- Cleveland Clinic (Vero Beach, FL)
- … and case reviews. + Serve as a CRRC member, enter cases into the quality data review tool, complete nursing reviews of events prior to emergencies or codes and ... role in identifying and managing patients at risk for clinical deterioration outside of the ICU and Emergency Department....improvements and training based on case reviews and quality data . **This is a regular PRN position, with caregivers… more
- Select Medical (Miami, FL)
- …procedures to ensure compliance with all regulatory and accrediting standards. Collects data to monitor compliance and/or trends. + Institutes and monitors the ... Hospital's CQI Processes, utilizing data analysis measuring tools. Oversight/coordination of operations of the...and compliance of quality processes/activities in the areas of clinical /medical staff PI for all applicable clinical /medical… more
- Humana (Tallahassee, FL)
- …caring community and help us put health first** The Medical Director relies on broad clinical expertise to review Medicare drug appeals (Part D & B). The Medical ... involve moderately complex to complex issues where the analysis of situations or data requires a case by case consideration of the Medicare rules, Humana policies… more
- Oracle (Tallahassee, FL)
- … Review and recommend changes to labeling, marketing communications, clinical protocols, design processes, and manufacturing procedures to maintain regulatory and ... the total product lifecycle of AI-enabled, Cloud-native software applications used in clinical operation, clinical information systems, and clinical decision… more
- Battelle Memorial Institute (Tampa, FL)
- …environment. This position applies professional health nursing principles and clinical expertise to analyze and address complex patient needs, ensuring ... treatment. This role involves collecting and communicating detailed health data , developing time-sensitive treatment plans, assessing patient care via telephone,… more
- Molina Healthcare (Tampa, FL)
- …national, state, and local laws and regulatory requirements affecting the medical and clinical staff. + Marketplace UM reviews + MD licenses required for the ... NCQA and URAC certifications. Develops and provides leadership for NCQA-compliant clinical quality improvement activity (QIA) in collaboration with the clinical… more
- HCA Healthcare (Tamarac, FL)
- …resources as needed. Facilitates transport arrangements that match the patient's clinical needs. + Performs all transfer center functions, including centralized ... of a computer database consisting of facility service profiles, approved clinical protocols, established patient care protocols, and healthcare information. +… more
- Highmark Health (Tallahassee, FL)
- …are performed in accordance with the highest and most current clinical standards. The incumbent reviews escalated cases electronically and using Medical ... CMS, DOH, and DOL regulations at all times. In addition to utilization review , the incumbent participates as the physician member of the multidisciplinary team for… more
- General Dynamics Information Technology (Hurlburt Field, FL)
- …the licensed mental health provider. + Collect and maintain monthly statistical data assigned by the workplace. + Administers psychological tests, compiles data ... daily correspondence (ie, training agendas, meeting agendas, purchase orders, clinical appointments). + Assist in developing program-operating instructions, works… more
- Datavant (Tallahassee, FL)
- …a case-by-case basis. For more information about how we collect and use your data , please review our Privacy Policy (https://www.datavant.com/privacy-policy) . ... Datavant is a data platform company and the world's leader in...and use cases across the product lifecycle - from clinical development to commercialization. + **Hunter Mentality:** Skilled at… more