- Humana (Tallahassee, FL)
- …resolution skills. Some roles include an overview of coding practices and clinical documentation , grievance and appeals processes, and outpatient services and ... community and help us put health first** The Medical Director relies on medical background and reviews health claims....is assisted by diverse resources which may include national clinical guidelines, CMS policies and determinations, clinical … more
- University of Miami (Miami, FL)
- … Director . The Medical Director will work closely with the Center Director and clinical team to oversee clinical quality, guide operations, and ... expertise. Operational and Quality Oversight + Collaborate with administrative and clinical staff to optimize workflows, documentation , and clinical … more
- Humana (Tallahassee, FL)
- …resolution skills. Some roles include an overview of coding practices and clinical documentation , dispute, grievance, and appeals processes, and outpatient ... Director , depending on the line of business. The Medical Director conducts Utilization Management or clinical validation of the care received by members in an… more
- Humana (Tallahassee, FL)
- …provider. Some roles include an overview of coding practices and clinical documentation , dispute/grievance and appeals processes, and outpatient services ... of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations… more
- WestCare Foundation (Marathon, FL)
- …Summary: The Inpatient Unit Coordinator / APRN is responsible for the clinical and operational oversight of the Crisis Stabilization Unit (CSU), Detox/Addictions ... and oversees day-to-day operations of the inpatient programs. Utilizing advanced clinical training as an APRN, the Program Coordinator conducts physical examinations… more
- Option Care Health (Tampa, FL)
- …problems and to make appropriate medication therapy recommendations. + Monitors the clinical staff's clinical documentation for home care and ... and chronic conditions in all 50 states. Through our clinical leadership, expertise and national scale, Option Care Health...and brightest talent in healthcare. **Job Description Summary:** The Director of Pharmacy is a licensed pharmacist who is… more
- Evolent (Tallahassee, FL)
- …Medical Director . **Qualifications** + MD/DO/MBBS Degree + Current, unrestricted clinical license in medicine or required specialty + Obtaining and maintaining ... make a meaningful impact on patient care in a non- clinical setting? Join our Utilization Management team as a...Join our Utilization Management team as a Field Medical Director , Cardiovascular Specialist and use your expertise in interventional… more
- Wolters Kluwer (Tampa, FL)
- **Health Informatics Director - Physician** As the Health Informatics Director - Physician, you will lead initiatives that leverage clinical terminology and ... on developing and managing Health Language content-including value sets and clinical decision support (CDS) rules-to enable risk adjustment suspect identification,… more
- HCA Healthcare (Inverness, FL)
- …hospital departments and external agencies to ensure continuity of care and optimal clinical resource utilization. The Director has oversight for all aspects of ... join an organization that invests in you as a Director Case Management? At HCA Florida Citrus Hospital, you...and discharge planning processes, ensuring timeliness, quality, and proper documentation . + Works with the Facility CFO and Division… more
- HCA Healthcare (Atlantis, FL)
- …hospital departments and external agencies to ensure continuity of care and optimal clinical resource utilization. The Director has oversight for all aspects of ... We care like family! Jump-start your career as a Director Case Management today with HCA Florida JFK Hospital....and discharge planning processes, ensuring timeliness, quality, and proper documentation . + Works with the Facility CFO and Division… more