- Travelers Insurance Company (Tallahassee, FL)
- …techniques to improve the claim results of others. + Apply the Company's claim quality management protocols, Best Practices and metrics to all claims; document ... insureds, in multiple jurisdictions, in accordance with Best Practices. Provide quality claim handling and superior customer service on assigned claims, while… more
- Travelers Insurance Company (Orlando, FL)
- …for adherence to quality standards and trend analysis. + Utilizes diary management system to ensure that all claims are handled timely. At required time ... General Liability related Bodily Injury and Property Damage claims. Provides quality claim handling throughout the claim life cycle (customer contacts, coverage,… more
- Molina Healthcare (Orlando, FL)
- …Audit Specialist + Certified Case Manager + Certified Professional Healthcare Management + Certified Professional in Healthcare Quality + other healthcare ... outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse (RN) performs clinical/medical reviews of previously denied cases… more
- Bristol Myers Squibb (Pompano Beach, FL)
- …pharmaceutical or biotechnology experience as healthcare sales / MSL / HCP / nurse . + Ability to communicate scientific or clinical data accurately and convincingly ... Psychiatry is preferred. + Demonstrated strong capability in account management skill sets, superior selling competencies, and proven sales...software or CRM tools to collect, enter, and manage quality data in a timely and compliant manner, track… more
- Bristol Myers Squibb (Pensacola, FL)
- …pharmaceutical or biotechnology experience as healthcare sales / MSL / HCP / nurse . + Ability to communicate scientific or clinical data accurately and convincingly ... Experience in cardiovascular required. + Demonstrated strong capability in account management skill sets, superior selling competencies, and proven sales performance… more
- Philips (Miami, FL)
- …other internal groups to quantify needs and to provide intelligence to management on competitive products and company product enhancements + Provides ongoing support ... Cardiovascular Radiologic Technologist (CRT), Cardiovascular Technologist (CVT), or Registered Nurse (RN) or CVIS, RCIS + You have a...won't stop until everybody everywhere has access to the quality healthcare that we all deserve. Do the work… more
- Centene Corporation (Tallahassee, FL)
- …State and Federal standards for HEDIS. + Under general guidance form Senior Quality Practice Advisors and management , educates community physician and small ... position. **A license in one of the following is preferred:** Certified Coding Specialist (CCS), Licensed Practical Nurse (LPN), Licensed Master Social Work… more
- AdventHealth (Altamonte Springs, FL)
- …documentation guidelines, including attending physicians, allied health practitioners, nursing, care management and quality abstracters. The Quality Auditor ... and in collaboration with physicians, nursing and HIM coders. The CDI Quality & Compliance Team Leader strategically facilitates and obtains appropriate and … more
- GE Vernova (West Melbourne, FL)
- …Summary** Who are you? You are a passionate and technical client-obsessed Quality Assurance Specialist who understands emerging energy industry trends and ... Strategies. **Job Description** **What will you as our new Quality Assurance Lead work on?** + Engage with our...exceed their business needs. + Participate in the Requirements Management phase, leading to a complete set of approved… more
- AdventHealth (Altamonte Springs, FL)
- …Health Information Administrator or Certified Coding Specialist certification + RN-BC - Case Management Nurse + 5 of CDI leadership (manager level or above + ... the acute and chronic disease states. Must have proven leadership and management skills that will promote effective and efficient review of physician documentation… more