- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …Demonstrates clinical proficiency with healthcare performance measures including HEDIS, Medicare Stars, Pharmacy Quality Alliance (PQA) and Medicare specific ... to objectively and systematically monitor and evaluate the quality and appropriateness of clinical and non- clinical care and services provided to members. Key… more
- University of Miami (North Miami, FL)
- …are implemented and adhered to. + Meets on a regular basis with the Medical Director , Hospital Administrator, Senior Clinical Administrators & Executive ... Mia has an exciting opportunity for a full time Director , Patient Access with a hire date of December,...Information Management (HIM) to ensure that all facets of Medical Records processes are compliant with Medicare … more
- University of Miami (Medley, FL)
- …. The Department of UHealth Reimbursement is currently seeking a full time Director , Government Reporting and Reimbursement to work in Medley. The incumbent in this ... the AVP of Government Reporting and Reimbursement in all areas of Medicare and Medicaid reporting, including CDM management. CORE RESPONSIBILITIES + Assists with… more
- Option Care Health (Fort Lauderdale, FL)
- …Allergy/Immunology specialties + Understanding of billing and reimbursement procedures for medical offices and hospitals (Commercial Insurance, Medicare Part B ... patients with acute and chronic conditions in all 50 states. Through our clinical leadership, expertise and national scale, Option Care Health is re-imagining the… more
- Humana (Boca Raton, FL)
- …quality of services and maintenance of standards. Reviews and investigates the clinical content, diagnosis, medical history, medications and other procedures of ... of community resources. Appraises performance at probation and annually with the Director of Nursing. Provides the teaching and counseling necessary to enhance the… more
- University of Miami (Miami, FL)
- …patient visits per day + Performs other duties as assigned by the Chief and/or Medical Director + Experience with Medicare Advantage (65+) patient population ... necessary) The Advanced Practice Registered Nurse (APRN) d elivers medical care to a wide variety of patients. The...care is provided, or work in patient care or clinical care areas, to have an annual influenza vaccination.… more
- Conviva (Lauderdale Lakes, FL)
- … medical expertise with the care team through daily huddles. + Helps Regional Medical Director and Center Administrator in setting a tone of cooperation in ... Doctors, Advanced Practice professionals, Pharm D, Care Coach Nurses, Medical Assistants, Behavioral Health, Specialists, Quality Based Coders, Referral Coordinators… more
- Conviva (Margate, FL)
- … medical expertise with the care team through daily huddles. * Helps Regional Medical Director and Center Administrator in setting a tone of cooperation in ... Doctors, Advanced Practice professionals, Pharm D, Care Coach Nurses, Medical Assistants, Behavioral Health, Specialists, Quality Based Coders, