- AdventHealth (Orlando, FL)
- … application of medical necessity criteria Responsible for reviewing Clinical Documentation and performs secondary review for escalations Evaluates and reviews ... work life balance **PRINCIPAL DUTIES AND JOB RESPONSIBILITIES** **:** Provides clinical support/validation for Care Management, CDI and Quality teams. Provides… more
- CVS Health (Tallahassee, FL)
- …heart, each and every day. **Primary Responsibilities:** * Responsible for clinical oversight of DSNP/MMP complex populations (Dual-Eligible Special Needs Plan / ... Medicare-Medicaid Plan) * Develop and lead clinical strategy and objectives for the DSNP/FIDE populations, including the development and implementation of … more
- Bristol Myers Squibb (Orlando, FL)
- …own knowledge in treatment strategies, products, unmet medical needs, clinical trials, health economics outcomes research and scientific activities. Understand ... + Provide scientific support at promotional meetings by presenting scientific and clinical data, by evaluating speakers and by giving support to BMS-contracted… more
- Elevance Health (FL)
- …and implementing programs to improve quality, cost, and outcomes. May provide clinical consultation and serve as clinical /strategic advisor to enhance ... to staff including Medical Director Associates. May be responsible for an entire clinical program. **How will you make an impact:** + Supports clinicians to ensure… more
- Elevance Health (Miami, FL)
- …require nursing judgment, critical thinking, and holistic assessment of member's clinical presentation to determine whether to approve requested service(s) as ... Works with healthcare providers to understand and assess a member's clinical picture. Utilizes nursing judgment to determine whether treatment is medically… more
- HCA Healthcare (Tamarac, FL)
- …more efficiently. **Are you passionate about delivering patient-centered care?** Submit your application for RN Patient Logistic Center position and spend more time ... or C-suite role, shape business and operational outcomes, or work to deliver clinical excellence behind the scenes in data science, case management or transfer… more
- Elevance Health (Miami, FL)
- …and implementing programs to improve quality, cost, and outcomes. May provide clinical consultation and serve as clinical /strategic advisor to enhance ... to staff including Medical Director Associates. May be responsible for an entire clinical program. **How you will make an impact:** + Complete appeal reviews in… more
- Ascension Health (Pensacola, FL)
- …Supervise, coordinate, and provide leadership while directing activities of clinical /non- clinical or interdisciplinary teams of licensed and non-licensed ... staff delivering quality patient care and ensuring implementation of clinical objectives in an assigned area. + Assess daily...who have applied for a position using our official application . Be on alert for possible fraudulent offers of… more
- Community Health Systems (Naples, FL)
- …patient-centered care in a fast-paced environment. This role oversees clinical practice, departmental operations, staffing, and education while fostering a ... goals. **Essential Functions** + Provides leadership and oversight of clinical care, operations, staff education, and professional development within the… more
- University of Miami (Coral Gables, FL)
- …here (https://www.myworkday.com/umiami/d/task/1422$7248.htmld) to log in to Workday to use the internal application process. To learn how to apply for a faculty or ... at ASAC/CARD offices throughout Miami-Dade County. The psychologist will provide clinical supervision to doctoral student trainees, as well as consultation to… more