• RN - Grievance and Appeals Clinical

    Centers Plan for Healthy Living (Margate, FL)
    RN - Grievance and Appeals Clinical Reviewer 5297 W Copans Rd, Margate, FL 33063, USA Req #461 Monday, June 3, 2024 Centers Plan for Healthy Living's goal is to ... plans they need for healthy living. JOB SUMMARY: The Grievance & Appeal Clinical Reviewer performs complex medical necessity reviewed on Initial Adverse… more
    Centers Plan for Healthy Living (06/04/24)
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  • UM Clinical Reviewer

    Centers Plan for Healthy Living (Margate, FL)
    UM Clinical Reviewer 5297 W Copans Rd, Margate, FL 33063, USA Req #664 Monday, June 3, 2024 Centers Plan for Healthy Living's goal is to create the ultimate ... applications for Full Time Registered Nurse without experience. The Utilization Management Clinical Reviewer works within a multidisciplinary team to help… more
    Centers Plan for Healthy Living (06/04/24)
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  • Clinical Reviewer

    DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
    Position Purpose: The Clinical Reviewer will be responsible for conducting clinical reviews of medical records during the course of fraud investigations, ... eliminating fraud, waste and abuse. Responsibilities: + Perform the clinical review in Standard Claims Processing System...+ 5 to 7 years of experience as a clinical reviewer and working with ICD-9/10 CM,… more
    DOCTORS HEALTHCARE PLANS, INC. (06/01/24)
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  • Clinical Review RN

    Centers Plan for Healthy Living (Margate, FL)
    Clinical Review RN 5297 W Copans Rd, Margate, FL 33063, USA Req #460 Monday, June 3, 2024 Centers Plan for Healthy Living's goal is to create the ultimate ... plans they need for healthy living. Job Summary: We are currently looking for Clinical Review RN's to join our team. These positions are responsible for the … more
    Centers Plan for Healthy Living (06/04/24)
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  • Clinical Documentation Specialist - RN

    Trinity Health (Fort Lauderdale, FL)
    clinical and coding expertise to direct efforts toward the integrity of clinical documentation through the roles of reviewer , educator and consultant. ... **Employment Type:** Full time **Shift:** Day Shift **Description:** The clinical documentation specialist reviews the clinical record for accuracy related to… more
    Trinity Health (06/18/24)
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  • Manager, Clinical Documentation Improvement…

    University of Miami (Hialeah, FL)
    …the CDI staff while applying CDI expertise. + Supervises all phases of the clinical documentation process and applies CDI review expertise to ensure compliance, ... faculty or staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The Manger of… more
    University of Miami (05/14/24)
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  • Open Rank, Clinical Faculty - Pediatrics,…

    University of Miami (Miami, FL)
    …and Review * Assist in developing, implementing and maintaining-subject to review and approval of thehospital(s)-the administrative and clinical policies ... teams in collaboration with department, nursing, and hospital administration to review practices and implement clinical practice improvements that result… more
    University of Miami (04/17/24)
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  • Clinical Research Coordinator 2

    University of Miami (Miami, FL)
    …and safety information and ensure that study team. + Prepare and review with Principal Investigator's clinical agreements/study budgets and informed consent ... faculty or staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The Department of… more
    University of Miami (06/07/24)
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  • Associate Professor of Clinical

    University of Miami (Miami, FL)
    …policies and procedures + Develop Divisional research and protocols + Participate in clinical peer review , documentation, and care planning + Ensure that the ... faculty or staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The Department of… more
    University of Miami (05/31/24)
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  • Clinical Research Coordinator 2

    University of Miami (Miami, FL)
    …continuing review and reporting. + Participate in UHealth Tower Clinical Research Feasibility Committee Meetings + Assist in the processing Pathology Ancillary ... faculty or staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The Department of… more
    University of Miami (05/22/24)
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  • Clinical Research Pharmacist

    University of Miami (Miami, FL)
    …in clinical and research performance improvement programs and scientific review committees, as assigned. + Responsible for clinical drug protocol ... faculty or staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The UHealth System… more
    University of Miami (04/26/24)
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  • Director, OPO Clinical Operations (H)

    University of Miami (Miami, FL)
    …or staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The Life ... an exciting opportunity for a full time Director, OPO Clinical Operations to work in Miami, FL. The Director,...transplant center partners. + Establish a system for leadership review of performance against the practice standards. + Oversees… more
    University of Miami (06/20/24)
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  • Clinical Program Coordinator - Radiology

    University of Miami (Miami, FL)
    …staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The ... University of Miami is currently seeking a Clinical Program Coordinator to work at Desai Sethi Medical...monitoring AI algorithms used in the radiology department. + Review AI-generated reports for accuracy and completeness. + Collaborate… more
    University of Miami (06/13/24)
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  • Manager, Clinical Research

    University of Miami (Miami, FL)
    …staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The ... Department of Pathology and Laboratory Medicine is currently seeking a full time Manager, Clinical Research to work in Miami, FL. The Manager, Clinical Research… more
    University of Miami (04/16/24)
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  • Assistant Professor of Clinical

    University of Miami (Miami, FL)
    …staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . Job ... of or witnesses to abuse or neglect, including both clinical and forensic interviews with children and caretakers and... and forensic interviews with children and caretakers and review of relevant records, with the Child Protection Team… more
    University of Miami (05/31/24)
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  • Clinical Business Operations Representative

    University of Miami (Miami, FL)
    …staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The ... exciting opportunity for a full-time to work in Miami, Fl. The Clinical Business Operations Representative facilitates the prompt resolution of problems related to… more
    University of Miami (04/17/24)
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  • Clinical Faculty, Open Rank - Diagnostic…

    University of Miami (North Miami, FL)
    …staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The Division ... faculty position at the level of Assistant, Associate, or Professor in the clinical educator track. The University offers a competitive salary relative to academia… more
    University of Miami (03/29/24)
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  • Clinical Faculty, Open Rank - Diagnostic…

    University of Miami (North Miami, FL)
    …staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The Division ... faculty position at the level of Assistant, Associate, or Professor in the clinical educator track. The University offers a competitive salary relative to academia… more
    University of Miami (03/29/24)
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  • Clinical Research Coordinator 1

    University of Miami (Doral, FL)
    …simple clinical research protocols and timelines. + Performs chart review /pre-screening activities for study participant eligibility and coordination of simple ... faculty or staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The Department of… more
    University of Miami (05/25/24)
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  • Director, Clinical Operations

    University of Miami (Miami, FL)
    …staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The ... has an exciting opportunity for a Full Time Director, Clinical Operations to work at UHealth. The Director, ...provider profiles are updated to reflect scheduling preferences (includes review of key terms, claiming providers timely, etc.) +… more
    University of Miami (06/20/24)
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