- University of Miami (Miami, FL)
- …in the CTU and in all settings, outpatient and i npatient. + Assures appropriate medical documentation according to Medical Staff policies/bylaws . + Respond ... to outpatients , Survivorship visits, and walk-in patients with medical issues. + Collaborate with physicians, staff ,..., applicable to APRN + Participates in 360 ◦ peer review process + Submits annual protocols… more
- Evolent (Tallahassee, FL)
- …and provides clinical rationale for standard and expedited appeals. + Utilizes medical /clinical review guidelines and parameters to assure consistency in the ... completed by the subject matter expert. + Discusses determinations ( peer to peer phone calls) with requesting...Clinical Reviewers. + Ensures documentation of all communications with medical office staff and/or MD provider is… more
- University of Miami (Miami, FL)
- …+ AOCNP certification within one year of employment + Participates in 360 ◦ peer review process + Submits annual protocols to practice site + Maintains ... To learn how to apply for a faculty or staff position using the Career worklet, please review...Same/Next Day appointments, Survivorship visits, and walk-in patients with medical issues. + Collaborate with physicians, staff ,… more
- University of Miami (Coral Gables, FL)
- …To learn how to apply for a faculty or staff position, please review this tip sheet ... Current Employees: If you are a current Staff , Faculty or Temporary employee at the University...in CTU/clinics + Assist with Peer to Peer authorizations and filling out medical forms… more
- University of Miami (Hollywood, FL)
- …* AOCNP certification within one year of employment * Participates in 360 ◦ peer review process * Submits annual protocols to practice site * Maintains ... To learn how to apply for a faculty or staff position using the Career worklet, please review...Same/Next Day appointments, Survivorship visits, and walk-in patients with medical issues. 2. Collaborate with physicians, staff ,… 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 ... scientists, with a track record of excellence in research, peer -reviewed publications, and the potential to develop and/or lead...To learn how to apply for a faculty or staff position using the Career worklet, please review… more
- Elevance Health (FL)
- …oncology._ The ** Medical Director, Cardiology** is responsible for supporting the medical management staff ensuring timely and consistent medical ... medical necessity decisions. + Brings to their supervisors attention, any case review decisions that require Medical Director review or policy… more
- Molina Healthcare (Tampa, FL)
- …Administration, Public Health, Healthcare Administration, etc. **PREFERRED EXPERIENCE:** + Peer Review , medical policy/procedure development, provider ... Summary** Responsible for serving as the primary liaison between administration and medical staff . Assures the ongoing development and implementation of policies… more
- Molina Healthcare (Jacksonville, FL)
- …* Experience with utilization/quality program management. * Managed care experience. * Peer review experience. * Certified Professional in Healthcare Management ... * Implements behavioral health specific clinical practice guidelines and medical necessity review criteria. * Tracks all...national, state, and local laws and regulatory requirements affecting medical and clinical staff . * Ability to… more
- Fresenius Medical Center (St. Petersburg, FL)
- …+ Facilitates the application process for physician privileges and compliance with Fresenius Medical Care Medical Staff By-Laws. + Responsible for strong ... **About this role:** As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical operations.… more