- AdventHealth (Orlando, FL)
- …clinical outcomes for national registry submission. Serves as the clinical content expert on national registry guidelines and specialty-based outcomes. Responsible ... to collaborate with management to identify instances of clinical variability to provide...to the team:** + Responsible for serving as clinical content expert to accurately complete clinical registry element requirements,… more
- Molina Healthcare (Orlando, FL)
- …accordingly + Documents results/findings from chart reviews and provides feedback to management , providers, and office staff + Provides training and education to ... records, and provider training and education + Assists in coordinating management activities with other departments in Molina including Finance, Revenue analytics,… more
- Cardinal Health (Tallahassee, FL)
- …family assesses product systems, identifies opportunities for process and system improvements, and develops solutions through application of engineering principles. ... required to achieve business objectives. + Plans and executes system implementations that ensure success and minimize risk of...a PLUS + Experience with GuardianRX, Cperx, Queen City, CMS Wordlink, Omnisys, and Genesis a PLUS + Experience… more
- AdventHealth (Tavares, FL)
- …The Social Worker is under the general supervision of the Care Management Supervisor or Manager and is responsible for patient evaluations of post-hospital ... patient satisfaction, patient safety, readmission prevention and length of stay management . The Social Work Care Manager communicates daily with the… more
- Actalent (Sunrise, FL)
- Utilization Management Nurse!Job Description The Utilization Management Nurse (UMN) plays a crucial role in reviewing service authorization requests to ensure ... under the general supervision of the Director and/or Manager/Supervisor of Medical Management , and in collaboration with an interdisciplinary team, the UMN manages… more
- Actalent (Sunrise, FL)
- Actalent is hiring a Utilization Management Nurse! Job Description The Utilization Management Nurse (UMN) collaborates closely with the interdisciplinary team to ... as assigned. Essential Skills + Clinical review + Utilization review + Utilization management + InterQual + Milliman Commercial Guidelines + Medicaid + Medical … more
- The Walt Disney Company (Celebration, FL)
- …for engineering and technical entertainment. + Partner with ships to comply with Safety Management System for all areas of responsibility. + Responsible for all ... Survey ( CMS ) and Continuous Hull Survey (CHS). + Oversee management of maintenance of ships and private island destinations ensuring proper documentation… more
- AdventHealth (Palm Coast, FL)
- …Development. + Leadership ability and working knowledge of leadership principles and management skills. + Knowledge of regulatory standards ( CMS , DNV, TJC, ... partnerships, research/ evidence-based practice/ quality/performance improvement, onboarding/orientation, and competency management . The NPD Manager functions as a learning facilitator,… more
- Veterans Affairs, Veterans Health Administration (Tampa, FL)
- Summary This position is located in the Health Information Management (HIM) section at the James Haley VA Medical Center. MRTs (Coder) are skilled in classifying ... Current Procedural Terminology (CPT), and/or Healthcare Common Procedure Coding System (HCPCS)(National Productivity Chart: Appendix A). Adheres to accepted coding… more
- Centene Corporation (Tallahassee, FL)
- …the role. **Position Purpose:** Develops, assesses, and facilitates complex care management activities for primarily physical needs members to provide high quality, ... needs + Identifies problems/barriers to care and provide appropriate care management interventions + Coordinates as appropriate between the member and/or… more