- University of Miami (Coral Gables, FL)
- …and positive, flexible attitude Preferred Qualifications: + Bilingual English-Spanish + Possess prior clinical experience in a teaching institution or service ... at ASAC/CARD offices throughout Miami-Dade County. The psychologist will provide clinical supervision to doctoral student trainees, as well as consultation to… more
- Humana (Tallahassee, FL)
- …resolution skills. Some roles include an overview of coding practices and clinical documentation , grievance and appeals processes, and outpatient services and ... and work is assisted by diverse resources, which may include national clinical guidelines, CMS policies and determinations, clinical reference materials,… more
- AdventHealth (Altamonte Springs, FL)
- …as collaborating with other disciplines to assist in the improvement of clinical documentation , patient safety, and quality outcomes. Through primary support ... of Utilization Management, the Physician Advisor is responsible for providing clinical review of utilization, claims management, and quality assurance related to… more
- ChenMed (Miami, FL)
- …Licensed/Board Certified professional who plays a key role as part of the clinical operations team, providing direct patient care and assessments, primarily in the ... case management referrals, providing follow-up care and applying clear, in-depth documentation through written progress notes and summaries according to ChenMed… more
- Evolent (Tallahassee, FL)
- …Are you ready to make a meaningful impact on patient care in a non- clinical setting? Join our Utilization Management team as a Field Medical Director, Cardiovascular ... Offer:** + A meaningful way to contribute to patient care beyond the clinical setting. + Opportunities for collaboration with a dynamic team of physicians, leaders,… more
- Humana (Tallahassee, FL)
- …resolution skills. Some roles include an overview of coding practices and clinical documentation , grievance and appeals processes, and outpatient services and ... and work is assisted by diverse resources, which may include national clinical guidelines, CMS policies and determinations, clinical reference materials,… more
- Monte Nido (Miami, FL)
- …& Admissions by discussing services covered by the members benefits and reviewing clinical documentation needed to successfully advocate for our clients. 3. ... and decrease peer to peer reviews. 10. Follows standardized processes and clinical documentation . 11. Communicates emerging trends with insurance companies to… more
- MyFlorida (St. Augustine, FL)
- …care. Health care services are provided according to physician orders, nursing clinical guidelines, FSDB and HCC policies and procedure. + Primary responsibility of ... a comprehensive history of personal and health factors, medical treatment, and prior treatment. Collects data from multiple sources using a variety of methods.… more
- CVS Health (Tallahassee, FL)
- …the purpose of risk adjustment processes are appropriate, accurate, and supported by clinical documentation in accordance with all State and Federal regulations ... complex audits, reviews and assessments of medical records coded by internal teams prior to the submission to the Centers of Medicare and Medicaid Services (CMS)… more
- Florida Atlantic University (Boca Raton, FL)
- …of Practicum Education.The ideal candidate will be committed to generalist and clinical social work education, the preparation of future professionals, and improving ... in program administration and/or management Preferred Qualifications * Licensed Clinical Social Worker (LCSW) in the State of Florida...position is open until filled and may close without prior notice. This position is subject to funding. All… more