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Utilization Review Jobs in Jacksonville

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Search Results - Utilization Review Jobs in Jacksonville
Encompass Health-Jacksonville
of hospital plans, including the Provision of Care/Scope of Services, Leadership, Information Management, Utilization Review, Infection Control, and Patient Safety plans. Oversee risk management activities, including completion of incident reports, notice...
Jacksonville
Overview: PRN Position The Case Manager (CM) is an important member of the treatment team responsible for participating in the development of the patient's plan of care and facilitating efficient throughput, conducting utilization review...
ufhealth.org -
Jacksonville
coverage systems (e.g., Medicare/Medicaid)  •  Knowledge of current Utilization Review Accreditation Committee (URAC) standards  •  Knowledge of current National Committee for Quality Assurance (NCQA) standards  •  Strong clinical assessment and critical thinking...
acentra.com -
Sunshine State Health Plan-Jacksonville
medical 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...
tiptopjob.com -
Dane Street, LLC-Saint Augustine (FL), 41 mi from Jacksonville
necessity and utilization review/management expertise.  •  Expanded credentials as an expert in Independent Medical Exams and physician advisor services.  •  Fully prepped cases, streamlined case flow, transcription services at no cost, and user-friendly work...
appcast.io -
Sunshine State Health Plan-Jacksonville
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, or experimental...
tiptopjob.com -
Encompass Health-Saint Johns (FL), 22 mi from Jacksonville
of hospital plans, including the Provision of Care/Scope of Services, Leadership, Information Management, Utilization Review, Infection Control, and Patient Safety plans. Oversee risk management activities, including completion of incident reports, notice...
HCA Florida Orange Park Hospital-Orange Park, 13 mi from Jacksonville
in Case Management or Critical Care is preferred.  •  Certification in Case Management or Utilization Review is preferred.  •  InterQual experience is preferred.  •  Applicant MUST be able to orient/train a minimum of 2/3 days per weekdays (Monday-Friday) for 6...

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