Medical Case Reviewer

Job Title: Clinical Pharmacist for Medication ReviewsLocation: US, RemoteContract Type: Full-timeSeniority Level: The Clinical Pharmacist plays a crucial role in the review of prior authorizations for medications requested under the medical benefit. This dynamic position involves developing clinical criteria and medical policies for the review of...

The Case Manager is responsible to assist in the development, planning, coordination and administration of the activities of Utilization Review and Resource Management, including but not limited to daily review of medical records to determine appropriateness and medical necessity of admission, continued hospital stay and use of ancillary services Position...

Physician Reviewer/Advisor Role at Dane StreetDane Street is an expanding company seeking board-certified, licensed physicians to support Disability Peer Reviews as Designated Medical Officers.We are looking for specialists in Internal Medicine, Family Medicine, Neurology, Physical Medicine and Rehabilitation, Occupational Medicine, Psychiatry, Medical...

The Medical Director role at Sentara Health Plans is a vital position that requires a strong clinical leader to oversee the organization's clinical activities. With a focus on monitoring utilization, case management, and quality outcomes, this individual will be responsible for collaborating with senior leaders and clinical teams to establish, implement, and...

Lutheran Services Florida (LSF) envisions a world where children are safe, families are strong and communities are vibrant. LSF is looking for a talented Case Manager who would like to make an impact in the lives of others. The preferred ideal candidate will be Bilingual, posses a Bachelor Degree, and have experience with Microsoft and ORR. Purpose &...

Lutheran Services Florida (LSF) envisions a world where children are safe, families are strong, and communities are vibrant. LSF is looking for talented Child Welfare Case Managers who want to make an impact in the lives of others. The schedule for this role is Monday through Friday! Purpose & Impact: The purpose of the Child Welfare Case Manager is to...

About UsHCA Florida St. Lucie Hospital is a 229-bed acute care facility accredited by the Joint Commission, providing quality care to the Treasure Coast community since 1983.We offer a full range of services, including a birthing center, cardiac catheterization lab, cancer care, and breast center. Our state-of-the-art equipment ensures patients have access...

About Dane StreetDane Street is a renowned organization seeking highly skilled professionals to conduct comprehensive Group Health reviews. This role involves analyzing clinical summaries, communicating with treating providers, and addressing client inquiries in a remote setting.Key details about this position include:A flat rate is offered for each Group...

Job OverviewWe are seeking a skilled medical professional to provide pediatric care in Florida. This locum tenens job offers an excellent opportunity for flexibility and high pay.About the JobThe ideal candidate will have experience handling all aspects of pediatric cases and procedures, including EMR System: RPMS. The schedule is 1-2 days per week from 8:30...

Description Introduction Do you have the career opportunities as a(an) Case Manager RN you want with your current employer? We have an exciting opportunity for you to join HCA Florida Largo Hospital which is part of the nation's leading provider of healthcare services, HCA Healthcare. Benefits HCA Florida Largo Hospital, offers a total rewards package...

Discover a contract role that offers flexibility and financial rewards as a Medical Professional.At Barton Associates, we're looking for a talented individual to fill a gap in care at our facilities. This assignment is a great opportunity for those seeking short-term or long-term contracts, with the potential for extension.We're committed to providing our...

At All Star Healthcare Solutions, we are seeking a highly skilled and experienced medical specialist to provide locum coverage in East Florida. As part of our ongoing effort to deliver exceptional patient care, this role offers the opportunity to work with a dynamic team and contribute to the growth of our organization.Job SummaryWe are looking for a...

Job Summary:We are seeking a highly skilled Medical Authorization Specialist to join our team at CAN Community Health Inc. This individual will be responsible for facilitating and processing prior authorization requests, ensuring timely and appropriate medical treatments for our patients.Main Responsibilities:Review and submit prior authorization requests in...

**Job Title:** Emergency Medicine Physician**Job Specialty:** Emergency Medicine **Job Duration:** 12 months **Shift:** 7 AM - 6 PM; 11 AM - 10 PM; 8 PM - 7 AM; 9 PM - 1 PM (Various shifts available, including weekends) **Guaranteed Hours:** N/A **Experience:** Board Eligible or Board Certified in Emergency Medicine **License:** N/A **Certifications:**...

We are seeking a highly skilled Pain Management Physician to join our collaborative team at Inspire Medical Group in Florida. Our hybrid care model combines telehealth and in-person care services, allowing our multispecialty group to provide accessible, affordable care to seniors in post-acute settings.As a key member of our team, you will serve as a...

About the RoleWe are seeking a highly skilled Medical Specialist to provide ER call coverage in Urology at a top-rated Florida hospital. This is an ongoing locums opportunity, expected to last 3-6 months, with the potential for extension.Job DescriptionThe ideal candidate will have experience in Urology ER call coverage and be comfortable with...

CRNA Openings in Florida!ASAP - OngoingWork Schedule: Full-Time/Part-Time schedules availableCase Types: No cardiac, no OB, no PEDS. Just general casesExcellent CompensationMedical Malpractice Insurance Provided

Job Opportunity OverviewMEDICUS HEALTHCARE SOLUTIONS is partnering with a healthcare facility on the Gulf Coast of Florida to provide locum coverage for a skilled surgical and hematopathologist.Compensation PackageThe estimated annual salary range for this position is $250,000 - $350,000 based on industry standards, qualifications, and location.Job...

SMART Physician Recruiting, LLC is actively recruiting a skilled Certified Registered Nurse Anesthetist (CRNA) to fill an ongoing locum opportunity near Port St. Lucie, Florida.About the JobThis is a long-term assignment requiring coverage as soon as the selected candidate is credentialed and will continue for approximately 6+ months while permanent...

A hospital is seeking a CRNA for locum tenens coverage.The facility is located outside of Tampa, Florida.This position offers flexible shift options of 8, 10, or 12 hours, with weekend shifts and in-house call available. The role includes working with a care team in a supervising capacity, covering a variety of cases with the exception of cardiac cases. The...