- Molina Healthcare (Orlando, FL)
- …regulatory requirements, Molina policies and procedures, and medically appropriate clinical guidelines. Contributes to overarching strategy to provide quality and ... cost-effective member care. **Job Duties** + Facilitates clinical /medical reviews of retrospective medical claim reviews, medical claims and previously denied cases… more
- Molina Healthcare (Tampa, FL)
- …transitions, behavioral health, long-term services and supports (LTSS), and other clinical programs. Leads team responsible for assessing, facilitating, planning and ... and financial results, and keeps executive leadership apprised. * Determines clinical , quality, and financial measures for success. * Designs standardized protocols,… more
- University of Miami (Miami, FL)
- …providers. The MA 3 shall assist patients' healthcare management and clinical procedures in a culturally competent manner utilizing evidence-based standards of ... compassionate and healing environment. The MA 3 works directly with the Nurse Manager /Nurse Supervisor/Charge Nurse and/or the Designee in charge of the Unit or… more
- University of Miami (Miami, FL)
- …is responsible for the independent design, development, and deployment of clinical applications and technologies. The architect defines system solutions based on ... place internally or by vendors utilizing expert knowledge crossing multiple clinical applications and operational areas. + Leads projects associated with application… more
- Elevance Health (FL)
- …and implementing programs to improve quality, cost, and outcomes. May provide clinical consultation and serve as clinical /strategic advisor to enhance ... responses to members and providers. + Provides guidance for clinical operational aspects of a program. + May conduct...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Elevance Health (FL)
- ** Clinical Operations Medical Director** **Carelon MBM** **Virtual:** This role enables associates to work virtually full-time, with the exception of required ... delivers significant cost-of-care savings across an expanding set of clinical domains, including radiology, cardiology and oncology._ The **Medical Director,… more
- Veterans Affairs, Veterans Health Administration (Jacksonville, FL)
- …complete review of the EDRP application. The Senior Social Worker (MHICM) provides clinical and program activities that are conducted as part of the Mental Health ... inpatient teams to assure continuity of care by providing consultation regarding clinical needs, treatment plans, and case management services for assigned patients.… more
- Veterans Affairs, Veterans Health Administration (Gainesville, FL)
- …to include measures of effectiveness and Veteran response using clinical judgment and standardized assessment instruments. Developing, implementing, and documenting ... for an assigned caseload of patients, including prompt of clinical reminders. Delivering services both in person and via...the treatment team, established by the affiliated PCMHI Program Manager . Assist the program PCMHI Program Coordinator in the… more
- Cleveland Clinic (Stuart, FL)
- …Cleveland Clinic, a nonprofit, multispecialty, academic medical center that integrates clinical and hospital care with research and education. As a Laboratory ... skills. Many of our past supervisors have moved into Manager positions throughout Cleveland Clinic. **A caregiver in this...Participate in selection of test methodology appropriate for the clinical use of the test results and verification of… more
- Walgreens (Groveland, FL)
- …Walgreen Co. Pharmacy Code of Conduct. Performs duties as assigned by Pharmacy Manager , Staff Pharmacist and Store Manager including utilizing pharmacy systems ... and performs other clerical duties, as assigned by the Pharmacy Manager . Leads Pharmacy Department inventory management activities, such as, ordering, unpacking,… more