- Evolent (Tallahassee, FL)
- …Review Accreditation Commission (URAC) and National Committee for Quality Assurance (NCQA) guidelines. + Provides clinical rationale for standard and ... the culture. **What You'll Be Doing:** As a Physician Clinical Reviewer, Interventional Pain Management, you will be a...for utilization management while working in conjunction with the Senior Medical Director. May assist the Senior … more
- Sunrise Senior Living (Coral Gables, FL)
- …team member relations and recognition, communication, family services, resident well-being, quality assurance , and regulatory compliance. Additionally, a key ... **When you join Sunrise Senior Living, you will be able to use...with a declining trend that is below company average. ** Quality Assurance and Regulatory Compliance** + Strive… more
- MyFlorida (Tallahassee, FL)
- …10/10/2025 Total Compensation Estimator Tool (https://compcalculator.myflorida.com/) Division of Medical Quality Assurance Bureau of Health Care Practitioner ... Regulation Board of Clinical Social Work, Marriage and Family Therapy, Mental Health...performance improvement. Where You Will Work: Division of Medical Quality Assurance Capital Circle Office Complex (Southwood)… more
- University of Miami (Miami, FL)
- …evaluation.6.Familiarity with accreditation requirements, competency-based training models, and quality assurance processes.7.Research experience in healthcare ... and curriculum/program evaluation into training program revisions and improvements.K.Perform quality assurance initiatives to evaluate the effectiveness and… more
- Sunrise Senior Living (Coral Gables, FL)
- …laundry, and housekeeping services. + Conducts monthly Lead Care Manager Meetings. ** Quality Assurance and Regulatory Compliance** + Follows all federal, ... **When you join Sunrise Senior Living, you will be able to use...the care manager team in the provision of high quality , safe care to residents, collaborating with the Resident… more
- Carnival Cruise Line (Miami, FL)
- …maintaining policies and procedures for crew health and case management. + Conduct quality assurance and patient satisfaction audits to ensure compliance and ... This role reports to the Senior Manager of Case Management and oversees the...timely, empathetic communication and resolution of high-complexity cases involving clinical , legal, and logistical challenges. Key responsibilities include reviewing… more
- AdventHealth (Altamonte Springs, FL)
- …outcomes. Overall responsibility for performance improvement, risk management, safety and clinical quality , continuing medical education, the medical staff ... Utilizes performance improvement measurements to continually implement practice/protocols that enhance clinical quality standards and to establish the hospitals… more
- Evolent (Tallahassee, FL)
- …well as Utilization Review Accreditation Commission (URAC) and National Committee for Quality Assurance (NCQA) guidelines. + Ensures documentation of all ... to make a difference in patients lives, in a non- clinical environment. You can enjoy better work- life balance...training per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the… more
- Evolent (Tallahassee, FL)
- …as well as Utilization Review Accreditation Commission (URAC) and National Committee for Quality Assurance (NCQA) guidelines. + Aids and acts as a resource ... offer you a meaningful way to make a difference in patients' lives, in a non- clinical environment. You can enjoy better work- life balance on a team that values… more
- AdventHealth (Orlando, FL)
- …responsible for providing physician review of utilization, claims management, and quality assurance related to inpatient care, outpatient care/observation stays ... the Central Florida Division South Region by ensuring the delivery of high- quality , efficient healthcare services throughout the continuum of care for the membership… more