- Molina Healthcare (Jacksonville, FL)
- …quality of care. * Attends or chairs committees as required such as credentialing , Pharmacy and Therapeutics (P&T) and other committees as directed by the chief ... medical officer. * Evaluates authorization requests in timely support of nurse reviewers, reviews cases requiring concurrent review and manages the denial process. * Monitors appropriate care and services through continuum among hospitals, skilled nursing… more
- HCA Healthcare (Davie, FL)
- …risk management programs. + Ensure compliance with licensure, certification, and credentialing requirements. + Lead educational initiatives to meet APP continuing ... education needs. + Maintain efficient perioperative workflow and oversee scheduling. + Collaborate with leadership to resolve conflicts and maintain a positive work environment. + Supervise and evaluate staff APPs, ensuring adherence to policies and… more
- HCA Healthcare (Aventura, FL)
- …verification, hospital billing, revenue integrity, collections, payment compliance, credentialing , health information management, customer service, payroll and ... physician billing. We also provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Parallon has over 17,000 colleagues, and serves close to 1,000 hospitals and 3,000… more
- Veterans Affairs, Veterans Health Administration (Cape Coral, FL)
- …be in one of the following certifying bodies: (1) The American Nurses Credentialing Center (ANCC); or (2) The American Academy of Nurse Practitioners Certification ... Board (AANPCB); or (3) Other nationally recognized certifying body in the area in which the Nurse Practitioner is academically prepared. (Copy of NP Certification Required) NOTE: Grandfathering Provision - All persons currently employed in VHA in 0610 series… more
- Cardinal Health (Orange City, FL)
- …ability to use technology such as computers, smart phones and tablets + Vendor Credentialing may be required _What is expected of you and others at this level_ ... + Applies acquired knowledge and skills to complete standard tasks. + Readily learns and applies new information and methods to work in assigned area. + Maintains appropriate licenses, training and certifications. + Works on routine assignments that require… more
- HCA Healthcare (Miami, FL)
- …assists in the collection/reportingof data for peer review to support the credentialing and reappointment process.This staff member will provide the coordination for ... programs as assignedby theManager orVice President of Qualitysuch as Sepsis, Stroke, Peer Review, and CancerCare. **What qualifications you will need:** + Associate Degree, Preferred + (RN) Registered Nurse, Required + Quality/PI, Acute Care Nursing, ICU… more
- Dispatch Health (Tampa, FL)
- …(ARDMS), American Registry of Radiologic Technologists (ARRT) or Cardiovascular Credentialing International (CCI). + Sonographers registered through ARDMS must be ... Registered Diagnostic Sonographer (RDMS with OB or AB registry), and Registered Vascular Technologist (RVT) + Ability to lift and carry equipment up to 50 pounds + Ability to walk up and down several flights of stairs easily while carrying equipment + Valid… more
- AmeriHealth Caritas (Jacksonville, FL)
- …contract language. + Support various departments in investigating provider data and credentialing . + Research and resolve conflicting data and documents. + Identify ... and report compliance issues. + Maintain knowledge of Facets or other claims systems and relay contract corrections. + Communicate effectively and professionally with all parties. + Collaborate with departments to execute AmeriHealth and Plan strategies. +… more
- Molina Healthcare (Jacksonville, FL)
- …of customers as it pertains to contracting, network management and credentialing . + **Knowledge/Skills/Abilities** + Strategically plans, leads, and manages the ... overall Provider Information process functions. + Partner with stakeholders to creatively design solutions utilizing provider data such as the Provider Online Directory, Utilization Management, Customer Experience, Enrollment, and Claims Payment and… more
- Veterans Affairs, Veterans Health Administration (Tampa, FL)
- …Practitioner (WHNP) from one of the following: the American Nurses Credentialing Center (ANCC), American Academy of Nurse Practitioners Certification Board (AANPCB), ... or other nationally recognized certifying body in the area in which the Nurse Practitioner is academically prepared. NOTE: Grandfathering Provision - All persons currently employed in VHA in 0610 series and an APN (NP) assignment that are also performing the… more