- Actalent (Tampa, FL)
- Description Responsible for performing various clinical and neurocognitive test evaluations and interview/ratings on study participants specific to the study ... study subjects to determine current levels of functioning and to create a clinical impression of the subject's current psychiatric state throughout the duration of… more
- Evolent (Tallahassee, FL)
- …play a pivotal role in advancing value-based care models that prioritize clinical excellence, patient-centered outcomes, and system-wide impact. This role offers the ... platform to lead with purpose. In this role, you will combine your clinical oncology expertise with a focus on **value-based strategy and transformation** . Unlike… more
- Evolent (Tallahassee, FL)
- …Are you ready to make a meaningful impact on patient care in a non- clinical setting? Join our Utilization Management team as a Field Medical Director, Cardiovascular ... Offer:** + A meaningful way to contribute to patient care beyond the clinical setting. + Opportunities for collaboration with a dynamic team of physicians, leaders,… more
- Evolent (Tallahassee, FL)
- …the mission. Stay for the culture. **What You'll Be Doing:** As a Physician Clinical Reviewer, Interventional Pain Management, you will be a key member of the ... to make a difference in patients' lives, in a non- clinical environment. You can enjoy better work- life balance...and accurate manner. + Participates in on-going training per inter- rater reliability process. + On a requested basis, may… more
- Evolent (Tallahassee, FL)
- …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 ... when available, within the regulatory timeframe of the request and provides clinical rationale for standard and expedited appeals. . Utilizes medical/ clinical … more
- Evolent (Tallahassee, FL)
- …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 ... when available, within the regulatory timeframe of the request and provides clinical rationale for standard and expedited appeals. + Utilizes medical/ clinical … more
- Evolent (Tallahassee, FL)
- …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 ... as, aids and acts as a resource to Initial Clinical Reviewers. **What You Will Be Doing:** + Serve...and accurate manner. + Participates in on-going training per inter- rater reliability process. + May assist the Senior Medical… more
- Evolent (Tallahassee, FL)
- …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 ... when available, within the regulatory timeframe of the request. + Provides clinical rationale for standard and expedited appeals. + Utilizes medical/ clinical … more
- Humana (Tallahassee, FL)
- …Develop, implement, and maintain a comprehensive QAPI program focused on clinical excellence, patient safety, and regulatory compliance. + Regulatory Compliance: ... home health services. + Quality Audits: Design and oversee audits of clinical documentation, care delivery, and patient outcomes; analyze findings to identify trends… more
- CVS Health (Tallahassee, FL)
- …with heart, each and every day. **Position Summary** Responsible for performing quality inter- rater review audits of medical records coded by internal team (CDQA and ... purpose of risk adjustment processes are appropriate, accurate, and supported by clinical documentation in accordance with all State and Federal regulations and… more