- Mayo Clinic (Jacksonville, FL)
- …by ensuring appropriate utilization management, care coordination, resource utilization, and clinical documentation . The RN Case Manager will function within ... the Mayo Clinical Nursing Professional Practice Model, which includes accountability for...a baccalaureate nursing program. 3-5 years of acute nursing preferred ; 1-2 years of Case Management experience preferred… more
- St. George Tanaq Corporation (Tallahassee, FL)
- …work and provide dissatisfied beneficiaries and/or providers the opportunity to present documentation or evidence to demonstrate why an appeal or rebuttal for an ... I will also provide an independent second-level determination based on the documentation , facts, laws, regulations, and guidelines. This role will work under general… more
- AdventHealth (Daytona Beach, FL)
- …unit and for the day-to-day management and supervision of the related clinical activities. The Nurse is responsible for supervising and responsibly directing the ... supervision of the Nurse Manager, Director, Vice President of Clinical Services, and or designee. **The value you'll bring...processing of physicians' orders, including but not limited to: Documentation of all verbal and telephone orders on the… more
- AdventHealth (Altamonte Springs, FL)
- …Accountable for tracking patient charges and maintaining various records of documentation . Responsible for oversight of inventory management and supplies. Actively ... scheduling, and other work-related issues. Exhibits desire to learn and upgrade clinical and leadership skills. Performs other duties as assigned or directed to… more
- General Dynamics Information Technology (Eglin AFB, FL)
- …DIFFERENCE:** + Provide musculoskeletal injury care, utilizing approved supplemental clinical privileges including the ordering of imaging studies, laboratory tests, ... and referrals to specialty providers, with consistent, appropriate, and required documentation . + If directed by HP program Manager and/or Coordinator, directly… more
- Florida Health Care Plans, Inc. (Daytona Beach, FL)
- …Health Record preferred . + Understanding Risk Adjustment coding and supportive documentation preferred . + Ability to interact and teach coding content to ... SUMMARY: The Physician Office Medical Coder/Biller (POMB) conducts a documentation review of electronic records that are prepared by...ICD-10 & CPT coding required. + Experience in an office/ clinical setting preferred . + Strong computer skills… more
- Sedgwick (Orlando, FL)
- …case management and complex claim determinations based on medical documentation and the applicable disability plan interpretation including determining benefits ... and claims outside of typical guidelines. + Utilizes the appropriate clinical resources in case assessment (ie duration guidelines, in-house clinicians), as… more
- Sedgwick (Orlando, FL)
- …case management and complex claim determinations based on medical documentation and the applicable disability plan interpretation including determining benefits ... and claims outside of typical guidelines. + Utilizes the appropriate clinical resources in case assessment (ie duration guidelines, in-house clinicians), as… more
- ChenMed (Deerfield Beach, FL)
- …* Accountability for outcomes: The PCP demonstrates accountability for outcomes, strong clinical care, and cost-effectiveness for each patient in their panel of up ... patient count for 2 slots, follow-up patients 1 slot), CGCAHPS (patient experience), clinical gaps closures, and medical cost measures. Each PCP will have goals for… more
- University of Miami (Miami, FL)
- …Miami, FL and Miami Beach, FL CORE JOB SUMMARY To provide physician clinical services within a concierge practice setting CORE JOB FUNCTIONS UHealth Premier ... Concierge Medicine is expanding their clinical practice into Palm Beach. This position will report...practice. Proficiency with EPIC electronic medical record system is preferred . Effective communication, sound customer service skills and prompt… more