- Evolent (Tallahassee, FL)
- … Review Accreditation Commission (URAC) and National Committee for Quality Assurance (NCQA) guidelines. + Ensures documentation of all communications with ... + Provides clinical rationale for standard and expedited appeals. + Discusses determinations ( peer to peer phone calls) with requesting physicians or ordering… more
- Evolent (Tallahassee, FL)
- …as Utilization Review Accreditation Commission (URAC) and National Committee for Quality Assurance (NCQA) guidelines. . Aids and acts as a resource to Initial ... reviews to be completed by the subject matter expert. . Discusses determinations ( peer to peer phone calls) with requesting physicians or ordering providers,… more
- Pfizer (Tallahassee, FL)
- …studies at scientific conferences and in peer -reviewed journals + Participate in RWE/Epi peer review of study protocols and study reports + Provide SME on US ... Integrated Evidence Plan (IEP). The SD will author and review study protocols, reports, and presentations, and will be...and others. The SD will be accountable for the quality , timeliness, and efficiency of their RWE/Epi deliverables. The… more
- TECO Energy (Tampa, FL)
- …data as needed. d. Attends read-out calls/meetings as needed to participate in peer quality reviews, responds to questions regarding data accuracy, identifies ... Metrics tower SME. Responsible for gathering corporate level data for trending analysis, review , and peer review /validation. c. Communicates directly with… more
- Oracle (Tallahassee, FL)
- …and coordinating complex power infrastructure activities, ensuring compliance with safety, quality , and technical standards while maintaining control of schedule and ... reliability and growth. **Responsibilities** **Responsibilities** Construction Oversight & Project Review : Review and develop a comprehensive understanding of… 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 (Fort Walton Beach, FL)
- …patients. + Coordinate multidisciplinary monthly Trauma Systems & Operations Committee and Peer Review meetings. Minimum Qualifications: + Education: ASN from an ... of the department's Performance Improvement and Patient Safety (PIPS) Program . The PI Coordinator will review the...documentation as required by regulatory agencies. + Complete concurrent review of cases to identify quality , timelines… more
- HCA Healthcare (Gainesville, FL)
- …to obtain authorizations for complex medical cases requiring additional clinical documentation or peer -to- peer review . + Provides direction and support to ... student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program ...Bariatric Surgery. We are committed to patient safety and quality of care. We have received the highest scores… more
- Veterans Affairs, Veterans Health Administration (Lake City, FL)
- …is expected to cooperate with and participate in medical duties or functions related to quality of care, peer review and with other performance improvement ... those who want to contribute to the achievement of quality care standards, as well as the growth and...are determined by the VHA Education Loan Repayment Services program office after complete review of the… more
- University of Miami (Miami, FL)
- …staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The Division ... seeks a highly skilled Craniofacial/Pediatric Plastic Surgeon to join our esteemed program as an Assistant or Associate Professor of Clinical Surgery. This full-time… more
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