Utilities Manager Salary at Boar's Head BETA

Job Summary: This dynamic full-time Physician Advisor provides 1) physician administrative support and leadership to the utilization and resource management areas of Integrated Case Management including mentoring/coaching Care Coordinators, Utilization Review staff, and Social Workers, 2) reviewing cases for medical necessity, 3) daily multi-disciplinary rounds, 4) collaborating with hospitalists, physicians, and house staff in determining appropriate inpatient versus outpatient/observation status, and providing feed-back on documentation improvement opportunities 5) participating in third-party payor denial, appeal, and peer-to-peer processes. Identifying and benchmarking standards of best practice related to throughput, efficiency, length of stay, resource utilization, high quality admissions, readmission avoidance, and transitions of care across the continuum is an organizational standard. The physician advisor will consider compliance with regulatory and payor requirements, policy

Construction Estimator Benderson Development is one of America's largest privately held real estate companies, with a portfolio that includes more than 800 properties totaling over 50 million square feet in 40 states. The diverse Benderson portfolio includes retail, office, industrial, hotel, residential, and landholdings. With over 70 years of experience, Benderson Development has engineered impressive growth through innovation, insight, and determination. Summary Benderson Development is seeking a talented Construction Estimator to join our team in Sarasota. The ideal individual will have commercial estimating experience with civil and/or vertical projects. This position estimates both new construction and build outs and determines the overall costs of a new or existing construction projects. This role will work with in partnership with various internal departments and continue to build a base of subcontractors for the organization. Principle Responsibilities and Duties Accurately pr

Construction Superintendent - Civil About Benderson Development Benderson Development is one of America's largest privately held real estate companies, with a portfolio that includes more than 1,000 properties totaling over 50 million square feet in 40 states. The diverse Benderson portfolio includes retail, office, industrial, hotel, residential, and landholdings. With over 70 years of experience, Benderson Development has engineered impressive growth through innovation, insight, and determination. Summary We are seeking an experienced Construction Superintendent to manage the civil scope of construction projects from mobilization to completion. This role requires a strong leader who can oversee daily operations on-site, ensuring quality, safety, and efficiency while maintaining Benderson's high standards. The Superintendent will collaborate closely with subcontractors to ensure that all work meets project specifications, stays on schedule, and adheres to budgetary guidelines. Princip

Description Starting Salary: $45,000/year Position Summary: This position provides Care Coordination/Case Management in the Parenting with Love and Limits Program and assist the PLL Therapists support the family as the family and youth work through the program. The PLL Care Coordinator will facilitate teen breakout therapy groups and co-facilitate family therapy groups along with the PLL Therapist. The PLL Coordinator will identify specific needs of the family and link the family to the appropriate community resource. Technical/Functional Expectations: Authorization Coordination-Essential Function: This is required to ensure timely delivery of appropriate services while managing the budget allocations and identifying alternative community resources as well as other funding streams in order to maximize resources and adhere to policies and procedures. Responsible for utilization and monitoring flexible funding and service coordination in order to meet client needs. Crisis Interventions -

Description Provide consultation and guidance regarding admissions and patient length of stays to a variety of payers. Secure authorizations with insurance companies for inpatient treatment and continue to obtain authorizations through ongoing clinical reviews until patient discharges from treatment. Evaluate the utilization operations for compliance with mandatory policies and procedures. Review clinical documentation from denied stays against criteria to determine if documentation is adequate for requested treatment. Maintain efficient, positive customer service attitude towards customers, clients and co-workers while being responsive to May provide oversight and direction to utilization staff. Qualifications Education Preferred + Bachelors or better Experience Preferred + 2-5 years: Utilization Review

We are currently seeking a skilled and motivated Pharmacist with expertise in Pharmacy Benefit Management (PBM) and Managed Care. In this pivotal role, you will be responsible for overseeing medication utilization, formulary management, and ensuring cost-effective pharmacy services. The ideal candidate will bring a deep understanding of managed care principles, a proactive approach to problem-solving, and a commitment to optimizing pharmacy outcomes within a managed care environment. Preferred Qualifications: PharmD degree from an accredited pharmacy program Previous experience in Pharmacy Benefit Management (PBM) or Managed Care Knowledge of formulary development and management State pharmacy license in good standing Strong analytical and data interpretation skills Excellent communication and negotiation abilities Familiarity with healthcare regulations and compliance standards Collaboration experience with healthcare providers, payers, and pharmaceutical manufacturers Proficiency in

As a Market Physician Executive, you will have these key responsibilities: Clinical Leadership & Strategy: Collaborate as a clinical partner to Market operations leaders to manage and improve governance, management and performance of clinical medicine, patient care, and physician engagement (primary care and specialist). Provide clinical leadership and direction to physicians and provider network. Develop and implement clinical strategies to improve patient outcomes, reduce unnecessary care variation, reduce unnecessary utilization, and enhance care coordination. Ensuring delivery of optimal, medically necessary, compliant, high-quality, cost-effective care. Stay abreast of the latest clinical guidelines, best practices, and healthcare policy changes relevant to Medicare and Medicare Advantage patient populations. As part of the market executive team collaborate to develop and implement the market's strategic plan. Actively lead physician leadership committees, including assisting with

#nowhiring Lutheran Services Florida (LSF) envisions a world where children are safe, families are strong, and communities are vibrant. LSF is looking for a talented Child Welfare Case Manager who wants to make an impact in the lives of children and families. Candidates residing in the State of Florida are preferred. Purpose & Impact: The purpose of the Child Welfare Case Manager, in partnership with various individuals and groups within the child welfare system and community, is to ensure and promote the social, physical, psychological and emotional well-being and safety of the children and families they serve. The Case Manager maintains case ownership responsibility as the integrator of all services and supports identified for each child, including therapy, mental health services, health and dentistry, developmental services, educational support, permanency and safety. The Case Manager manages cases toward goals recorded in case plans while adhering to Florida Statutes, Administrativ