- Ascension Health (Pensacola, FL)
- …assigned unit for prospective, concurrent and retrospective medical necessity and/or compliance with reimbursement policy criteria. + Provide case management and/or ... analysis and utilization review reports as necessary. + Oversee and coordinate compliance to federally mandated and third party payer utilization management rules… more
- Edwards Lifesciences (Tallahassee, FL)
- …understand nature of complaints and possible health risks; Interprets complaint data for Quality compliance staff, complaint investigators and other Quality ... us and be part of our inspiring journey. The Senior Manager, Clinical Product Quality will plan...plus. + Supervisory or people leadership experience. + Registered nurse with current state license in good standing **What… more
- CenterWell (The Villages, FL)
- …first** Make a meaningful impact every day as a CenterWell Home Health nurse . You'll provide personalized, one-on-one care that helps patients regain independence in ... team members and resources. Maintains focus on all healthcare quality and affordability initiatives (HCQAI's). Established productivity standards and performance… more
- Ascension Health (Middleburg, FL)
- …Critical Care, Labor & Delivery/Women & Family. Responsibilities: + Ensure compliance with regulatory and accreditation requirements for self and within the ... health services in the unit(s). + Develop and maintain quality monitoring systems for the assigned unit(s). + Monitor...or monitors expenditures, purchases and other actions to ensure compliance with budget guidelines. + Ensure a high level… more
- University of Florida (Gainesville, FL)
- Associate / Full Professor & Senior Associate Dean of Academic Programs Apply now ... PhD, DNP, or EdD with extensive experience in nursing education for this senior leadership position. This is a full-time, twelve-month, 1.0 FTE position at the… more
- Highmark Health (Tallahassee, FL)
- …Develop and deliver compelling clinical narratives designed to influence senior -level decision-makers at client organizations, securing commitment to proposed ... solutions. + Provide Senior Level Clinical Sales Support: Collaborate with Sales to...**SKILLS** + Deep Clincal Expertise -extensive knowledge of clinical, quality , care, utilization, high-cost claim, and population health management.… more
- Humana (Tallahassee, FL)
- …of our caring community and help us put health first** We are seeking a Senior Accreditation Professional who will work in a team environment on Humana's health plan ... accreditations, performing complex tasks related to compliance with accreditation standards across multiple operational areas within Humana. **Role… more
- AdventHealth (Wesley Chapel, FL)
- …has the knowledge to oversee the utilization of resources to achieve quality performance, positive employee relations, and compliance with departmental ... contribute:** The Sr. Manager Operations is a registered Paramedic, registered Nurse , or registered Respiratory Therapist who has 24-hour responsibility for the… more
- GE Aerospace (Jacksonville, FL)
- …locations as needed. **Job Description** **Essential Responsibilities:** As the Senior Supplier Recovery Leader, key responsibilities will include: + Represent ... gaps including GE Aerospace teams + Develop strategies to meet the quality , fulfillment, and productivity requirements of the business + Earn authority within… more
- Centene Corporation (Lauderhill, FL)
- …plans, implements, and coordinates holistic care management activities to enable quality , cost- effective healthcare outcomes. May develop or assist with developing ... long-term care member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations + Reviews referrals… more