- Humana (Tallahassee, FL)
- …a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical Director ... or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement to make… more
- Humana (Tallahassee, FL)
- …of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations ... service should be authorized. All work occurs within a context of regulatory compliance , and work is assisted by diverse resources, which may include national… more
- Humana (Tallahassee, FL)
- …of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations ... at the Inpatient level. All work occurs within a context of regulatory compliance , and work is assisted by diverse resources, which may include national clinical… more
- AdventHealth (Orlando, FL)
- …Certified Fraud Examiner + Certified Financial Services Auditor **Job Summary:** The Director is responsible for completion of corporate compliance , corporate ... In addition to performing audits and investigations for AdventHealth, the Director will conduct/supervise/assist in compliance , corporate responsibility and… more
- Humana (Tallahassee, FL)
- …a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical Director ... or data requires an in-depth evaluation of variable factors. The Medical Director provides medical interpretation and decisions about the appropriateness of services… more
- Humana (Tallahassee, FL)
- …part of our caring community and help us put health first** The Director , Internal Audit develops, plans and evaluates internal audit programs for the organization's ... and statistical records and the activities of various departments to ensure compliance with the organization's policies, procedures and standards. The Director ,… more
- BrightSpring Health Services (Gainesville, FL)
- Our Company ResCare Community Living Overview The Assistant Director of Nursing is responsible for assisting the Director of Nursing with the daily performance ... to family and patients/clients with escalated issues. Monitors quality control, compliance , and overall performance of the unit. Responsibilities + Coordinates with… more
- AdventHealth (Orlando, FL)
- …St, Orlando, FL 32803 **The role you'll contribute:** The Care Management Facility Director has full accountability and oversight for the overall operations of the ... including but not limited to: Coordination of Care, Centers for Medicare & Medicaid Services (CMS) Conditions of Participation, Discharge Planning, Social… more
- AdventHealth (Davenport, FL)
- …central hub of tourism. **The role you'll contribute:** The Care Management Facility Director has full accountability and oversight for the overall operations of the ... including but not limited to: Coordination of Care, Centers for Medicare & Medicaid Services (CMS) Conditions of Participation, Discharge Planning, Social… more
- CenterWell (Tallahassee, FL)
- …our caring community and help us put health first** The National Medical Director for Home-Based Care Programs is a key clinical leadership position responsible for ... delivery innovation for chronically and temporarily homebound, polychronic, and high-risk Medicare patients within a full-risk, value-based framework. The Medical … more