- Humana (Tallahassee, FL)
- …clinical reference materials, internal teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and Medicare Advantage ... Advantage and Managed Medicaid. + Utilization management experience in a medical management review organization, such as Medicare Advantage, managed Medicaid,… more
- AdventHealth (Altamonte Springs, FL)
- …valid clarifications that are easily understood by physicians and other members of the medical team . . Accurately reconciles all cases in CDI Software. . Assists ... of the patient. The CDS educates members of the patient care team regarding documentation guidelines, including physicians, allied health practitioners, nursing,… more
- Humana (Tallahassee, FL)
- …determinations, clinical reference materials, internal teaching conferences, and other reference sources. Medical Directors will learn Medicare and Medicare ... group practice management. + Utilization management experience in a medical management review organization, such as Medicare ...May also engage in grievance and appeals reviews. Some medical directors may join a centralized team … more
- Humana (Tallahassee, FL)
- …determinations, clinical reference materials, internal teaching conferences, and other reference sources. Medical Directors will learn Medicare and Medicare ... clinical group practice management. + Utilization management experience in a medical management review organization, such as Medicare Advantage, managed… more
- Humana (Tallahassee, FL)
- …productive. Our wholly owned affiliate, CarePlus, operates in 18 Florida counties, offering Medicare Advantage HMO plans that have been awarded 5-Star ratings by the ... Centers for Medicare and Medicaid Services in each of the past...Counties in the market. He/she will lead a multi-level team of 10-12 associates and will report directly to… more
- Kestra Medical Technologies, Inc (Orlando, FL)
- The Kestra team has over 400 years of experience in the external and internal cardiac medical device markets. The company was founded in 2014 by industry leaders ... touchpoints in key accounts locally to support the sales team . As the sales team scales, the...patient experience with pre-fitting tasks such as collecting clinical documentation , pre-fitting conversations, and working with the case managers… more
- BAYADA Home Health Care (Orlando, FL)
- …and Coding Review Manager provides support to all BAYADA Home Health Care Medicare service offices by monitoring Outcome and Assessment Information Set (OASIS) ... documentation for quality and adherence to policies and procedures. As a member of the Medicare Case Management (MCM) office, individuals in this role are… more
- CenterWell (Jacksonville, FL)
- …a part of our caring community and help us put health first** The Associate Medical Director (AMD) is an instrumental clinical leader of our primary care team , ... and supervise clinical teams to staff and develop a high-quality clinical team with strong engagement, patient-first culture, and talent retention + Closely engage… more
- Evolent (Tallahassee, FL)
- …(URAC) and National Committee for Quality Assurance (NCQA) guidelines. + Ensures documentation of all communications with medical office staff and/or MD ... culture. **What You'll Be Doing:** As a Cardiology, Field Medical Director you will be a key member of...will be a key member of the utilization management team . We can offer you a meaningful way to… more
- Evolent (Tallahassee, FL)
- …impact on patient care in a non-clinical setting? Join our Utilization Management team as a Field Medical Director, Cardiovascular Specialist and use your ... (URAC) and National Committee for Quality Assurance (NCQA) guidelines. + Ensures documentation of all communications with medical office staff and/or MD… more
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