- AdventHealth (Orlando, FL)
- …job experience in management of processes, system implementations, and project management . The Manager of Clinical Documentation works to strategically plan, ... Management Program (CDMP) at AdventHealth. This includes management of the case mix index (CMI),... management of processes, system implementations, and project management . The Clinical Documentation Manager will report… more
- AdventHealth (Orange City, FL)
- …for each position may vary based on geographical location. **Category:** Case Management **Organization:** AdventHealth Fish Memorial **Schedule:** Part-time ... patient satisfaction, patient safety, readmission prevention and length of stay management . The Clinical Social Worker, Licensed, communicates daily with… more
- J&J Family of Companies (Sarasota, FL)
- …United States **Job Description:** We are searching for the best talent for Clinical Account Specialist to be in Sarasota, FL. **About Cardiovascular** Fueled by ... journey to wellness. Learn more at https://www.jnj.com/medtech As the Clinical Account Specialist, you will: + Provide expert ...System and associated software modules and RF generator) during case procedures within an assigned geography, and in a… more
- Molina Healthcare (St. Petersburg, FL)
- …and cases found non-compliant or missing compliance elements are remediated promptly + Case Management (CM) Lead responsibilities also include but not limited ... guidelines and support staff who have an ongoing member case load for regular outreach and management ....clinical staff. + Collaborates with and keeps HCS Management apprised of operational issues, staffing issues, system, and… more
- CVS Health (Jacksonville, FL)
- …members and providers. Leads all aspects of utilization review/quality assurance, directing case management Provides clinical expertise and business ... direction in support of medical management programs through participation in clinical team activities. Acts as lead business and clinical liaison to network… more
- Highmark Health (Tallahassee, FL)
- …groups. Coordinate with internal and external subject matter experts to inform business case assumptions for identifying clinical initiatives to be included in ... and pharmacists, in collaboration with the partnership director who manages non- clinical workforce activity. + **Relationship Management & Communication:**… more
- Humana (Tallahassee, FL)
- …their quality of life and achieve desired clinical outcomes. As part of the Case Management team, the case manager will serve as the primary point ... Care Manager will be part of the Humana Military Case Management team; providing a comprehensive, holistic...coordinator for the beneficiary for all activities within the clinical spectrum. This will include coordination and collaboration with… more
- Molina Healthcare (Tampa, FL)
- …Officer during Fair Hearings as may be required. + Serves as a clinical resource for Utilization Management , Chief Medical Officer, Physicians, and ... **JOB DESCRIPTION** **Job Summary** Clinical Appeals is responsible for making appropriate and... Coder + Certified Medical Audit Specialist + Certified Case Manager + Certified Professional Healthcare Management … more
- Teleflex (Jacksonville, FL)
- …o Competitive landscape o Industry trends * Work in conjunction with sales/ clinical representatives, management , and executive leadership to properly identify ... credentials, where applicable * Provide written and verbal communication to sales/ clinical representatives, management , and executive leadership regarding field… more
- Highmark Health (Tallahassee, FL)
- …required based on business need. **Preferred** + None **SKILLS** + Critical Thinking + Case Management + Customer Service + Oral & Written Communication Skills + ... performed in accordance with the highest and most current clinical standards. The incumbent reviews escalated cases electronically and...as the physician member of the multidisciplinary team for case and disease management . They will advise… more