- University of Miami (Miami, FL)
- …or staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The ... hospital personnel. CORE JOB FUNCTIONS 1. Oversees patient flow through designated clinical areas. 2. Maintains nursing guidelines by writing and updating policies… more
- AdventHealth (Zephyrhills, FL)
- …and nursing leadership, Quality and Risk team, staff feedback, medical staff feedback, data review and regulatory requirements. + Discusses and reviews daily ... you'll bring to the team:** + Designs and implements clinical education programs that support the goals of providing...of Science in Nursing + Minimum of 5 years clinical experience + Minimum of 3 years education experience… more
- US Tech Solutions (Miami, FL)
- …+ Conducts comprehensive evaluation of Members using care management tools and information/ data review + Coordinates and implements assigned care plan activities ... manage healthcare costs and improve healthcare program/operational efficiency involving clinical issues + Determines medical necessity/ appropriateness Facilitates optimal… more
- University of Miami (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) . Location: ... Sign-on Bonus: $25,000 CORE JOB FUNCTIONS Oversees patient flow through designated clinical areas. Maintains nursing guidelines by writing and updating policies and… more
- Trinity Health (Fort Lauderdale, FL)
- …patient, correct encounter, correct date of service, with any required modifiers. Review documentation, abstracts data and ensure charges/coding are in alignment ... complete documentation to ensure revenue optimization and integrity. Perform outpatient clinical documentation improvement review (acute only) as needed. Perform… more
- Highmark Health (Tallahassee, FL)
- …partners and stakeholders across the organization. Key responsibilities will include clinical review , assisting in navigating a complex regulatory environment, ... working with claims data , performing financial analyses, and supporting the presentation of...utilization management programs, and disease management initiatives. + Provide clinical review and decisions including but not… more
- Walgreens (Lynn Haven, FL)
- …management and other healthcare services. + Assists and supports the pharmacy manager in analyzing performance data including pharmacy financial, customer ... medications and awareness with drug interactions. Offers preventive and clinical healthcare services, including immunizations, diagnostic testing, and patient… more
- Elevance Health (FL)
- …from immediate manager . + May be responsible for an entire clinical program and/or independently performs clinical reviews. The Medical Director typically ... and implementing programs to improve quality, cost, and outcomes. May provide clinical consultation and serve as clinical /strategic advisor to enhance … more
- Elevance Health (Miami, FL)
- …from immediate manager . + May be responsible for an entire clinical program and/or independently perform clinical reviews. **Minimum Qualifications** + ... **Medical Director-Internal Medicine or Family Medicine Appeals** is responsible for the review of appeals for physical health medical services, to ensure the… more
- Elevance Health (Miami, FL)
- …oversight from immediate manager . + May be responsible for an entire clinical program and/or independently perform clinical reviews. + The Medical Director ... and implementing programs to improve quality, cost, and outcomes. May provide clinical consultation and serve as clinical /strategic advisor to enhance … more