- AdventHealth (Maitland, FL)
- …need.Collaborates with Senior Medical Officers with contracted managed care payers regarding utilization review management activities and maintain a positive and ... & Indicators. Works in close coordination with the processes of the Utilization Review Management staff for continual process improvement and reporting.Reviews… more
- CenterWell (Lake Mary, FL)
- …review of clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates and ... and documentation requirements. + Responsible for the QA/PI activities. Works with Utilization Review staff relative to data tracking for performance review … more
- AdventHealth (Orlando, FL)
- …to nurses, physicians and the interdisciplinary team on issues related to utilization of resources, medical necessity, CMS CoP for Discharge Planning and care ... (as permitted by the patient) as well as a review of the current and past inpatient and outpatient...avoidable days, and facilitates progression of care. Collaborates with Utilization Management staff for collaboration on patient status changes… more
- AdventHealth (Apopka, FL)
- …to nurses, physicians and the interdisciplinary team on issues related to utilization of resources, medical necessity, CMS CoP for Discharge Planning and care ... (as permitted by the patient) as well as a review of the current and past inpatient and outpatient...avoidable days, and facilitates progression of care. Collaborates with Utilization Management staff for collaboration on patient status changes… more
- AdventHealth (Altamonte Springs, FL)
- …to nurses, physicians and the interdisciplinary team on issues related to utilization of resources, medical necessity, CMS CoP for Discharge Planning and care ... Data analysis skills Current working knowledge of discharge planning, utilization management, care management, performance improvement and managed care reimbursement… more
- HCA Healthcare (Sanford, FL)
- …Case Management + BSN is preferred + Certification in Case Management, Nursing or Utilization Review is preferred HCA Florida Lake Monroe Hospital is a 221-bed ... supporting a balance of optimal care and appropriate resource utilization . You would be part of a phenomenal team...Nurse Case Management PRN opening. Our team will promptly review your application. Highly qualified candidates will be contacted… more
- Aveanna (Orlando, FL)
- …is responsible for owning relationships within all of case management and utilization management departments. This individual will work with AVPs of Payor Relations, ... Job Functions Develop and own relationships with all case management and utilization management departments within assigned payor accounts. Hold weekly or monthly… more
- Health First (Brevard County, FL)
- …effectiveness, fiscal and program/service efficiency. 5. Address and support workforce utilization efforts to achieve staffing standards, including review of ... line policies to maximize revenue, along with the efficient and effective utilization of finance and human resources. *PRIMARY ACCOUNTABILITIES* 1. Supervise Retail… more
- Burns & McDonnell (Orlando, FL)
- …the repository updated + Align Security Compliance team with 1898 CX Principals + Review utilization and assignment of projects -ensuring proper utilization ... excellence and innovation within the Security Compliance Team. + Approve and review Governance and Compliance methodologies and tools, ensuring their suitability for… more
- AdventHealth (Maitland, FL)
- …quality control/timeliness of reporting + Extracts, collects, analyzes and interprets health utilization and financial data of various types + Interpret an analyze ... and effectively present analytics or project results to key stakeholders for review and decision-making + Evaluate and understand contract language as it relates… more
- MyFlorida (Orlando, FL)
- …to internal procedures. Reviews and coordinates the DMRs and update DMR Review SharePoint Site as assigned and alerts the appropriate manager/staff when ... both electronic and paper copies and logging/filing as appropriate. Coordinates the utilization of Cherwell for mail centralization. Work shall include, but not be… more
- American Homes 4 Rent (Orlando, FL)
- …access to vendor accounts, reviewing of pricing structure adherence, review system/process compliance utilization , conducts quality assurance inspections ... + Partners with District Maintenance Managers with internal audits to ensure proper utilization of vendors and allocation of work to maximize service levels and… more
- NBC Universal (Orlando, FL)
- …efficiencies in theme park operations and establish methods for maximizing utilization of facilities and personnel. Direct multiple, concurrent complex projects, ... that minimize overall labor costs and improve team member utilization . Establish baseline historical performance, seasonality, transaction volume, revenue,… more
- AdventHealth (Altamonte Springs, FL)
- …safety, and quality outcomes. The Physician Advisor is responsible for providing clinical review of utilization , , and quality assurance related to inpatient ... clinical practice experience **_EXPERIENCE PREFERRED_** _:_ .Understanding of hospital Utilization Management/Medicare Regulations .Two years or greater experience as… more
- HCA Healthcare (Sanford, FL)
- …as patient flow, patient satisfaction, practice volume, billing and collections, service utilization , coding, physician and staff training + You will have strategic ... providers, front desk, medical records, nursing, and ancillary services to ensure maximum utilization of resources and the efficient delivery of services of his or… more
- AdventHealth (Deland, FL)
- …to nurses, physicians and the interdisciplinary team on issues related to utilization of resources, medical necessity, CMS CoP for Discharge Planning and care ... (as permitted by the patient) as well as a review of the current and past inpatient and outpatient...+ Health-related Master's degree or MSN + Prior Care Management/ Utilization Management experience + ACM/CCM Certification This facility is… more
- Burns & McDonnell (Orlando, FL)
- …contracts, CM contracts, subcontracts, and change orders. + Participate in risk review process. + Implement assigned sections of the Project Execution Plan, ... of multiple global practices/disciplines, and facilitate the efficient cost-effective utilization of staff while adhering to contractual and performance… more
- Marriott (Lake Mary, FL)
- …**ACCOUNTABILITIES** The main responsibilities of the Controller is the preparation and review of budgets, financial reports, month-end reports, P & L statements, ... accounts, including watching for overdrafts, full reconciliation utilizing PVNG. + Proper utilization of Targetvue for Budget and Forecasting, PVNG for P&L and… more
- MyFlorida (Orlando, FL)
- …their job descriptions and that the residents are receiving total nursing care. + Review shift assignments and ensure that the assignments reflect the ability of the ... state, and federal rules and regulations. + Assist in review of policies and procedures. + Ensure that reference...the scheduled Care Plan Conference. + Participate in economical utilization of supplies and ensure that equipment is maintained… more
- MyFlorida (Orlando, FL)
- …established policies and procedures. + Monitor physician's orders for completion. + Review and follow-up on resident incidents or complaints. + Count narcotics at ... and as defined in 60K-2.0061 (3) (d) FAC + Review work assignments with staff on unit and assign...Care Plans and MDS as required. + Ensure economical utilization of supplies and proper charging of items to… more