• Physician Advisor

    AdventHealth (Orlando, FL)
    …**Schedule:** **FT** **Shift** : **Days** **The role you'll contribute:** The Onsite Physician Advisor provides primary support for Care Management (CM) and ... campus, as well as, the medical liaison for payor escalations. The Physician Advisor is responsible for educating, informing and advising members of the, Care… more
    AdventHealth (10/04/24)
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  • ED Utilization Management RN Remote

    AdventHealth (Altamonte Springs, 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 ... . Escalating otherwise unresolved status conflicts appropriately and timely to the physician advisor as outlined in department workflow 7) Communicates with… more
    AdventHealth (10/04/24)
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  • Supervisor RN Transitional Care - Care Continuum…

    Health First (Rockledge, FL)
    …expectations, age, cultural, and individual differences. * Works with the physician advisor , physicians, nursing, ambulatory programs, outpatient programs, ... * Works collaboratively and maintains active communication with physicians, nursing, physician advisor , and other members of the interdisciplinary care… more
    Health First (08/12/24)
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  • Sr. Disability Representative

    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 (09/14/24)
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  • Medical Director - Medicaid (FL)

    CVS Health (Tallahassee, FL)
    …- Prior UM experience working at Health Plan / Insurer or experience as a Physician Advisor or working for an Independent Review Organization a Plus **Preferred ... Qualifications:** -Health plan/payor Utilization Management / Review experience. -Electronic medical systems/record experience. -Managed Care experience. -Medicaid experience. **Education:** -M.D. or DO, Board Certification in ABMS or AOA recognized specialty… more
    CVS Health (10/04/24)
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  • Clinical Documentation Integrity Specialist

    BayCare Health System (Clearwater, FL)
    …and supporting the CDI programs reporting and analytics. + Collaborates with the physician advisor to achieve CDI program goals and accurate documentation ... representation of medical necessity for appropriate patient status. + Promotes the capture of clinical severity to support the level of service rendered to relevant patient populations. + The CDI Specialist is required to have clinical expertise and extensive… more
    BayCare Health System (09/26/24)
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  • Director Care Management

    AdventHealth (Orlando, 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 (09/05/24)
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  • Skin Health Advisor - Southwest

    L'Oreal USA (Fort Myers, FL)
    …/ Job Search (https://careers.loreal.com/en\_US/jobs/SearchJobs) / 184331 Skin Health Advisor - Southwest FL Fort Myers, FL, Florida Apply ... Medical Full - Time 13-Aug-2024 Job Title: Skin Health Advisor , L'Oreal Derm Team (CeraVe, La Roche-Posay, Vichy) -...dermatology health care professional calls per week (average 9 physician , physician assistant, and nurse practitioner calls)… more
    L'Oreal USA (10/05/24)
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  • Memory Care Advisor - Sales and Marketing…

    ProMedica Health System (West Palm Beach, FL)
    Arden Courts of West Palm Beach is hiring a Memory Care Advisor - Sales and Marketing Director! The Memory Care Advisor or Sales and Marketing Director is ... the buildings products and services, resident care related capabilities and physician relations. Effectively uses customer relationship management (CRM) systems and… more
    ProMedica Health System (10/04/24)
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  • Patient Benefits Advisor 2

    University of Miami (Miami, FL)
    …The Patient Access department has an exciting opportunity for a full-time Patient Benefits Advisor 2 (H) to work on-site on the UHealth campus. The Patient Benefits ... Advisor 2 (H) ensures that patients have adequate insurance...documented prior to the receipt of services. + Contacts physician offices to obtain missing patient information. + Utilizes… more
    University of Miami (07/11/24)
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