- Evolent (Tallahassee, FL)
- …interacts with leadership and management staff, other Physicians, and staff whenever a physician `s input is needed or required. **What You Will Be Doing:** . Serve ... as the Physician match reviewer in Advanced Imaging cases, that do...completed by the subject matter expert. . Discusses determinations ( peer to peer phone calls) with requesting… more
- AdventHealth (Port Charlotte, FL)
- …by following hospital policy for patient admission, discharge and transfer. * Participates in peer interviewing and peer review process. FINANCE: * Considers ... under the direction of a clinical coordinator, manager, mid-level practitioner, or physician in accordance with Division of Nursing standards and pursuant to Florida… more
- Elevance Health (Tampa, FL)
- …necessity of requests using clinical criteria. + Performs physician -level case review of musculoskeletal utilization requests. + Conducts peer -to- peer ... with appropriate musculoskeletal diagnoses, treatments, and management. + Participates in physician team meetings. + Participates in groups that develop, revise and… more
- Houston Methodist (FL)
- …rules and regulatory body guidelines. This position performs data quality review to ensure data integrity, coding accuracy, and revenue preservation. Additional ... duties include participating in quality review and performance improvement projects throughout the department and/or facility. **PEOPLE ESSENTIAL FUNCTIONS** +… more
- CVS Health (Tallahassee, FL)
- …**Accountable clinical quality monitoring and oversight at the regional level** + Chart Review + Clinical Quality Review + Clinical Quality Support Plan ... Implements, evaluates, and provides ongoing continuous quality improvement support for best-in-class peer to peer coaching + **Leads clinical quality initiatives… more
- University of Miami (Miami, FL)
- …Supports medical staff committees (eg, Medical Executive Committee, Credentialing Committee, Peer Review Committee) by preparing agendas, recording accurate ... Supports medical staff committees (eg, Medical Executive Committee, Credentialing Committee, Peer Review Committee) by preparing agendas, recording accurate… more
- University of Miami (Miami, FL)
- …Supporting QI training + Improving patient satisfaction + Improving patient safety + Peer review , performance improvement, utilization review , root cause ... 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) . The Department of… more
- HCA Healthcare (Jacksonville, FL)
- …Documented scholarly activity within the past five (5) academic years such as peer reviews, research publications, review articles, peer -reviewed journals, ... in Jacksonville is seeking a physical medicine and rehabilitation physician to help build and lead a brand-new PM&R...Must be board certified by the American Board of Physician Medicine and Rehabilitation or by the American Osteopathic… more
- YesCare Corp (Tallahassee, FL)
- …program including review and action on patient complaints, infection control, peer review and chart audits. + Manage referrals to outside healthcare ... EOE including Disability/Protected Veterans._ **Responsibilities** Serves as the responsible physician and health authority required by national standards. Provides… more
- CVS Health (Tallahassee, FL)
- …+ Prior UM experience working at Health Plan / Insurer or experience as a Physician Advisor or working for an Independent Review Organization A Plus +. + ... responses to members and providers related to precertification, concurrent review , and appeal request. This position is primarily responsible...inpatient or outpatient, acute and post-acute as well as peer to peer calls and first level… more