- Molina Healthcare (Tampa, FL)
- …practice patterns and recommends corrective actions as needed. * Fosters clinical practice guideline implementation and evidence-based medical practices. * ... and consultation for NCQA standards/guidelines for the plan including compliant clinical quality improvement activity (QIA) in collaboration with clinical … more
- University of Miami (Miami, FL)
- …and treatments. + Attains educational knowledge and competencies that reflects current clinical practice skills. Demonstrates commitment to lifelong learning and ... Insurance Portability and Accountability Act (HIPAA). + Performs professionally within their clinical scope of practice skills utilizing State, Federal, and… more
- Walgreens (Brooksville, FL)
- …and federal regulations, assists the pharmacist, under direct supervision, in the practice of pharmacy. Assists the pharmacist in the performance of other Pharmacy ... Under the supervision by the pharmacist, assist in the practice of pharmacy, in accordance with state, federal, and...of Conduct. + Performs duties as assigned by Pharmacy Manager , Staff Pharmacist and Store Manager including… more
- Walgreens (Winter Park, FL)
- …and federal regulations, assists the pharmacist, under direct supervision, in the practice of pharmacy. Assists the pharmacist in the performance of other Pharmacy ... Under the supervision by the pharmacist, assist in the practice of pharmacy, in accordance with state, federal, and...of Conduct. + Performs duties as assigned by Pharmacy Manager , Staff Pharmacist and Store Manager including… more
- Walgreens (Pompano Beach, FL)
- …and federal regulations, assists the pharmacist, under direct supervision, in the practice of pharmacy. Assists the pharmacist in the performance of other Pharmacy ... Under the supervision by the pharmacist, assist in the practice of pharmacy, in accordance with state, federal, and...of Conduct. + Performs duties as assigned by Pharmacy Manager , Staff Pharmacist and Store Manager including… more
- Molina Healthcare (Jacksonville, FL)
- …health committees for quality compliance. * Implements behavioral health specific clinical practice guidelines and medical necessity review criteria. * ... member care. Essential Job Duties * Provides behavioral health oversight and clinical leadership for health plan and/or market specific utilization management and… more
- Molina Healthcare (Miami, FL)
- …regulatory requirements, Molina policies and procedures, and medically appropriate clinical guidelines. Contributes to overarching strategy to provide quality and ... cost-effective member care. **ESSENTIAL JOB DUTIES:** + Facilitates clinical /medical reviews of retrospective medical claim reviews, medical claims and previously… more
- Elevance Health (FL)
- …17 states. This role involves managing the overall medical policies and clinical guidelines to ensure appropriate and cost-effective care. The Director also leads ... timely and consistent responses to members and providers. + Provides guidance for clinical operational aspects of a program. + Conducts peer-to-peer clinical … 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
- HCA Healthcare (Fort Myers, FL)
- …patient care. Performs in accordance with physician's orders and under the supervision of the Clinical Manager . **What you will do in this role** : + Assesses ... and patient/family/caregiver. + Communicates significant findings, problems and changes to Clinical Manager and physician, and documents all findings,… more