- Ascension Health (Jacksonville, FL)
- …of physician professional conduct. Ensures adherence and completion of medical staff decisions regarding peer review and physician behavioral issues. ... of services, policies, processes, and programs, including medical practice review , governance, credentialing, privileging, peer review , medical… more
- University of Miami (Miami, FL)
- …the internal application process. To learn how to apply for a faculty or staff position using the Career worklet, please review this tip sheet ... Current Employees: If you are a current Staff , Faculty or Temporary employee at the University...of Pediatrics- has an exciting opportunity for a Full-Time Peer Support Specialist to work in Miami. The … more
- Monte Nido (Miami, FL)
- …providing the opportunity for people to realize their healthy selves. **Utilization Review Clinician** **Monte Nido** **Remote - EST or CST hours** **Monte Nido ... from a multi-disciplinary treatment team approach while integrating state-of-the-art medical , psychiatric, nutritional, and clinical strategies to provide comprehensive… more
- AdventHealth (Altamonte Springs, FL)
- …agreements + Affiliation agreements + Due diligence + HIPAA + Peer review + Medical staff issues + Licensing + Informed consent + Various types of ... issues. This individual will advise CEOs, executive management, compliance department, and medical staff leadership on a wide variety of health care and legal… more
- University of Miami (Doral, FL)
- …the internal application process. To learn how to apply for a faculty or staff position using the Career worklet, please review this tip sheet ... (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . CORE JOB SUMMARY The UMMG Staff Physician provides medical care to patient s… more
- University of Miami (Miami, FL)
- …medical plan and assessment Actively participate in quality assurance programs and peer review activities Determine required referrals based on level of ... To learn how to apply for a faculty or staff position using the Career worklet, please review...the hospital or clinic Oversee assigned allied health professional medical staff and nursing clinical Assist in… more
- University of Miami (Miami, FL)
- …medical plan and assessment + Actively participate in quality assurance programs and peer review activities + Determine required referrals based on level of ... To learn how to apply for a faculty or staff position using the Career worklet, please review...hospital or clinic + Oversee assigned allied health professional medical staff and nursing clinical + Assist… more
- Molina Healthcare (FL)
- …behavioral health and long term care, for members with high need potential. HCS staff work to ensure that patients progress toward desired outcomes with quality care ... Behavioral Health Therapy (BHT) assessments and treatment plans for medical necessity and BHT best practice guidelines. This includes...care of Molina members receiving BHT treatment. * Provides peer to peer consultation to BHT in-network… more
- Evolent (Tallahassee, FL)
- …when available, within the regulatory timeframe of the request. + Utilizes medical /clinical review guidelines and parameters to assure consistency in the ... for Quality Assurance (NCQA) guidelines. + Ensures documentation of all communications with medical office staff and/or MD provider is recorded in a timely… more
- Elevance Health (Tampa, FL)
- …weeks.** **Candidates must be able to work East Coast time zone hours.** The ** Medical Director** will be responsible for utilization review case management for ... of care opportunities. May serve as a resource to staff including Medical Director Associates. **How you...for clinical operational aspects of a program. + Conducts peer -to- peer clinical reviews with attending physicians or… more