Utilization Review Jobs in Tallahassee
1 - 13 of 13
Search Results - Utilization Review Jobs in Tallahassee
Tallahassee Memorial-Tallahassee
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...
mindmatch.ai -
Progeny HR Solutions LLC-Tallahassee
in Case Management, Nursing, or Utilization Review, preferred...
resume-library.com -
Encompass Health Rehabilitation Hospital of Tallahassee-Tallahassee
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...
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...
HCA Florida Capital Hospital-Tallahassee
medical necessity 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...
Tallahassee
than 50 affiliated physician practices.
HOW YOU'LL MAKE AN IMPACT:
Your Role:
• Performs Minimum Data Set (MDS), case management, utilization review, quality assurance (QA), and discharge planning duties.
• Conducts federally mandated patient...
icims.com -
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...
NavitasPartners-Tallahassee
in interdisciplinary care team meetings
• Collaborate across departments to coordinate and evaluate patient care
Utilization Management
• Review admissions for medical necessity using approved criteria
• Conduct concurrent and retrospective reviews for third...
talentnest.com -
Tallahassee
drug utilization review boards, preferred drug lists, supplemental rebate contracts, and KidCare/Title 21.
This position is responsible for providing advanced administrative, and technical assistance in coordinating a variety of complex functions...
tiptopjob.com -
NavitasPartners-Tallahassee
issues through the appropriate chain of command.
• Assess observation patients for appropriateness of observation status.
• Perform utilization management reviews and communicate findings to third-party payers.
• Act as a liaison between...
talentnest.com -
Tallahassee
contracts, bill analyses, drug utilization review boards, preferred drug lists, supplemental rebate contracts, and KidCare/Title 21.
This position is responsible for researching, planning, developing, coordinating, implementing, evaluating...
tiptopjob.com -
Tallahassee
utilization review boards, preferred drug lists, supplemental rebate contracts, and KidCare/Title 21.
This position is responsible for supporting the research, planning, development, coordination, implementation, and evaluation of Florida's behavioral...
tiptopjob.com -
Tallahassee
contracts, bill analyses, drug utilization review boards, preferred drug lists, supplemental rebate contracts, and KidCare/Title 21.
This position is responsible for assisting with the research, coordination, implementation, and evaluation of behavioral...
tiptopjob.com -
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