- AdventHealth (Daytona Beach, FL)
- …expectations and performs all defined services and other related duties under regulatory standards and in accordance with the Mission, Vision and Values of ... bring to the team:** + Conducts patient assessments. + Performs a medical record review on all patients prior to the initial intervention which leads to diagnostic… more
- AdventHealth (Palm Coast, FL)
- …expectations and performs all defined services and other related duties under regulatory standards and in accordance with the Mission, Vision and Values of ... bring to the team: + Conducts patient assessments. + Performs a medical record review on all patients prior to the initial intervention which leads to diagnostic… more
- AdventHealth (Orange City, FL)
- …expectations and performs all defined services and other related duties under regulatory standards and in accordance with the Mission, Vision and Values of ... you'll bring to the team: Conducts patient assessments. Performs a medical record review on all patients prior to the initial intervention which leads to diagnostic… more
- Austin Industries (Orlando, FL)
- …work to front line supervisors. + Ensure site supervision has the opportunity to review scheduled work prior to execution. Supervise high risk jobs to ensure proper ... schedule reviews prior to the finalization of the upcoming week's schedule. + Review "Look Ahead" schedules and schedule updates. _Quality_ + Ensure work is in… more
- AdventHealth (Altamonte Springs, FL)
- …Utilization Management, the Physician Advisor is responsible for providing clinical review of utilization, claims management, and quality assurance related to ... contact for clinicians, external providers, contracted health insurance payors, and regulatory agencies. This individual also serves as the subject matter expert,… more
- HCA Healthcare (Gainesville, FL)
- …a data-driven environment of quality and cost improvement and develops systems to review utilization of resources and objectively measure outcomes of care in the ... utilization, and quality profiling. Serves as a member of hospital's peer review committees as requested. Business Development and Payer Relations + Evaluates… more
- Citigroup (Tampa, FL)
- …Risk organization with a focus on governance, control effectiveness, regulatory engagement, risk communications, financial performance including resource management. ... etc.) + Provide monthly analysis for expense lines under review . + Be able to manage and run small...Master's degree preferred This job description provides a high-level review of the types of work performed. Other job-related… more
- Evolent (Tallahassee, FL)
- …calls) with requesting physicians or ordering providers, when available, within the regulatory timeframe of the request and provides clinical rationale for standard ... and expedited appeals. + Utilizes medical/clinical review guidelines and parameters to assure consistency in the...guidelines and parameters to assure consistency in the MD review process to reflect appropriate utilization and compliance with… 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 ... programs and ensuring compliance with ACGME accreditation standards and other regulatory requirements. + Coordinates recruitment efforts and ensures compliance with… more
- Sarasota County Government (Sarasota, FL)
- …appropriate construction documents are prepared and compliant with all regulatory requirements, industry standards, building codes, and Sarasota County Requirements. ... bid documents, schedules, and correspondence for construction projects. + Review all purchasing activities including the submittal of purchase requisitions.… more