- Evolent (Tallahassee, FL)
- …setting? Join our Utilization Management team as a Field Medical Director , Cardiovascular Specialist and use your expertise in interventional cardiology to ... with requesting physicians or ordering providers, when available, within the regulatory timeframe of the request. + Utilizes medical/clinical review guidelines and… more
- Evolent (Tallahassee, FL)
- …mission. Stay for the culture. **What You'll Be Doing:** As a Cardiology, Field Medical Director you will be a key member of the utilization management team. We can ... with requesting physicians or ordering providers, when available, within the regulatory timeframe of the request. + Utilizes medical/clinical review guidelines and… more
- Evolent (Tallahassee, FL)
- …the mission. Stay for the culture. **What You'll Be Doing:** As a Field Medical Director , MSK Surgery you will be a specialty match reviewer for Spine Surgery cases. ... calls) with requesting physicians or ordering providers, when available, within the regulatory timeframe of the request. + Provides clinical rationale for standard… more
- Select Medical (Miami, FL)
- …and Employee Health Programs. Develops and Reviews policies and procedures to ensure compliance with all regulatory and accrediting standards. Collects data to ... with Select Medical* **Location: Miami, FL** **$10,000 Sign-on Bonus** ** Director of Quality Management** **(DQM)** **Responsibilities** **Position Summary** Coordinates… more
- Florida Health Care Plans, Inc. (Daytona Beach, FL)
- …individual ensures the delivery of high-quality, patient-centered care, maintains regulatory compliance , and drives operational and technological performance. ... or healthcare operations role. * Demonstrated experience with Joint Commission accreditation processes. * Strong business and analytical skills, with a track… more
- Commander, Navy Installations (Pensacola, FL)
- …to ensure compliance with health, fire, safety, facility, and program regulatory guidance and standards. Ensures compliance with the US Department of ... Summary The purpose of the Youth Director position is to administer a developmentally appropriate...accounting and reporting of funds received from patrons. Ensures compliance with all regulations governing the use of appropriated… more
- Evolent (Tallahassee, FL)
- …the mission. Stay for the culture. **What You'll Be Doing:** As a Field Medical Director , MSK Surgery you will be a key member of the utilization management team. We ... calls) with requesting physicians or ordering providers, when available, within the regulatory timeframe of the request and provides clinical rationale for standard… more
- Evolent (Tallahassee, FL)
- …the mission. Stay for the culture. **What You'll Be Doing:** As a Field Medical Director , Oncology, you will be a key member of the utilization management team. We ... calls) with requesting physicians or ordering providers, when available, within the regulatory timeframe of the request and provides clinical rationale for standard… more
- Elevance Health (FL)
- …the implementation of local system and product consolidation efforts. + Ensures compliance with regulatory and accreditation standards. + Mentors, ... ** Director Provider Solutions-New Jersey** Location: New Jersey. This...an accommodation is granted as required by law. The ** Director Provider Solutions** is a dynamic and results-oriented leader… more
- Elevance Health (Tampa, FL)
- …of health care management to direct the clinical quality initiatives, including NCQA accreditation and compliance with regulatory agencies and other ... **Clinical Quality Director ** **- Stars/HEDIS** **Location:** Alternate locations may be...through home-care and community based services. The **Clinical Quality Director ** is responsible for working with the regional head… more