- CVS Health (Orlando, FL)
- …monitors established plans of care to meet the member's goals. + Utilizes case management and quality management processes in compliance with regulatory and ... counties. The BH CCM , is responsible for driving and supporting care management and care coordination activities across the continuum of care (assessing, planning,… more
- Highmark Health (Tallahassee, FL)
- …and disease processes as it relates to the DRG/APC and other clinical data quality management factors. With technical direction and assistance from management ... and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs,… more
- University of Miami (Miami, FL)
- …patient care issues and suggests revisions to or new clinical pathways to improve quality of care. + Identifies the patients' risk factors or obstacles to ... care, and discharge and readmission risk . + Evaluates the plan of care regularly by...of relevant experience. Minimum of one 1 year in Hospital Case Management /nursing. + Working knowledge of… more
- CVS Health (Tallahassee, FL)
- … Management and Utilization Management . AHH delivers flexible medical management services that support cost-effective quality care for members. **Key ... residence.** American Health Holding, Inc (AHH) is a medical management company that is a division within Aetna/CVS Health....judgment to the incorporation of strategies designed to reduce risk factors and barriers and address complex health and… more
- University of Miami (Miami, FL)
- …Operations responsibilities including but not limited to, regulatory compliance, quality control, construction administration, asset management , personnel, ... Operations oversees all aspects of technical operations and works with upper management to develop compliance programs. Further, the Asst. VP, Facilities &… more
- Sedgwick (Miami, FL)
- …corresponds with claimant and witnesses regarding claim. + Consults police and hospital records; and inspects property damage to determine extent of company's ... + Performs other duties as assigned. + Supports the organization's quality program(s). + Travels as required. **QUALIFICATIONS** **Education & Licensing** Bachelor's… more
- University of Miami (Hialeah, FL)
- …The Chief Supply Chain Officer has executive responsibility for supply chain management operations across all business entities of the University of Miami, including ... includes sourcing, contracting, strategic procurement, value analysis, warehousing, distribution, management of capital assets, and routine purchasing for equipment… more
- University of Miami (Miami, FL)
- …Nurse Manager, Inpatient plans, oversees, and directs patient care assuring standards of quality , service and safety are met within the philosophy and objectives of ... ensure safe and effective clinical operations and/or outcomes. The ANM assists management with strategic operations of the unit, conducting staff meetings, and all… more
- AdventHealth (Altamonte Springs, FL)
- …field of study + Experience working in healthcare industry, preferably in a hospital setting + Experience working in change management for large-scale ... responsible for developing and executing the strategy for change management , organizational design, workforce transition, stakeholder assessment and engagement,… more
- University of Miami (Miami, FL)
- …As a clinical leader the APP Team Manager is responsible for the management and oversight for the clinical practice of the inter-professional team which may ... logs. + Develops, leads and manages the clinical practice, quality and safety of patient care of an interdisciplinary...the care of all patients, particularly those most at risk for adverse outcomes. + Seeks opportunities to disseminate… more