- Evolent (Tallahassee, FL)
- …in the MD review process to reflect appropriate utilization and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission ... + Aids and acts as a resource to Initial Clinical Reviewers. + Ensures documentation of all communications with medical office staff and/or MD provider is recorded… more
- Humana (Tallahassee, FL)
- …service should be authorized. All work occurs within a context of regulatory compliance , and work is assisted by diverse resources, which may include national ... skills. Some roles include an overview of coding practices and clinical documentation , grievance and appeals processes, and outpatient services and equipment, within… more
- Highmark Health (Tallahassee, FL)
- …implementations, on-call and 24x7 supports when necessary. + Performs work in compliance with all Highmark and Highmark IT standards, policies and procedures. + ... project status, enabling vendor solutions and providing accurate and concise documentation . + Other duties as assigned or requested. **EDUCATION** **Required** +… more
- ManTech (Doral, FL)
- …include but are not limited to:** + Conducts audits to ensure compliance with company policies, regulatory requirements, and industry standards + Evaluate the ... audits of IT systems, applications, and processes to assess compliance with security policies, standards, and regulatory requirements, such...requirements, such as NIST CSF, ISO 27001, SOC 2, HIPAA , and PCI DSS + Develop audit plans, conduct… more
- Evolent (Tallahassee, FL)
- …in the MD review process to reflect appropriate utilization and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission ... as a resource to Initial Clinical Reviewers. . Ensures documentation of all communications with medical office staff and/or...action by a state medical board **To comply with HIPAA security standards (45 CFR sec. 164.308 (a) (3)),… more
- Chewy (Plantation, FL)
- …Act, and other leave-related regulations + Preserves confidentiality of employee medical documentation and files with an understanding of HIPAA requirements + ... of leave and ADA requests/critical issues ensuring high performance, accuracy, and compliance with internal standards and legal requirements. + Educate employees and… more
- Compass Group, North America (St. Petersburg, FL)
- …and collect menus. + Assists patients in completing menu selections in compliance with prescribed diet, as assigned by dietitian. + Offers alternatives to ... of human/donor milk and/or infant formula. + Adheres to facility confidentiality, HIPAA regulations, and patient's rights policies. + Complies with regulatory agency… more
- CenterWell (Tallahassee, FL)
- …operational and outcome reporting, knowledge of care management tools and assessments, documentation , and how information can be transformed into data to provide ... space lacking ongoing interruptions to protect member PHI / HIPAA information. **Use your skills to make an impact**...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- University of Miami (Miami, FL)
- …manner to patient and family, as well as the appropriate team members, ensuring compliance with all regulatory guidelines (ie HIPAA ). Uses best practices for ... daily practice. + Assesses assigned patients and evaluates plans to include documentation of nursing care. Reports symptoms and changes in patients' condition and… more
- CenterWell (The Villages, FL)
- …appointments for completing referrals. + Maintains referral records and files documentation . + Responds to patient inquiries regarding health plan referrals. + ... Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations **Use your skills to make an impact**...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more