• Medical Director - Care Plus - Florida

    Humana (Tallahassee, FL)
    …environments. Has discussions with external physicians by phone to gather additional clinical information or discuss determinations regularly, and in some ... , requested level of care, and/or requested site of service should be authorized. All work occurs with a...clinical documentation, grievance and appeals processes, and outpatient services and equipment, within their scope. The Medical Director… more
    Humana (06/28/25)
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  • Medical Management Nurse

    Elevance Health (Miami, FL)
    …an impact:** + Utilizes nursing judgment and reasoning to analyze members' clinical information , interface with healthcare providers, make assessments based on ... complex clinical concepts/terms and assessing members' aggregate symptoms and information . + Assesses member clinical information and recognizes… more
    Elevance Health (08/23/25)
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  • Nurse Practitioner

    ChenMed (Tamarac, FL)
    … literacy skills in complex decision making. + Contributes to the design of clinical information systems that promote safe, quality and cost effective care. + ... who plays a key role as part of the clinical operations team providing direct patient care and providing...and clear documentation according to ChenMed standards for quality, service , productivity and teamwork. It also includes the participation… more
    ChenMed (08/02/25)
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  • Epic Senior Analyst, Optimization

    University of Miami (Miami, FL)
    …+ Works with vendors to proactively strategize on development and/or enhancement of clinical information system solutions to meet organizational business needs + ... of testing and the documentation of workflow design. + Performs the analysis of information technology in clinical work processes and validates the impacts to… more
    University of Miami (07/13/25)
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  • Supervisor, Patient Access (On-Site) (H)

    University of Miami (Miami, FL)
    …Core Responsibilities: + Obtains, confirms, and enters demographic, financial, and clinical information necessary for financial clearance of scheduled patient ... simultaneously. + Obtains, confirms, and accurately enters demographic, financial, and clinical HIPAA protected information . + Assists patients in navigating… more
    University of Miami (06/21/25)
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  • Utilization Management Nurse Consultant

    CVS Health (Tallahassee, FL)
    …to facilitate appropriate healthcare services /benefits for members. + Gathers clinical information and applies the appropriate clinical ... Disease Management and Utilization Management. AHH delivers flexible medical management services that support cost-effective quality care for members. + Work in… more
    CVS Health (08/15/25)
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  • Patient Access Specialist (On-Site)

    University of Miami (Fort Lauderdale, FL)
    …Core Responsibilities: + Obtains, confirms, and enters demographic, financial, and clinical information necessary for financial clearance of scheduled patient ... + Notifies patients of liabilities prior to date of service and collects funds. + Maintains appropriate records, files,...+ Obtains, confirms, and accurately enters demographic, financial, and clinical HIPAA protected information . + Assists in… more
    University of Miami (08/08/25)
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  • OPO Donor Management Coordinator 3

    University of Miami (Miami, FL)
    …potential cadaver donors to ensure donor meets medical criteria for donation. + Reports clinical information that may be relevant to donation process. + Requests ... of activities on electronic spreadsheet for cost allocation and QA purposes. Documents clinical potential donor information in the patient's chart. + Completes… more
    University of Miami (08/08/25)
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  • Behavioral Health Medical Director - Medicare

    Humana (Tallahassee, FL)
    …management. Has discussions with external physicians by phone to gather additional clinical information or discuss determinations regularly, and in some ... background, experience, and judgement to make determinations whether requested services , requested level of care, and/or requested site of..., requested level of care, and/or requested site of service should be authorized. All work occurs within a… more
    Humana (08/09/25)
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  • Supervisor, Ophthalmic Clinic Services

    University of Miami (Palm Beach Gardens, FL)
    …pod coordinators, and support personnel. + Maintains a strong understanding of the clinical information systems that support the technical functions. + Schedules ... of Miami has an exciting opportunity for Supervisor, Ophthalmic Services with Bascom Palmer Eye Institute in Palm Beach...patient flow in the clinic areas. + Responds to clinical demands and patient demands throughout the day to… more
    University of Miami (07/04/25)
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