- Highmark Health (Tallahassee, FL)
- …and leads the design, development, execution, dissemination and interpretation of clinical and population health analyses, metrics and reports using clinical ... monitor actionable opportunities for improving health and healthcare outcomes and clinical quality and costs of care, efficiently and effectively managing projects… more
- Elevance Health (Miami, FL)
- …and quality of life through home-care and community based services. ** Clinical Quality Consultant Nurse Practitioner** Location: **Virtual** - This role enables ... **Monday - Friday, 8:00 am to 5:00 pm** The ** Clinical Quality Consultant NP** is responsible for quality documentation,... Quality Consultant NP** is responsible for quality documentation, coding and value capture. **How you will make an… more
- AdventHealth (Altamonte Springs, FL)
- …**The role you will contribute:** Under general supervision of the Director of Clinical Documentation Integrity and in some situations the supervision of the ... Clinical Documentation Integrity Manager, and in collaboration with physicians,...them to resolves discrepancies with DRG assignments and other coding issues. . Completes well-timed follow-up case reviews on… more
- Elevance Health (Miami, FL)
- ** Clinical Provider Auditor II** **Supports the Payment Integrity line of business** **Virtual:** This role enables associates to work virtually full-time, with the ... determined to recover, eliminate and prevent unnecessary medical-expense spending. The ** Clinical Provider Auditor II** is responsible for identifying issues and/or… more
- AdventHealth (Tampa, FL)
- …Research Institute, also located at AdventHealth Tampa, leads the way in clinical and academic research in the areas of neuroscience, cardiovascular medicine, ... and other diseases. **The ro** **le you'll contribute:** Oversees site-based Clinical Documentation Integrity (CDI) program; monitors and maintains the timeliness of… more
- Molina Healthcare (Tampa, FL)
- …home office with internet connectivity of high speed required **Job Summary** Clinical Appeals is responsible for making appropriate and correct clinical ... decisions for appeals outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse (RN) performs clinical /medical reviews of… more
- Fresenius Medical Center (Venice, FL)
- …requirements. Ensure provision of quality patient care while maintaining cost-effective clinical operations in accordance with all legal, compliance, and regulatory ... and FMS patient care and administrative policies as the clinical leader, has the authority to make daily decisions...completion of the Annual Standing Order Review and ICD coding . + Checks correspondence whether electronic, paper or voice… more
- CenterWell (Port St. Lucie, FL)
- …put health first** **Job Profile Summary** The Supervisor, Stars Improvement, Clinical is responsible for supporting the development, implementation and oversight of ... Care Organization's in-clinic Stars Program. The Supervisor, Stars Improvement, Clinical works within thorough, prescribed guidelines and procedures; uses… more
- AdventHealth (Ormond Beach, FL)
- ** Clinical Manager - AdventHealth Hom Health** **All the benefits and perks you need for you and your family:** + Benefits from Day One + Paid Days Off from Day One ... **Schedule:** Full Time **Shift** : **Location:** **The role you'll contribute:** The Clinical Manager is a Registered Nurse who coordinates and supervises the… more
- AdventHealth (Maitland, FL)
- …inpatients and 125,000 outpatients each year **The role you'll contribute:** The Clinical Documentation Integrity Manager is a Registered Nurse and/or a Registered ... Health Information Administrator with a high level of clinical proficiency necessary for the oversight of the ...to all CDI staff; extensive knowledge of I10 and coding guidelines. + Develops, produces, and delivers training for… more