• Physician Advisor

    AdventHealth (Orlando, FL)
    …Business or Healthcare Administration Two (2) years or greater experience as a Physician Advisor Prior experience with third party payors preferred **LICENSURE, ... of correct disease reporting and ICD code capture for physician /hospital performance profiling, E&M payment, pay-for-performance and hospital reimbursement. Educate… more
    AdventHealth (02/21/25)
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  • Physician - Physician Advisor

    Ascension Health (Jacksonville, FL)
    …time of the offer._ **Responsibilities** **Position Highlights** Ascension St. Vincent is looking for a Physician Advisor to join our team. We are looking for a ... Physician with at least 5 years of recent work...work experience in a hospital setting, preferably with some Physician Advisory/ Utilization Management work experience. If you are… more
    Ascension Health (03/04/25)
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  • Chief Medical Officer AdventHealth

    AdventHealth (Daytona Beach, FL)
    …office, medical school affiliation(s), and residency programs. The CMO serves as physician advisor to the Case Management staff, clinical documentation ... **GENERAL SUMMARY** **:** The Chief Medical Officer (CMO) provides physician leadership. Responsible for improving clinical outcomes for internally...integrity, and serves as physician liaison to promote appropriate utilization of resources by… more
    AdventHealth (03/12/25)
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  • RN Utilization Management

    AdventHealth (Orlando, FL)
    …status conflict is indicated, the UM nurse is responsible for escalation to the Physician Advisor or designated leader for additional review as determined by ... as necessary to ensure timely resolution of issues. + Collaborates with the physician and all members of the multidisciplinary team to facilitate care for designated… more
    AdventHealth (03/12/25)
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  • Disability Representative Sr

    Sedgwick (Orlando, FL)
    …and arranges appropriate referral of claims to outside vendors or physician advisor reviews, surveillance, independent medical evaluation, functional capability ... disability plan. + Reviews and analyzes complex medical information (ie attending physician statements, office notes, operative reports, etc.) to determine if the… more
    Sedgwick (03/04/25)
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  • RN Case Manager

    HCA Healthcare (Gainesville, FL)
    …the development and implementation of critical pathways. + Utilizes computer support and physician advisor to determine potential outliers (length of stay and ... all components necessary for preadmission, admission process. + Assist the physician offices in obtaining necessary assessments prior to surgery, procedures, and/or… more
    HCA Healthcare (02/21/25)
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  • RN Case Manager - HRMC, Full Time

    Health First (Melbourne, FL)
    …goals. 9. Works collaboratively and maintains active communication with physicians, nursing, physician advisor , and other members of the interdisciplinary care ... mandatory legal reporting, etc. 5. Works with the Utilization Department, Physician Advisors, Hospitalists, Emergency and other physicians to ensure appropriate,… more
    Health First (03/07/25)
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  • Nurse Practitioner (NP) Traveler, Advertised in

    Vighter Medical Group (Jacksonville, FL)
    …and adults, to include emergency and urgent care. + Consults with the Supervising Physician , Physician , or Pediatric Advisor for complex medical, pediatric, ... services under the medical direction of the National Medical Director and Physician Supervisors who collaborate with CBP's Office of the Chief Medical Officer… more
    Vighter Medical Group (02/07/25)
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  • Nurse Medical Case Manager - Workers Compensation

    Travelers Insurance Company (Orlando, FL)
    …+ Engage specialty resources as needed to achieve optimal resolution (Dial-a-doc, physician advisor , peer reviews, MCU). + Partner with Claim Professional ... to provide medical information and disability status necessary to create an overall strategy to achieve an optimal outcome. + Utilize internal Claim Platform Systems to manage all claim activities on a timely basis. + Utilize Preferred Provider Network per… more
    Travelers Insurance Company (03/12/25)
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  • Case Manager RN PRN

    HCA Healthcare (Lake City, FL)
    …Escalates unresolved status, level of care and standards of care issues through the Physician Advisor /established chain of command in a timely manner. + Conducts ... review for appropriate utilization of services from admission through discharge. + Will be expected to meet all productivity requirements. + Works independently in the absence of supervision. + Attends department meetings, completes mandatory in-services, and… more
    HCA Healthcare (03/11/25)
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  • Director of Infection Prevention

