- Evolent (Tallahassee, FL)
- …when available, within the regulatory timeframe of the request. + Utilizes medical/ clinical review guidelines and parameters to assure consistency in the ... seek to connect the pieces of fragmented health care system and ensure people get the same level of...Review Accreditation Commission (URAC) and National Committee for Quality Assurance (NCQA) guidelines. + Ensures documentation of all… more
- HCA Healthcare (Tampa, FL)
- …pricing opportunity" + You will monitor and ensure service line quality (eg, clinical outcomes, credentialing/privileging, processes, services, satisfaction) ... service line growth, and improving operations in terms of quality and processes. You will serve as the regional...of all facilities are aligned and complementary, ensuring a system approach to oncology services within the Division +… more
- Evolent (Tallahassee, FL)
- …Utilization Review Accreditation Commission (URAC) and National Committee for Quality Assurance (NCQA) guidelines. + Provides clinical rationale for standard ... the culture. **What You'll Be Doing:** As a Physician Clinical Reviewer , Interventional Pain Management, you will...within the regulatory timeframe of the request. + Utilizes medical/ clinical review guidelines and parameters to assure… more
- University of Miami (Miami, FL)
- …with medical advice. Identifies patient care issues and suggests revisions to or new clinical pathways to improve quality of care. + Identifies the patients' ... faculty or staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The Case Manager… more
- Evolent (Tallahassee, FL)
- …Provides clinical rationale for standard and expedited appeals. + Utilizes medical/ clinical review guidelines and parameters to assure consistency in the MD ... seek to connect the pieces of fragmented health care system and ensure people get the same level of...Review Accreditation Commission (URAC) and National Committee for Quality Assurance (NCQA) guidelines. + Aids and acts as… more
- University of Miami (Miami, FL)
- …for a Nurse Specialist, Research position. The incumbent ensures that the integrity and quality of clinical research studies is maintained and that studies are ... faculty or staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . $5,000 Sign-On Bonus… more
- BayCare Health System (Clearwater, FL)
- …mutual interests and responsibility for quality assurance, appropriate utilization review , process improvement, and clinical performance. + Will also ... the system to improve care across the continuum, reduce clinical variation, eliminate unnecessary clinical services utilization, and promote evidence-based… more
- AdventHealth (Daytona Beach, FL)
- …conferences and training as appropriate. + Participates in Quality Assurance peer review , as a reviewer and reviewee. Timely correction of abstractions based ... Cancer Data Systems (FCDS).The ODS-C is responsible for ensuring all clinical elements accurately reflect the care provided by AdventHealth to allow for accurate… more
- Amgen (Tampa, FL)
- …transform the lives of patients while transforming your career. **Specialist IS Business Systems Analyst - Planisware** **What you will do** Let's do this. Let's ... value. . Amgen Technology is a distributed team of system and domain experts. You will be an active...and the implementation of Technology/process solutions for PPM + Review functional and technical requirements to identify areas of… more
- University of Miami (Plantation, FL)
- …or staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . CORE JOB ... nose and throat. UHealth - University of Miami Health System powered by the groundbreaking research of the University...M. Miller School of Medicine places a premium on high- quality teaching. Thus, the incumbent will be expected to… more