- Humana (Tallahassee, FL)
- …in Case Management a plus (CCM) + Experience with National Committee for Quality Assurance (NCQA) requirements **Workstyle:** Remote work at Home **Location:** ... or as needed to assess outcome and operational metrics for the team and individuals. + Understands department, segment, and organizational strategy and operating… more
- Evolent (Tallahassee, FL)
- …as well as Utilization Review Accreditation Commission (URAC) and National Committee for Quality Assurance (NCQA) guidelines. + Aids and acts as a resource ... a Field Medical Director you will be a key member of the utilization management team . We...skills + Energetic and curious with a passion for quality and value in health care + Computer Proficiency… more
- MyFlorida (Gainesville, FL)
- …tray's content and texture of the food prior to delivery. Responsible for providing quality assurance evaluation of final food products delivered to the homes ... www.apdcares.org Join APD's TACACHALE and be part of the team that MAKES A DIFFERENCE - NOT JUST A...salary. SPECIFIC DUTIES AND RESPONSIBILITIES This position serves as Quality Management monitoring during meal service for resident meal… more
- Evolent (Tallahassee, FL)
- …as well as Utilization Review Accreditation Commission (URAC) and National Committee for Quality Assurance (NCQA) guidelines. + Aids and acts as a resource ... Surgery, Field Medical Director you will be a key member of the utilization management team . We...skills-Required + Energetic and curious with a passion for quality and value in health care-Required + Computer Proficiency-Required… more
- HCA Healthcare (Palatka, FL)
- …while managing evidence-based practices and continuous improvement initiatives + Be an integral member of a dynamic interdisciplinary team - consisting of the ... Putnam County and surrounding areas. We provide the latest technology with the assurance of highly trained and empathetic professionals. We have a 10-bed intensive… more
- Evolent (Tallahassee, FL)
- …well as Utilization Review Accreditation Commission (URAC) and National Committee for Quality Assurance (NCQA) guidelines. + Provides clinical rationale for ... Reviewer, Interventional Pain Management, you will be a key member of the utilization management team . We...**Required** + Energetic and curious with a passion for quality and value in health care- **Required** + Computer… more
- Evolent (Tallahassee, FL)
- …as well as Utilization Review Accreditation Commission (URAC) and National Committee for Quality Assurance (NCQA) guidelines. . Aids and acts as a resource ... Field Medical Director, Oncology, you will be a key member of the utilization management team . We...skills . Energetic and curious with a passion for quality and value in health car . Computer Proficiency… more
- Evolent (Tallahassee, FL)
- …well as Utilization Review Accreditation Commission (URAC) and National Committee for Quality Assurance (NCQA) guidelines. + Ensures documentation of all ... Cardiology, Field Medical Director you will be a key member of the utilization management team . We...skills + Energetic and curious with a passion for quality and value in health care + Computer Proficiency… more
- Veterans Affairs, Veterans Health Administration (Lake City, FL)
- …processes, monitoring and evaluation of clinical practice, peer review, and other appropriate quality assurance activities. The Program Manager will serve as a ... has responsibility for the day-to-day operations management to a team of interdisciplinary professionals including psychiatrists/physicians, clinical psychologists, clinical...member of the NF/SGVHS Mental Health Service Line Executive… more
- Molina Healthcare (St. Petersburg, FL)
- …that activities and processes are compliant with CMS and National Committee of Quality Assurance (NCQA) guidelines and Molina policies and procedures. + ... **Job Description** **Job Summary** Leads and supervises team of pharmacy call center and operations staff...for optimization of medication related health care outcomes, and quality cost-effective member care. **Job Duties** +… more