nursing (minimum).
• Minimum of 4 years of experience in care management or case management experience.
• Minimum of 2 years of clinical, utilization review, or managed care experience, or an equivalent...
eviCore healthcare-Jacksonville
Provides timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria while located in a state or territory of the United States.
Reviews appeals for denied services related...
Vivian Staff Jobs-Sarasota
a graduate degree is preferred.
• Three years of hospital-based Case Management experience, including Utilization Review and Discharge Planning experience.
• May be required to work weekdays and/or weekends, evenings and/or night shifts.
• May be required...
Banyan Treatment Centers-Boca Raton
operations and utilization review tasks, ensuring optimal patient care and treatment levels.
• Collaborate with medical and nursing teams to ensure integrated patient care.
• Maintain clear communication with staff, patients, and external partners to ensure...
Jacksonville Orthopaedic Institute-Jacksonville
services of the patient and family members when appropriate.
• Assist the Site Coordinator as directed with, but not limited to: Utilization Review, Quality Assurance, Program Evaluation, Infection Control, and Safety Committee activities.
• Participates...
Encompass Health Rehabilitation Hospital of Sarasota-Sarasota
a graduate degree is preferred.
• Three years of hospital-based Case Management experience, including Utilization Review and Discharge Planning experience.
• May be required to work weekdays and/or weekends, evenings and/or night shifts.
• May be required...
LifePoint Health-Tampa
groups
• Actively communicates with clients, families, and outside referral sources
• Demonstrates proactive communication with those involved with the patient's treatment
• Works well with the interdisciplinary team including physicians, utilization...
Public Health Trust of Dade Co-Miami
and objectives, continuous quality improvement objectives, and safety, environmental, and/or infection control standards. Attendance at Medical Staff meetings and participation with/on JMH committees/sub-committees.
• Participates in utilization review, quality...
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