• Facility Coding Inpatient DRG Quality

    Banner Health (FL)
    …documentation completed by the health care team for the health record(s) and for quality assurance in the alignment of clinical documentation and billing codes. ... Works with clinical documentation improvement and quality management staff to: align diagnosis coding to documentation...demonstrate the ability to understand the Medicare Prospective Payment System , and the clinical coding data base… more
    Banner Health (09/06/25)
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  • Senior Risk & Compliance Analyst

    Highmark Health (Tallahassee, FL)
    …**Job Description :** **JOB SUMMARY** This job works collaboratively riskacross Highmark Health clinical areas to support clinical quality auditing, The ... experience + Previous auditing experience + Experience with electronic health records systems , Epic preferred + Experience with clinical guidelines and medical… more
    Highmark Health (07/04/25)
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  • Medical Director (Marketplace)

    Molina Healthcare (St. Petersburg, FL)
    …for NCQA and URAC certifications. Develops and provides leadership for NCQA-compliant clinical quality improvement activity (QIA) in collaboration with the ... clinical lead, the medical director, and quality improvement staff. + Facilitates conformance to Medicare, Medicaid, NCQA and other regulatory requirements. +… more
    Molina Healthcare (08/28/25)
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  • Chief Medical Officer

    HCA Healthcare (Port St. Lucie, FL)
    …maintaining and enhancing clinical effectiveness. + Creates a data-driven environment of quality and cost improvement and develops systems to review ... **Job Summary and Qualifications** The Facility Chief Medical Officer (CMO) ensures high quality , patient-centered care by leading clinical and quality more
    HCA Healthcare (08/26/25)
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  • Clinical Documentation Specialist RN

    Houston Methodist (FL)
    …of business functions that operate at the system level to help enable clinical departments to provide high quality patient care. Houston Methodist is an ... Clinical Documentation Specialist is responsible for improving the overall quality and completeness of clinical documentation. This position analyzes medical… more
    Houston Methodist (08/13/25)
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  • Clinical Pharmacist - Crohn's, Full Time

    University of Miami (Miami, FL)
    clinical pharmacists at the University of Miami Hospital & Clinics. The Clinical Pharmacist is key to identifying quality initiatives to improve patient ... 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 Sylvester -… more
    University of Miami (09/06/25)
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  • RN Clinical Program Manager Leadership…

    AdventHealth (Orlando, FL)
    …practices contribute to exemplary professional practice while positively impacting measurable quality outcomes. The Clinical Program Manager, in collaboration ... line. Responsible for maintaining knowledge of current trends and clinical practice by continuing education programs and review... program service line + Working in large healthcare systems on clinical service lines as a… more
    AdventHealth (09/06/25)
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  • Assistant Professor of Clinical - Medicine,…

    University of Miami (Miami, FL)
    …of medical students, residents, and fellows . Maintain flexibility in division clinical duty scheduling . Participation in quality improvement activities . ... 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 University of… more
    University of Miami (08/09/25)
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  • Medical Director - Spine

    CVS Health (Jacksonville, FL)
    …to members and providers. Leads all aspects of utilization review / quality assurance, directing case management Provides clinical expertise and business ... transparent and consumer-focused, and it recognizes physicians for their clinical quality and effective use of health...or more years of experience in Health Care Delivery System eg, Clinical Practice and Health Care… more
    CVS Health (08/08/25)
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  • APP Team Manager -Infectious Diseases

    University of Miami (Miami, FL)
    …pharmacy to maintain medication stock and logs. + Develops, leads and manages the clinical practice, quality and safety of patient care of an interdisciplinary ... continuous quality improvement. Contributes to developing structure, processes and systems to improve the care and disease management of patients. + Establishes… more
    University of Miami (07/23/25)
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