- CVS Health (Tallahassee, FL)
- … system is more transparent and consumer-focused, and it recognizes physicians for their clinical quality and effective use of health care resources. In the ... Director you will + Focus primarily on overseeing utilization review / quality assurance and be responsible for predetermination...*Two (2) or more years of experience in Health Care Delivery System eg, Clinical Practice and… more
- LogixHealth (Dania Beach, FL)
- …expert coding and billing services that allow physicians to focus on providing great clinical care . LogixHealth was founded in the 1990s by physicians to service ... communication, and experience in third-party billing. Key Responsibilities: + Review /work denials on an explanation of benefits (EOB) statement...to follow up on unpaid claims + Send out appeals on claims that require an appeal + Submit… more
- Humana (Tallahassee, FL)
- …**Required Qualifications** + MD or DO degree + 5+ years of direct clinical patient care experience post residency or fellowship, which preferably includes ... of services provided by other healthcare professionals in compliance with review policies, procedures, and performance standards. Begins to influence department's… more
- Elevance Health (Tampa, FL)
- …make an impact:** + Determines the medical necessity of requests using clinical criteria. + Performs physician-level case review of musculoskeletal utilization ... ** Clinical Operations Associate Medical Director** **Orthopedic Spine Surgery**...practice nurses regarding established guidelines and accepted standards of care as it relates to treatments, surgical procedures, imaging… more
- University of Miami (North Miami, FL)
- …staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . $5,000 Sign ... from the renowned Desai Sethi Urology Institute as well as top-notch care from UHealth's nationally ranked neurology and neurosurgery programs. The University of… more
- University of Miami (North Miami, FL)
- …staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The ... from the renowned Desai Sethi Urology Institute as well as top-notch care from UHealth's nationally ranked neurology and neurosurgery programs. The University of… more
- Elevance Health (Miami, FL)
- …focused on transforming how healthcare is delivered and promoting the advancement of care for the people we serve._ The ** Clinical Operations Associate Medical ... years of clinical experience post residency. Preferably in inpatient post-acute care + Board certified in Physical Medicine and Rehab is preferred. For… more
- University of Miami (North Miami, FL)
- …staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The ... from the renowned Desai Sethi Urology Institute as well as top-notch care from UHealth's nationally ranked neurology and neurosurgery programs. The University of… more
- CVS Health (Tallahassee, FL)
- …holiday coverage. **Required Qualifications:** + Five or more years of experience in Health Care Delivery System eg, Clinical Practice and Health Care ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- Ascension Health (Jacksonville, FL)
- …on regulatory requirements, appropriate utilization of alternate levels of care , community resources, clinical documentation improvement, coding, quality ... talented group of physicians apply today! **Responsibilities** : + Review medical records of identified patients to assist with...of identified patients to assist with the level of care and length of stay determination. + Assist and… more