- Highmark Health (Tallahassee, FL)
- …and standards. Analyzes associated policies, guidelines, market data to continuously improve risk management and gain appropriate enrollment or manage existing ... recommendations to account for these situations. + Apply corporate risk management policies and adjust for unusual...one course within twelve months in either Life Office Management Association (LOMA) Certified Employee Benefit Specialist … more
- AdventHealth (Altamonte Springs, FL)
- …leadership and management skills that will promote effective and efficient review of physician documentation that supports the patient's level of care and ... practitioners, physician assistants; as well as department Directors for: Quality and Risk , Revenue Integrity, Coding and Health Information Management and all… more
- Deloitte (Miami, FL)
- …Advanced Financial Controls (AFC) and Financial Reporting Controls (FRC) + Oracle Risk Management Cloud Certified Implementation Specialist Certification is ... workshops + Processing experience in designing, configuring, and implementing Oracle Risk Management Cloud (Advanced Access Controls (AAC), Advanced Financial… more
- AdventHealth (FL)
- **Clinical Documentation Integrity Specialist II and Clinical Documentation Integrity Specialist III- StaffFlex, Central Florida (Remote)** **GENERAL SUMMARY:** ... with physicians, nursing and HIM coders, the Clinical Documentation Specialist (CDS) strategically facilitates and obtains appropriate and quality physician… more
- CenterWell (Daytona Beach, FL)
- …partnered Care Integration Team (CIT) resources and programs for transitions of care management (TCM), high- risk patient management (HRPM), and social ... in age-friendly senior primary care including health promotion & prevention, disease management , effective specialist & hospital co- management , and complex… more
- CenterWell (Jacksonville, FL)
- …partnered Care Integration Team (CIT) resources and programs for transitions of care management (TCM), high- risk patient management (HRPM), and social ... in age-friendly senior primary care including health promotion & prevention, disease management , effective specialist & hospital co- management , and complex… more
- AdventHealth (Altamonte Springs, FL)
- …clinical conditions or procedures to support the appropriate severity of illness, expected risk of mortality, and complexity of care of the patient. The Second Level ... documentation guidelines, including physicians, allied health practitioners, nursing, and care management . The Second Level Reviewer I adheres to strict departmental… more
- Black & Veatch (Tampa, FL)
- …and promotes a culture conducive to quality. Supports continuous improvement, change management and risk management efforts. Engineering Production: ... Performwork that involves conventional engineering practice, but may include solving complex risk and safety design issues. + Support multiple projects as a subject… more
- Citigroup (Miami, FL)
- …timely and precise viable action plans on weekly o/d reports. + Business Risk Management - Documentation/Tax-W8ben/Credit Deficiencies to less than 5% of total ... + Service Maintenance and Contribute to Business Growth + Deliver wealth management services to CPB Latam clients with guidance from the Banker teams… more
- Amazon (Temple Terrace, FL)
- …through daily one-on-one interaction. Additionally, the OMR will participate in weekly case management review meetings as necessary. As an OMR, you will ... will work closely with the WHS Site Manager, WHS Specialist , and occasionally the Injury Prevention Specialist ...medical providers as needed, and learn about OSHA regulations, risk , and analysis. The OMR will function as a… more