NURSE UTILIZATION AND CLINICAL jobs in TALLAHASSEE FL, United Kingdom

of healthcare services and benefit utilization Required Qualifications - 3+ years of clinical practice experience in... our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. Position Summary Utilization...

Outpatient clinician will be part of the Medicare precertification team. Members of this team will utilize their clinical... experience to assess appropriateness of treatment plans for member accessing outpatient services. This team will gather clinical...

review of clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion...Become a part of our caring community and help us put health first The Clinical Manager coordinates and oversees...

FLORIDA** A Brief Overview Administers review and resolution of clinical complaints and appeals. Reviews data obtained... from clinical records to apply appropriate clinical criteria and policies in compliance with regulatory and accreditation...

, Case Management Specialist will work in conjunction with the Nurse Care Manager, Care Coordinator, Transition of Care (TOC.... Required Qualifications - 4 years experience in Health Care (Medical Insurance, Customer Service, Non-Clinical, Medical Office...

Experience & Requirements Registered Nurse required. Minimum of three (3) years of management experience in... by conducting or coordinating all initial new hire and annual orientation and training activities. Ensures site utilization...

requirements, bed control, hospital discharges, and barriers. o Understands and uses clinical knowledge and resources... system as it relates to volume impact, appropriate utilization of resources, and LOS management to promote quality outcomes...