- City of Boynton Beach (Boynton Beach, FL)
- …the public, and other individuals as needed to coordinate work activities, review status of work, exchange information, or resolve problems. Accurately and ... with Supervisor, customers, other employees, other departments, governmental and regulatory agencies, and the general public. KNOWLEDGE, SKILLS, AND ABILITIES… more
- AdventHealth (Orlando, FL)
- …objectives, policies and procedures and ensures quality patient care and regulatory compliance. Actively participates in outstanding customer service and accepts ... (as permitted by the patient) as well as a review of the current and past inpatient and outpatient...as needed. Actively participates in daily Multidisciplinary Rounds to review progression of care and discharge plan for all… more
- Elevance Health (Tampa, FL)
- …claims/ encounter processing, as well as ensuring compliance with Medicare/ Medicaid regulatory policies regarding FFS and zero-dollar claims. **How you will make an ... associated reporting and KPIs. + Oversees design and execution of provider/chart review workflows to ensure high quality encounter submissions. + Liaises with senior… more
- Robert Half Office Team (Boca Raton, FL)
- …thorough assessments to evaluate clients' needs, challenges, and goals. + Review documentation, interview clients, and coordinate with other professionals to develop ... case management plans in alignment with the client's objectives. + Periodically review and adjust plans based on clients' progress, changing circumstances, or… more
- Marriott (Bal Harbour, FL)
- …in a clear and precise manner. * Oversees internal, external and regulatory audit processes. * Provides excellent leadership by assigning team members and ... brand SOPs and owner requirements. * Facilitates critique meetings to review information with management team. **Developing and Maintaining Finance and Accounting… more
- Elevance Health (Tampa, FL)
- …you make an impact:** + Claim reviews for appropriate coding, data mining, entity review , law enforcement referral, and use of proprietary data and claim systems for ... review of facility, professional and pharmacy claims. + Responsible...with the Federal, State and local law enforcement and regulatory agencies which can assist in investigative efforts. **Minimum… more
- Sunrise Senior Living (Jacksonville, FL)
- …are not limited to the essential functions listed as follows: **Resident Care** + Review , read, notate, and initial Daily Log to document and learn about pertinent ... the development of the ISPs and monthly updates. + Review designated assignments. + Responsible for a designated group...and understand the key essential duties for safety and regulatory compliance **ABOUT SUNRISE** Ready to take the next… more
- Prime Therapeutics (Tallahassee, FL)
- …pharmacists. + Escalates requests to Pharmacist when request requires extensive clinical review or denial. + Monitors telephone system to ensure adequate staffing to ... controls unique to their job, and comply with all applicable legal, regulatory , and contractual requirements and internal policies and procedures Every employee must… more
- Ascension Health (Jacksonville, FL)
- …ready to join a talented group of physicians apply today! **Responsibilities** : + Review medical records of identified patients to assist with the level of care and ... of stay determination. + Assist and manage the denial management process. + Review and offer suggestions related to resources and service management. + Provide… more
- MyFlorida (Tallahassee, FL)
- …agency's strategic plan while maintaining the highest standards of quality and regulatory compliance. The employee must possess comprehensive knowledge of Bureau and ... + Oversee the administration of the County CEMP and State Agency COOP review programs, ensuring compliance, accurate record keeping, and timely approval of all… more