- BayCare Health System (St. Petersburg, FL)
- …Data Coordinator will work onsite on a full-time basis. Responsibilities + Coordinates medical record review with a multi-disciplinary team and distributes ... results for recommendations/actions. + Responsible to ensure quality of medical record health information by verifying the accuracy, consistency, and timeliness.… more
- BayCare Health System (FL)
- …Data Coordinator** will work remotely on a full-time basis. **Responsibilities** + Coordinates medical record review with a multi-disciplinary team and ... distributes results for recommendations/actions. + Responsible to ensure quality of medical record health information by verifying the accuracy, consistency, and… more
- CVS Health (Tallahassee, FL)
- …care of patients with severe, complex, and/or treatment resistant illnesses through peer review and educational interventions. * Work with medical director teams ... focusing on inpatient care management, clinical coverage review , member appeals clinical review , ...close on: 08/29/2025 Qualified applicants with arrest or conviction records will be considered for employment in accordance with… more
- MyFlorida (Tallahassee, FL)
- …filed in the State of Florida. Training is provided on relevant policy, medical review and vocational evaluation. Potential advancement based on successful ... when appropriate, for the purpose of documenting the severity of impairment. Secures medical evidence of record needed to document the presence of "disabling"… more
- Ascension Health (Jacksonville, FL)
- …and continuous improvement of services, policies, processes, and programs, including medical practice review , governance, credentialing, privileging, peer ... managing issues of physician professional conduct. Ensures adherence and completion of medical staff decisions regarding peer review and physician behavioral… more
- Humana (Tallahassee, FL)
- …management, provider relations, quality of care, audit, grievance and appeal and policy review . The Behavioral Health Medical Director will develop and present ... health topics to the clinical operations team and healthcare organization. The Medical Director's work includes computer based review of moderately complex… more
- Humana (Tallahassee, FL)
- …will understand how to operationalize this knowledge in their daily work. The Medical Director's work includes computer-based review of moderately complex to ... complex clinical scenarios, review of all submitted clinical records , prioritization of daily work, communication of decisions to internal associates, and… more
- Elevance Health (Miami, FL)
- **Clinical Operations Associate Medical Director** **Carelon Medical Benefits Management** **Radiology Benefit** **Management/Utilization** ** Review ** ... making medical necessity decisions. + Brings to their supervisors attention, any case review decisions that require + Medical Director review or policy… more
- Elevance Health (Tampa, FL)
- … medical necessity decisions. + Brings to their supervisors attention, any case review decisions that require Medical Director review or policy ... **Clinical Operations Medical Director** **Carelon Medical Benefit Management**...###@elevancehealth.com for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with… more
- Molina Healthcare (Orlando, FL)
- …ongoing review of records submitted by providers and the annual HEDIS medical record review . + Leads meetings with vendors for the medical ... role in the coordination and preparation of the HEDIS medical record review which includes...and member interventions and incentive efforts as needed through review of medical records documentation.… more