- Humana (Niceville, FL)
- …across such areas as financial performance, incentive programs, quality and clinical management , population health, data sharing, connectivity, documentation and ... years of Health care or managed care with Provider Contracting, Network Management or Provider Relations experience + Proven planning, preparation and presenting… more
- Actalent (Sunrise, FL)
- …Prepare and present reports on department activities as assigned. Essential Skills + Clinical review + Utilization review + Utilization management + InterQual + ... Actalent is hiring a Utilization Management Nurse! Job Description The Utilization Management Nurse (UMN) collaborates closely with the interdisciplinary team to… more
- Fresenius Medical Center (Venice, FL)
- …requirements. Ensure provision of quality patient care while maintaining cost-effective clinical operations in accordance with all legal, compliance, and regulatory ... and FMS patient care and administrative policies as the clinical leader, has the authority to make daily decisions...maintain an engaged and productive workforce; partnering with Human Resources on employee matters. + Technically proficient in the… more
- University of Miami (Miami, FL)
- … and compliance with healthcare regulations. This leadership role involves human resource management , continuous quality improvement and the fostering of a ... with setting up the Command Center as directed Coordination of the management of Clinical and Non- clinical emergencies and subsequent notification to senior… more
- HCA Healthcare (Aventura, FL)
- …support reporting on project success. The manager will work with the Innovation Clinical Operations team (eg, Project Management , Clinical Operations, ... coverage, moving assistance, pet insurance and more. + Free counseling services and resources for emotional, physical and financial wellbeing + 401(k) Plan with a… more
- CenterWell (Boynton Beach, FL)
- …to plan. + Establish/maintain working relationships with key line, Contracts, Marketing, Clinical and Specialty management staff to ensure thorough understanding ... of assigned sales staff and provide sales related support to market/branch/program management to ensure market sales and profit targets are achieved or exceeded.… more
- Prime Therapeutics (Tallahassee, FL)
- …ambiguity + Ability to work well across cross-functional teams including clinical , network management , operations, specialty, client engagement, market segment ... market problems facing Prime's clients, cross-functionally leading the development and management of highly complex products and initiatives, and proving the value… more
- HCA Healthcare (Kissimmee, FL)
- …related to cardiology and cardiovascular procedures. Requires experience with data management systems, clinical data analysis, process improvement methodology, ... and data reporting. **What qualifications you will need:** Five years cardiovascular clinical experience, data management , clinical analysis, process… more
- AdventHealth (Altamonte Springs, FL)
- …and publicly reported outcomes. Overall responsibility for performance improvement, risk management , safety and clinical quality, continuing medical education, ... FT/PT positions + Career Development + Whole Person Wellbeing Resources + Mental Health Resources and Support...medical staff to obtain appropriate documentation and assist case management with clinical interpretation necessary to ensure… more
- MyFlorida (West Palm Beach, FL)
- …Protocols and Procedures. Confidential data sets: Has access to include Clinical Information, Health Management System (HMS)-Employee Activities Record (EARS), ... NFP Agency Implementation Agreement and monitors program outcomes. Functions as a resource for staff, providing both clinical and technical assistance including… more