- Centers Plan for Healthy Living (Margate, FL)
- UM Clinical Reviewer 5297 W Copans Rd, Margate, FL 33063, USA Req #664 Monday, December 2, 2024 Centers Plan for Healthy Living's goal is to create the ... applications for Full Time Registered Nurse without experience. The Utilization Management Clinical Reviewer works within a multidisciplinary team to help… more
- University of Miami (Miami, FL)
- …and Clinical Information Services (LRCIS) The University of Miami ( UM ) Libraries seeks nominations and applications for a creative, innovative professional to ... and Information Services Librarian of the Department of Learning, Research, and Clinical Information Services (LRCIS) on UM 's Medical Campus. Under the… more
- University of Miami (Coral Gables, FL)
- …CTO is an enterprise level executive and will oversee all IT infrastructure services across UM and UHealth in support of education, clinical care , and research ... detailed plan process involving management staff, senior leadership and members of the UM 's clinical and educational communities. + Strong interpersonal and… more
- Humana (Tallahassee, FL)
- …a part of our caring community and help us put health first** The UM Administration Coordinator 2 provides non- clinical support for the policies and procedures ... and most appropriate treatment, care or services for members. UM Administration Coordinator 2 + Support the UM...+ 1 or more years of experience with Utilization Review and/or Prior Authorization + 1 or more years… more
- University of Miami (Coral Gables, FL)
- …anesthetist (CRNA) faculty for full- time positions at the Assistant/Associate/Full Professor of Clinical rank. UM is one of the top research universities and ... faculty or staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . NURSE ANESTHESIA FULL… more
- Molina Healthcare (Orlando, FL)
- …requirements, reviewing drug/provider utilization patterns and pharmacy costs management), clinical pharmacy services (such as, therapeutic drug monitoring, drug ... regimen review , patient education, and medical staff interaction), and oversight...medications safety and medication use policies). **KNOWLEDGE/SKILLS/ABILITIES** The Pharmacist, UM will be responsible for reviewing coverage determinations and… more
- Molina Healthcare (FL)
- …730pm Central Standard Time** . + This role will be working in the UM Pharmacy reviewing incoming Prior Auth requests for Medicaid and Marketplace members through ... requirements, reviewing drug/provider utilization patterns and pharmacy costs management), clinical pharmacy services (such as, therapeutic drug monitoring, drug… more
- Prime Therapeutics (Tallahassee, FL)
- …+ Oversee a team of pharmacists in a discipline such as Prime UM (Utilization Management) program development or Clinical reporting and analytics. + ... our passion and drives every decision we make. **Job Posting Title** Clinical Program Development Director/RPh required- REMOTE **Job Description** The Director of … more
- University of Miami (Miami, FL)
- …. Department of Radiation Oncology JOB DESCRIPTION UM Title: Assistant Professor of Clinical ... eligible/certified candidate . The candidate is expected to be engaged in clinical , research, teaching, and administrative activities. The department has a strong… more
- Cleveland Clinic (Weston, FL)
- …chart review and clinical systems review to measure clinical performance and UM issues that affect reimbursement for the patient's hospital stay ... of a Utilization Management Specialist include medical record review , providing clinical information to payers, UM data collection and reporting, concurrent… more
- AdventHealth (Daytona Beach, FL)
- …team members for resolutions of conflicts between status and authorization. Evaluates clinical review (s) and physician documentation for at-risk claims; performs ... role you'll contribute:** The role of the Utilization Management ( UM ) Registered Nurse (RN) is to use clinical...review as determined by department standards. Additionally, the UM RN is responsible for denial avoidance strategies including… more
- University of Miami (Miami, FL)
- …staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . Clinical ... Neurology has an exciting opportunity for a Full Time Clinical Research Coordinator 1 to work at our UHealth...consent forms for patients on drug studies. + Develop, review and submit required documentation to the UM… more
- University of Miami (Miami, FL)
- …accuracy, including those for AIDOC and PCAF. + Provide Saturday coverage for all Clinical Coordinators. + Input tickets for UM workstations across all sites. + ... faculty or staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The University of… more
- University of Miami (Miami, FL)
- …staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . Transforming ... Chair and the administration of the University of Miami ( UM ) Department of Medicine (DOM). The Chief is responsible...Medicine (DOM). The Chief is responsible for the academic, clinical , fiscal, and operational management of the division. This… more
- University of Miami (Miami, FL)
- …staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The Division ... Hematology-Oncology at the University of Miami Miller School of Medicine and UM Sylvester Comprehensive Cancer Center is seeking a board certified/eligible Pediatric… more
- University of Miami (Miami, FL)
- …+ Assists with study orientation and protocol related in-services to research team and clinical staff. + Review medical records of patients at the University of ... faculty or staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The department of… more
- University of Miami (Miami, FL)
- …of all patient demographics, insurance information, and referral numbers. + Review clinical records for completeness, including authorization, signatures, ... faculty or staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . Sr. Clinical… more
- University of Miami (Miami, FL)
- …staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The ... division of Infectious Diseases has an exciting opportunity for a full-time Clinical Business Operations Representative 2 to work on the UHealth campus. The… more
- University of Miami (Miami, FL)
- …or audits by sponsor, regulatory agencies and CRO. + Prepare and review with Principal Investigator's clinical agreements/study budgets and informed consent ... faculty or staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The University of… more
- University of Miami (Miami, FL)
- …or staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The ... Clinical Translational Research Site is currently seeking a full time Manager, Clinical Research to work in Miami. The Manager, Clinical Research (A) oversees… more