• Oncology Data Specialist Certified PRN

    AdventHealth (Daytona Beach, FL)
    …is responsible for alerting leadership of potential discrepancies in documentation or clinical care variation as part of ongoing performance improvement. ... Data Systems (FCDS).The ODS-C is responsible for ensuring all clinical elements accurately reflect the care provided...training as appropriate. + Participates in Quality Assurance peer review , as a reviewer and reviewee. Timely… more
    AdventHealth (08/07/25)
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  • Intensive Community Care Manager…

    ChenMed (Largo, FL)
    …available in the community or review of their benefits. + Completes individual plan of care intervention with patients, family/ care giver and care ... The Intensive Community Managers (ICCMs) will serve as a clinical lead for the Complex Care Team....field nursing interventions, assess patient, and the development of care plan to identify the goals, barriers,… more
    ChenMed (06/05/25)
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  • RN Case Manager Part Time

    HCA Healthcare (Tallahassee, FL)
    …needs of assigned patients + Develops a case management plan of care to include identified clinical , psychosocial and discharge needs; coordinates plan ... to apply! **Job Summary and Qualifications** The RN CM Care Coordinator will facilitate the interdisciplinary plan ... with a focus on evaluating the appropriateness of clinical care , medical necessity, admission status, level… more
    HCA Healthcare (06/21/25)
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  • Acute Care Manager, Complex Care

    ChenMed (Pembroke Pines, FL)
    …compliance, and policies and procedures. **Primary Duties and Responsibilities** + Manage and plan for transitions of care , discharge and post discharge follow ... staff in the development and execution of the plan of care and achievement of goals....resources and mobilizes resources to assist in achieving desired clinical outcomes within specific timeframe. + Conducts review more
    ChenMed (08/16/25)
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  • Acute Care Case Manager , Registered Nurse…

    ChenMed (North Miami Beach, FL)
    …+ Collaborates with clinical staff in the development and execution of the plan of care and achievement of goals. Reports variations to PCP/Transitional ... clinical and progress notes for each patient receiving care and provides progress report to PCP and others...monitor, assess and record patients' progress and adjust and plan accordingly. + Understanding utilization review and… more
    ChenMed (05/28/25)
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  • Medical Director - Care Plus - Florida

    Humana (Tallahassee, FL)
    …this knowledge in their daily work. The Medical Director's work includes computer based review of moderately complex to complex clinical scenarios, review of ... work, communication of decisions to internal associates, and possible participation in care management. The clinical scenarios predominantly arise from inpatient… more
    Humana (06/28/25)
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  • Acute Care Manager, Complex Care

    ChenMed (Opa Locka, FL)
    …+ Collaborates with clinical staff in the development and execution of the plan of care and achievement of goals. Reports variations to PCP/Transitional ... clinical and progress notes for each patient receiving care and provides progress report to PCP and others...resources and mobilizes resources to assist in achieving desired clinical outcomes within specific timeframe. + Conducts review more
    ChenMed (08/16/25)
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  • Critical Care Pharmacist

    HCA Healthcare (Inverness, FL)
    …satisfaction and personal growth, we encourage you to apply for our Pharmacy Clinical Specialist Pharmacist opening. We promptly review all applications. Highly ... **Description** **Introduction** Do you have the career opportunities as a(an) Pharmacy Clinical Specialist Pharmacist you want with your current employer? We have… more
    HCA Healthcare (07/14/25)
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  • Medical Director-Primary Care Appeals

    Elevance Health (Tampa, FL)
    …unless an accommodation is granted as required by law. The **Medical Director-Primary Care Appeals** is responsible for the review of appeals for physical ... and serve as clinical /strategic advisor to enhance clinical operations. May identify cost of care ...reviews with attending physicians or other providers to discuss review determinations + Serve as a resource and consultant… more
    Elevance Health (08/21/25)
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  • Staff Psychologist - Primary Care Mental…

    Veterans Affairs, Veterans Health Administration (Gainesville, FL)
    …and Reiter (2007) Clinical Practice Skills: Applies principals of population based care as measured by monthly number of patient contacts, number of 30 minute ... members same day as referral Routinely Consults with PCPs and other PACT team members about plan of care for patients. Maintains at least 10% or higher on PACT21… more
    Veterans Affairs, Veterans Health Administration (08/19/25)
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