Utilization Review Jobs in Jacksonville
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Search Results - Utilization Review Jobs in Jacksonville
CO010 Memorial Healthcare System-Jacksonville
It is the foundation of The Memorial Experience. Summary: The Medical Director of Case Management and Utilization Review leads the hospital specific execution of the Case Management (CM) and Utilization Management (UR) and related activities.
The Medical Director...
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appcast.io -
Jacksonville
Overview:
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, promoting appropriate...
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ufhealth.org -
CO010 Memorial Healthcare System-Jacksonville
Memorial Healthcare System in Miramar, FL, seeks a Medical Director of Case Management and Utilization Review to lead hospital CM and UR activities and educate physician Advisors. This role reports to the Senior Medical Director and drives medical...
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appcast.io -
Jacksonville
Overview:
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, promoting appropriate...
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ufhealth.org -
Prime Staffing-Jacksonville
AHA
Must-Have: Strong assessment, discharge planning, and utilization review skills
Description: The RN Case Manager coordinates patient care plans and services across the continuum of care. Works closely with providers, social workers, and external...
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Dane Street, LLC-Jacksonville
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 credentials...
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workable.com -
Mayo Clinic-Jacksonville
on night coverage
Requires knowledge of triage, hospital flow, utilization review and bed management
Supported by closed ICU managed by dedicated Intensivists
Procedural skills not required
Opportunities to work with learners in a limited capacity...
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appcast.io -
Jacksonville
Overview:
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, promoting appropriate...
Read more
ufhealth.org -
Flmedical-Jacksonville
management, and utilization review
4. Interdisciplinary Team Leadership
• Collaborate with physicians, APRNs & nurses, social workers, and other care team members
• Participate in Interdisciplinary Team (IDT) meetings
• Promote team-based care...
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appcast.io -
Jacksonville
Overview:
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, promoting appropriate...
Read more
ufhealth.org -
Cigna Health and Life Insurance Company-Jacksonville
laws, Utilization Review Accreditation Commission and National Committee for Quality Assurance standards is a plus
• Ability to commit to a set, weekly work schedule (Monday through Friday)
• Strong computer skills: ability to work autonomously...
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appcast.io -
Jacksonville
cycle functions including clinical departments, finance, accounting, compliance, patient financial services, revenue integrity, managed care, utilization review, and patient access.
Serves as a clinical expert in denial management, reviewing denied...
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ufhealth.org -
Cigna Health and Life Insurance Company-Jacksonville
to acquire additional state licensure as required
• 3 or more years of relevant clinical experience post residency/fellowship
• Knowledge of applicable state and federal laws, Utilization Review Accreditation Commission and National Committee...
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appcast.io -
Cigna Health and Life Insurance Company-Jacksonville
Utilization Review Accreditation Commission and National Committee for Quality Assurance standards is a plus
• Ability to commit to a set, weekly work schedule (Monday through Friday)
• Strong computer skills: ability to work autonomously with automated...
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appcast.io -
Cigna Health and Life Insurance Company-Jacksonville
/fellowship
• Knowledge of applicable state and federal laws, Utilization Review Accreditation Commission and National Committee for Quality Assurance standards is a plus
• Ability to commit to a set, weekly work schedule (Monday through Friday)
• Strong...
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appcast.io -
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