- University of Florida (Lake County, FL)
- …specified health promotion, education and/or prevention programs. + Participating in peer review , quality assurance, provider meetings, and other clinical and ... + Following established departmental policies, procedures, and objectives, continuous quality improvement objectives, and safety, environmental, and/or infection control… more
- 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 clinical and ... required. Following established departmental policies, procedures, and objectives, continuous quality improvement objectives, and safety, environmental, and/or infection control… more
- Actalent (Maitland, FL)
- …+ Oversee all project phases from preliminary design through project closeout, ensuring quality reviews are conducted. + Review codes and ordinances and assure ... resources, communicating effectively with consultants, clients, and contractors. + Ensure quality assurance by reviewing and critiquing staff work and coordinating… more
- America's Best (Gainesville, FL)
- …providing outstanding customer service and ensure all associates do the same. + Ensure quality standards are met. Review remakes and enforce policies to ensure ... to see their best to live their best. We help people by making quality eye care and eyewear more affordable and accessible. By overseeing the daily operations… more
- CVS Health (Jacksonville, FL)
- …responses to members and providers. Leads all aspects of utilization review / quality assurance, directing case management Provides clinical expertise and ... is more transparent and consumer-focused, and it recognizes physicians for their clinical quality and effective use of health care resources. **This is a remote… more
- Cleveland Clinic (Vero Beach, FL)
- …eligibility (CTM, ACM, CCM or AHA) + 2 years of recent experience in utilization review , quality or care management + Knowledge of acute care and accreditation ... requirements + Experience in discharge planning and quality improvement Our caregivers continue to create the best outcomes for our patients across each of our… more
- MyFlorida (Tallahassee, FL)
- OPS OPERATIONS REVIEW SPECIALIST - 64858554 Date: Aug 28, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... Requisition No: 853603 Agency: Department of Health Working Title: OPS OPERATIONS REVIEW SPECIALIST - 64858554 Pay Plan: Temp Position Number: 64858554 Salary:… more
- MyFlorida (Tallahassee, FL)
- OPERATIONS REVIEW SPECIALIST - 72003718 Date: Aug 19, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... . Requisition No: 859149 Agency: Management Services Working Title: OPERATIONS REVIEW SPECIALIST - 72003718 Pay Plan: Career Service Position Number: 72003718… more
- CVS Health (Tallahassee, FL)
- …a collaborative process to implement, coordinate, monitor and evaluate medical review cases. + Applies the appropriate clinical criteria/guideline and plan language ... thinking, evidenced based clinical criteria and clinical practice guidelines. Med Review nurses use specific criteria to authorize procedures/services or initiate a… more
- American Express (Sunrise, FL)
- …this role?** Enterprise Comms & MarTech Experiences (ECMX) enables high quality , innovative marketing through marketing campaign consultation & execution; and ... launch more than 28,000 marketing campaigns worldwide. The Communications Compliance Review (CCR) team within ECMX is responsible for consulting with marketing… more