- University of Florida (Lake County, FL)
- …in specified health promotion, education and/or prevention programs. + Participating in peer review , quality assurance, provider meetings, and other ... Medical Director of Neurology/Stroke Program & UFHealth Physician (UF Health Central Florida (Lake and Marion Counties) Apply now… more
- Vighter Medical Group (Miami, FL)
- …facility, for those assigned personnel to that facility. + Management and oversight of the Peer review program for the Physicians and APPs assigned as part ... post-referral follow-up, as needed, as part of the medical quality management (MQM) program . + Provides oversight...practice concerns if identified. + Portions of the APP peer and chart review process, FPPE, and… more
- Brunswick (Edgewater, FL)
- …team, you will supervise production employees and assigns work meeting safety, quality , delivery and cost goals. Recommend and execute improvements in production ... : + Own the four (4) main metrics (safety, quality , delivery, productivity/people) - understand results & implement action...for front line employees and Leads. Understand staffing needs; review nominal headcount and execute to plan; interview for… more
- Elevance Health (Miami, FL)
- …for general psychiatry cases. **How you will make an impact:** + Conduct peer clinical and/or notes case reviews. + Supports the Medical Management staff ensuring ... timely and consistent responses to members and providers. + Conduct peer to peer clinical reviews with attending physicians or other ordering providers to… more
- Molina Healthcare (Tampa, FL)
- …as a Medical Director in clinical practice * 3 years' experience in Utilization/ Quality Program Management * 2+ years HMO/Managed Care experience * Experience ... free of sanctions from Medicaid or Medicare. **Preferred Experience** * Peer Review , medical policy/procedure development, provider contracting experience. *… more
- AdventHealth (Maitland, FL)
- …and performs secondary review for escalations Evaluates and reviews charts for Quality indicators as part of QSR process within CDI Assists in formulation of ... Days Off from Day One + Student Loan Repayment Program + Career Development + Whole Person Wellbeing Resources...**:** Provides clinical support/validation for Care Management, CDI and Quality teams. Provides education and serves as a resource… more
- Truist (Tampa, FL)
- …English (Required) **Work Shift:** 1st shift (United States of America) **Please review the following job description:** * This position is located at Truist ... and client acquisition activities. 2. Support administrative fitness efforts through review of relevant reports and ensuring timely updates to book management… more
- Truist (Miami, FL)
- …(Required) **Work Shift:** 1st shift (United States of America) **Please review the following job description:** Provides in-office client and advisor support ... and client acquisition activities + Support administrative fitness efforts through review of relevant reports and ensuring timely updates to book management… more
- HCA Healthcare (Tallahassee, FL)
- …utilization, and quality profiling. Serves as a member of hospital's peer review committees as requested. Business Development and Payer Relations + ... environment of quality and cost improvement, and develops systems to review utilization of resources and objectively measure outcomes of care in the inpatient… more
- HCA Healthcare (Panama City, FL)
- …utilization, and quality profiling. Serves as a member of hospital's peer review committees as requested + You will evaluates clinical appropriateness ... environment of quality and cost improvement, and develops systems to review utilization of resources and objectively measure outcomes of care in the inpatient… more
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