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Utilization Review Jobs in Florida

1 - 15 of 96
1 - 15 of 96
Search Results - Utilization Review Jobs in Florida
ICBD-Lauderdale Lakes-workable.com-
Vice President of Utilization Review – Exact Billing Solutions (EBS) Lauderdale Lakes, FL - In Office - No Remote Salary Range: $200K - $230K This is a full-time, on-site role requiring daily presence at our Lauderdale Lakes, FL location. Who We...
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Tallahassee Memorial-Tallahassee-mindmatch.ai-
case management, utilization review, quality assurance (QA), and discharge planning duties. Conducts federally mandated patient assessments based on Centers for Medicare and Medicaid Services (CMS) guidelines, including appropriate care planning...
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ICBD-Lauderdale Lakes-workable.com-
Utilization Review Specialist – Exact Billing Solutions (EBS) Lauderdale Lakes, FL - On-site - No Remote Salary: $55K - $70K Who We Are Exact Billing Solutions is a unique team of revenue cycle management professionals specializing...
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Dane Street, LLC-Orlando-appcast.io-
No doctor/patient relationship is established, and no treatment is provided. These are advisory-only opinions.  •  Enhanced industry expertise, strengthening your medical practice with medical necessity and utilization review/management expertise  •  Expanded...
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Texas Nursing Services-Tallahassee-resume-library.com-
PM  •  1 weekend per 4-week schedule  •  Non-bedside role focused on care coordination, utilization review, discharge planning, and patient throughput  •  3 years recent acute care case management experience preferred  •  Also open to candidates...
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myMDcareers-Fort Lauderdale-appcast.io-
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...
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Banyan Health Systems-Lauderdale Lakes-
/organizations  •  Participate in community education/activities program presentations as required JOB DESCRIPTION  •  Participate in on-going improvement and utilization review activities as well as BHS scheduled training, meetings, and clinical supervision...
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HCA Florida Osceola Hospital-Winter Haven-
of the Case Management/Utilization Review Department function efficiently. This position maintains a caseload or equivalent assignment as volume dictates while providing a first line resource to Case Managers, Utilization Review, and Medical Social Workers...
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Net2Source (N2S)-Tallahassee-
and admission status issues through the established chain of command  •  Evaluates and assess observation patients for appropriateness in observation status  •  Performs utilization management reviews and communicates information to third party payors  •  Acts...
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Jacksonville-ufhealth.org-
conducting utilization review, promoting appropriate utilization of resources, and identifying needs and establishing safe and appropriate discharge plans. The CM performs these functions throughout the care continuum by utilizing sound assessment skills...
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HCA Florida Osceola Hospital-Kissimmee (FL)-
of the Case Management/Utilization Review Department function efficiently. This position maintains a caseload or equivalent assignment as volume dictates while providing a first line resource to Case Managers, Utilization Review, and Medical Social Workers...
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NavitasPartners-Lakeland-talentnest.com-
to lead and oversee all case management operations within the facility. This leadership role is responsible for managing care coordination, utilization review, and discharge planning activities while ensuring compliance with hospital policies...
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Encompass Health Rehabilitation Hospital of Tallahassee-Gretna (FL)-
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...
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Orlando-icims.com-
recommendations for utilization review, chart reviews, medical necessity, appropriateness of care and return to work, short and long-term disability, Family and Medical Leave Act (FMLA), Group health and workers’ compensation claims.  •  Meets (when required...
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Jacksonville-ufhealth.org-
conducting utilization review, promoting appropriate utilization of resources, and identifying needs and establishing safe and appropriate discharge plans. The CM performs these functions throughout the care continuum by utilizing sound assessment skills...
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