Latest Utilization Review jobs in Florida (page 2)

25 Utilization Review Jobs in Florida - page 2

Director of Quality and Risk Encompass Health - Spring Hill, Florida, USA Management, Utilization Review, Infection Control, Performance Improvement and Patient Safety). · Manages implementation of hospital policies and applicable corporate (e.g., Compliance) policies. o Coordinates 11 days ago
Internal Medicine Physician Needed| Excellent Compensation and Benefits| FQHC| Sarasota, Florida Provider Healthcare - Sarasota, Florida, United States and procedures to ensure quality medical care Participate in utilization and peer review programs which evaluates the quality of the medical staff and medical services being performed at the clinics Provide Today
Utilization Mgmt Case Mgr PRN Sarasota Memorial Health Care System - Sarasota, Florida for new staff. Required Qualifications: - Require one (1) year of case management or utilization review experience in a hospital setting; utilization experience preferred or qualified graduate of the SMHCS 7 days ago
Utilization Mgmt Case Manager III Sarasota Memorial Health Care System - Sarasota, Florida for new staff. Required Qualifications: - Require a Bachelor of Science in Nursing (BSN) from an accredited school of nursing. - Require five (5) years of case management or utilization review experience 7 days ago
RN Care Manager (Hybrid) at Centers Plan for Healthy Living Centers Plan for Healthy Living - Margate, Florida in the member's care. + Initiates utilization review for preauthorization and post service reviews + Utilizes knowledge of community resources and the member's benefit structure + Interacts with providers 22 days ago
OB/GYN Needed| Excellent Pay and Benefits| FQHC| Orlando, FL Provider Healthcare - Orlando, Florida, United States Responsibilities Provide direct primary care to patients of all ages Participate in the development of clinic protocols and procedures to ensure quality medical care Participate in utilization and peer review Today
Home Care Supervisor, RN at BayCare Health System BayCare Health System - Largo, Florida bodies within the area of responsibility + Ensure quality assurance program and utilization review is followed in accordance with Home Care protocol + Oversees and investigates patient and physician 3 days ago
Manager, Patient Access (Lake Nona Town Center) Nemours - Orlando, FL opportunities for high and low performers. * Participate in the evaluation of provider templates to maximize effective and efficient utilization of time and resources through regular review of provider templates 9 days ago
Clinical Assessment Coordinator Advanced Recovery Systems - Winter Park, Florida with on-site facility staff and Utilization Review team as needed for appropriateness of admission, as well as use of AI technology. The Clinical Assessment Coordinator will make clinical approvals 14 days ago
Utilization Management Nurse (Fully Remote) Ethos Risk Services - St. Petersburg, FL 33701, USA Be a Patient Advocate, Drive Quality Care: Utilization Review Nurse Do you have a passion for patient well-being and a commitment to evidence-based care? At Ethos Risk Services, we're transforming $63000 - $75000 per year 18 days ago

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