    HCA Healthcare (Miami, FL)
    …safe and health work environment. The ICP works in collaboration with the department physician advisor . The ICP maintains the agenda, minutes etc., for the ... infection control committee. **What qualifications you will need:** + Bachelors Degree, required + Graduate from an accreditated school of Nursing(RN) or Licensed Medical Technologist(MT) + License to practice nursing in the state of Florida and/or license to… more
    HCA Healthcare (03/04/25)
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  • Director Care Management Orlando Support

    AdventHealth (Maitland, FL)
    …Management concerns or barriers Escalates operational and/or financial concerns to Physician Advisor (s) as appropriate Determines proactive strategies and ... methods necessary for a high-performance culture related to Care Management Identifies process improvement opportunities and develops, implements and monitors action plans based upon identified Care Management metrics Educates and mentors facility Care… more
    AdventHealth (02/06/25)
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  • Part-Time Practice Performance Advisor

    Evolent (Tallahassee, FL)
    …more connected care journey. We are hiring for a Part-Time Practice Performance Advisor to join our Evolent Care Partners Performance Team. The Part-Time Practice ... Performance Advisor will serve as the local expert and resource...will travel throughout designated territory to build relationships with physician practices to support physician engagement, clinical… more
    Evolent (01/18/25)
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  • Bilingual Patient Customer Service Advisor

    HCA Healthcare (Fort Pierce, FL)
    …Do you have the career opportunities as a Bilingual Patient Customer Service Advisor you want with your current employer? We have an exciting opportunity for ... of colleagues. Do you want to work as a Bilingual Patient Customer Service Advisor where your passion for creating positive patient interactions is valued? If you… more
    HCA Healthcare (03/07/25)
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  • Practice Performance Advisor (Must Reside…

    Evolent (FL)
    …your mark on health care. **Collaboration Opportunities:** The Practice Performance Improvement Advisor will serve as the local expert and resource for Evolent Care ... region for value-based care initiatives. The Practice Performance Improvement Advisor will travel throughout designated territory to build relationships with… more
    Evolent (03/04/25)
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  • Practice Performance Advisor (Must Reside…

    Evolent (Tallahassee, FL)
    Advisor will be primarily responsible for primary care physician IPA (Individual Practice Association and/or MSO (Management Services Organization) engagement ... more connected care journey. We are hiring for a Practice Performance Advisor to join our Provider Relations Team. **Collaboration Opportunities:** The Practice… more
    Evolent (03/09/25)
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  • Patient Benefit Advisor 2

    University of Miami (Medley, FL)
    …the Central Business Office have an exciting opportunity for a full-time Patient Benefits Advisor 2 (H).The Patient Benefits Advisor 2 (H) ensures that patients ... obtained and fully documented prior to the receipt of services. + Contacts physician offices to obtain missing patient information. + Utilizes patient estimate tools… more
    University of Miami (03/07/25)
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  • Memory Care Advisor - Sales and Marketing…

    ProMedica Health System (Largo, FL)
    Arden Courts of Largo is hiring a Memory Care Advisor - Sales and Marketing Director! The Memory Care Advisor or Sales and Marketing Director is responsible for ... the buildings products and services, resident care related capabilities and physician relations. Effectively uses customer relationship management (CRM) systems and… more
    ProMedica Health System (03/04/25)
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  • Patient Benefits Advisor 2 - UHealth SoLe…

    University of Miami (North Miami, FL)
    …of Patient Access at SoLe Mia has an exciting opportunity for a Patient Benefits Advisor 2. JOB SUMMARY The Patient Benefits Advisor 2 (H) ensures that patients ... obtained and fully documented prior to the receipt of services. + Contacts physician offices to obtain missing patient information. + Utilizes patient estimate tools… more
    University of Miami (02/25/25)
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  • Supervisory Behavioral Health Advisor

    Vighter Medical Group (Miami, FL)
    Supervisory Behavioral Health Advisor (SBHA),Local, Miami, Florida Job Details Job Location Miami, FL - Miami, FL Position Type Full Time Education Level Master's ... Any Job Category Health Care Description Title:Supervisory Behavioral Health Advisor (SBHA) Location: Miami, Florida Position Type:Full time (30-40+ hours/week),… more
    Vighter Medical Group (02/04/25)
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