- Centene Corporation (Tallahassee, FL)
- …providers as appropriate to discuss level of care and/or services + Engages with medical directors and leadership to improve the quality and efficiency of care ... for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering… more
- Select Medical (Miami, FL)
- … Quality Management** **(DQM)** **Responsibilities** **Position Summary** Coordinates the Medical Quality Management and Performance Improvement activities to ... upon hospital size and configuration. + Assists with the design and compliance of quality processes/activities in the areas of clinical/ medical staff PI for all… more
- Centene Corporation (Tallahassee, FL)
- …for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering ... status of Applied Behavioral Analysis (ABA) services provided to determine medical appropriateness. Monitors clinical effectiveness and efficiency of member's care… more
- Molina Healthcare (Miami, FL)
- …HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of ... within required timelines. + Refers appropriate prior authorization requests to Medical Directors. + Requests additional information from members or providers in… more
- Molina Healthcare (Jacksonville, FL)
- …HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of ... within required timelines. + Refers appropriate prior authorization requests to Medical Directors. + Requests additional information from members or providers in… more
- Northwest Florida Community Hospital (Chipley, FL)
- …appropriate to nurse practitioners; Participate, when appropriate, in the joint review of the plan of care. Must adhere to policy requirements for documentation ... provide exceptional care for our patients in support with medical Providers and staff, in our Clinics. At NFCH,...Florida Community Hospital your new home. Job Summary: The nurse practitioner shall, under the appropriate direction and supervision… more
- University of Miami (Miami, FL)
- …environment. The Pediatric Medical Assistant (MA) 2 works directly with the Nurse Manager/ Nurse Supervisor/Charge Nurse and/or the Designee in charge of ... tasks to oversee the Pediatric MA 2 to a Nurse or Designee in charge of the unit/clinic.The Pediatric...competencies pertinent to the unit. Physician in charge shall review and sign-off all Medical Assistant's competencies… more
- Fresenius Medical Center (Trenton, FL)
- …effective dialysis therapy for patients under the direct supervision of a licensed nurse in accordance with FMCNA policies procedures and training and in compliance ... a safe and clean working environment. Supports the FMCNA commitment to the Quality Enhancement Program (QEP) and CQI Activities including those related to patient… more
- AdventHealth (Altamonte Springs, FL)
- …concise input of audits to provide feedback to CDI Market Leaders + Performs quality reviews of the medical record for compliance including completeness and ... and in collaboration with physicians, nursing and HIM coders. The CDI Quality & Compliance Team Leader strategically facilitates and obtains appropriate and … more
- AssistRx (Orlando, FL)
- …sessions ensuring associates understand how the program enhancement will impact the quality review /score. + Monitoring program AE's and present findings to ... scoring, and reporting as well as system data entry quality . Within this role, the Quality Assurance...score reports by associate, team and/or program for management review on a weekly and monthly basis. + Identify… more