- Gentiva (Palm Coast, FL)
- …RN, Clinical Quality, QAPI, Multi-Site Healthcare Management, Area Clinical Director , Nursing Executive, Strategic Healthcare Leadership ReqID: 2025-129291 ... **Lead with Compassion. Inspire Excellence. Transform Patient Care.** The Regional Director of Clinical Operations supports multiple branches in **Georgia… more
- Prime Therapeutics (Tallahassee, FL)
- …our passion and drives every decision we make. **Job Posting Title** Sr Director Clinical Strategy and Oncology Specialty Solutions/PharmD required- REMOTE **Job ... Description** The Senior Director Clinical Strategy and Oncology Specialty Solutions...abilities + Knowledge of healthcare regulations, payer strategies, and compliance requirements + Proficient in Microsoft products, including excel… more
- AdventHealth (Celebration, FL)
- …spirit in the defeat of illness and disease **The role you'll contribute:** Clinical Regulatory Specialist Emergency Department (CRSED) is responsible for all ... audits, patient chart reviews and data collection in compliance with hospital governing agencies. + Upon review of the multiple data elements, the CRSED evaluates… more
- Sunrise Senior Living (Coral Gables, FL)
- …clinical capability of care team members. **Quality Assurance and Regulatory Compliance ** + Track, trend, and report clinical quality data to identify ... community. Responsible for oversight and implementation of all Care programs, regulatory compliance , recruiting, and performance management. **RESPONSIBILITIES &… more
- Humana (Tallahassee, FL)
- …site of service should be authorized. All work occurs within a context of regulatory compliance , and work is assisted by diverse resources, which may include ... community and help us put health first** The Medical Director relies on medical background and reviews health claims....national clinical guidelines, state policies, CMS policies and determinations, … more
- Humana (Tallahassee, FL)
- …site of service should be authorized. All work occurs with a context of regulatory compliance , and work is assisted by diverse resources which may include ... community and help us put health first** The Medical Director relies on medical background and reviews health claims....national clinical guidelines, CMS policies and determinations, clinical … more
- HCA Healthcare (Plantation, FL)
- …in administration and teaching related to the program and 70% - 80%with clinical activities. The Gastroenterology Program Director will also have the opportunity ... Gastroenterology Residency program at HCA Florida Westside Hospital as Program Director . Our East Florida Graduate Medical Education Division currently encompasses… more
- Humana (Tallahassee, FL)
- …policies, procedures, and performance standards. All work occurs with a context of regulatory compliance , and work is assisted by diverse resources which may ... experience with national guidelines such as NCD/LCD, MCG(R) or InterQual The Medical Director conducts clinical case reviews of requests received by members of… more
- Humana (Tallahassee, FL)
- …policies, procedures, and performance standards. All work occurs with a context of regulatory compliance , and work is assisted by diverse resources which may ... experience with national guidelines such as NCD/LCD, MCG(R) or InterQual** **The Medical Director conducts clinical case reviews of requests received by members… more
- Humana (Tallahassee, FL)
- …site of service should be authorized. All work occurs within a context of regulatory compliance , and work is assisted by diverse resources, which may include ... Lead Medical Director , depending on the line of business. The Medical Director conducts Utilization Management or clinical validation of the care received by… more