Utilization Manager Jobs in Orlando
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MedconnectOrlandoappcast.io
and shared savings performance
• Population health management
• Risk adjustment accuracy and clinical documentation improvement
• Utilization management and cost-effective care delivery
• Disease management program development
• Clinical quality...
Orlandoorlandohealth.com
to benefit from care coordination services to include assessing patients' risk factors and the need for care coordination, clinical utilization management and preventative care services.
Responsibilities:
Essential Functions
• Takes the lead...
AdventHealthOrlandoappcast.io
on system-wide standardizations. Works to educate, consult and advise members of the medical staff on regulatory updates and changes related to CDI, HIM, utilization management and care management. Serves as a community resource and provides counsel...
Orlandoenlyte.com
APRN), Nurse Practitioner, Case Management, Case Manager, Home Healthcare, Clinical Case Management, Hospital Case Management, Occupational Health, Patient Care, Utilization Management, Acute Care, Orthopedics, Rehabilitation, Rehab, CCM, Certified Case...
Orlandoorlandohealth.com
individual risk factors, developing comprehensive care management plans, encouraging preventive care services, and following targeted evidence
based clinical protocols to optimize clinical utilization management and care outcomes for patients...
Leesburg (FL), 36 mi from Orlandoufhealth.org
required)
Evaluates patient medical records to determine the medical necessity and appropriateness of healthcare services in alignment with utilization management guidelines. Collaborates with healthcare providers to support compliance, optimize treatment...
Orlandoorlandohealth.com
for care coordination, clinical utilization management, and preventive care services.
Schedule: Full-Time
• Monday - Friday
Responsibilities
• Takes the lead in ensuring the continuity and consistency of care across the continuum (inpatient, emergency...
OptumLongwood (FL), 11 mi from Orlando
and implements processes and best practices to ensure positive patient outcomes
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• Participates in on-call and weekend rotation as needed to meet patient needs
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• Adheres to and participates in the agency's utilization management model
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• Ability...
OptumKissimmee (FL), 17 mi from Orlando
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• Adheres to and participates in the agency's utilization management model
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• Ability to function in any home situation regardless of age, race, creed, color, sex, disability, or financial condition of the client
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You'll be rewarded...
OptumTitusville (FL), 35 mi from Orlando
and implements processes and best practices to ensure positive patient outcomes
/n
• Participates in on-call and weekend rotation as needed to meet patient needs
/n
• Adheres to and participates in the agency's utilization management model
/n
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• Ability...
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