Utilization Manager Jobs in Florida
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Search Results - Utilization Manager Jobs in Florida
Lee Health-Cape Coral
Summary
Emergency Department Utilization Care Managers perform utilization management functions to ensure medical necessity and the appropriate level of care. Assesses, plans, implements, coordinates, monitors, and regulates compliance options...
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Gainesville
Experience:
• Three (3) years of critical care nursing experience,
• OR five (5) years of medical-surgical nursing experience,
• OR three (3) years of utilization/case management or third-party payer work experience.
• Skills and Abilities:
• Ability...
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ufhealth.org -
Medix™-Orlando
Advisor focuses on Utilization Management, denial prevention, and the optimization of patient throughput to ensure the delivery of high-quality, cost-effective care.
Required Skills and Qualifications
• Education: Graduate from an accredited medical...
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Optum-Daytona Beach
patient needs
• Adheres to and participates in the agency's utilization management model
• Ability to function in any home situation regardless of age, race, creed, color, sex, disability, or financial condition of the client
You'll be rewarded...
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Lee Health-Cape Coral
Manager has clinical expertise with knowledge of medically appropriate criteria, and applies principles of utilization and quality management, discharge planning and the management of clinical/financial resources as a facilitator and active participant...
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Optum-Leesburg (FL)
patient needs
• Adheres to and participates in the agency's utilization management model
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role...
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Lee Health-Fort Myers
The Case Manager has clinical expertise with knowledge of medically appropriate criteria, and applies principles of utilization and quality management, discharge planning and the management of clinical/financial resources as a facilitator and active...
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1 similar job: Cape Coral
Gainesville
to the most appropriate level of care.
Qualifications:
Minimum Education and Experience Requirements: BSW, Bachelor's degree, or LPN required.
• Screening and assessment skills and expertise in care coordination and/or utilization management...
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ufhealth.org -
Lakeland Regional Health-Florida-Lakeland
Utilization Management to facilitate the development and implementation of clinical documentation improvement initiatives. The Physician Advisor is pivotal in leveraging his or her clinical position to demonstrate the association of care delivery...
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Melbourne (FL)
services to include 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...
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orlandohealth.com -
Land O Lakes (FL)
Position Summary:
Florida Medical Clinic Orlando Health
Job Title: Medical Risk Adjustment Coder
Schedule Hours: Monday - Friday 8:00am-5:00pm
Department: Utilization Management
Location: 2100 Via Bella Blvd Land O Lakes
**HIGHLY PREFERRED...
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icims.com -
Silver Springs (FL)
Healthcare, Clinical Case Management, Hospital Case Management, Occupational Health, Patient Care, Utilization Management, Acute Care, Orthopedics, Rehabilitation, Rehab, CCM, Certified Case Manager, CDMS, Certified Disability Management Specialist, CRC...
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enlyte.com -
Vantage Search Group-Tampa
practice guidelines, algorithms, CM software, and databases for community resources.
• Integrate CM and utilization management (UM) and integrating nursing case management with social work case management.
• Maintain liaison with appropriate community...
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workable.com -
Gainesville
Qualifications:
Minimum Education and Experience Requirements:
Registered nurse (RN) with current Florida license with three (3) years critical care nursing experience, five (5) years medical-surgical nursing experience or three (3) years utilization/case...
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ufhealth.org -
Orlando
likely to benefit from care coordination services to include
assessing patients’ risk factors and the need for care coordination, clinical utilization management, and preventive care services.
Responsibilities:
Essential Functions
• Takes the lead...
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orlandohealth.com -
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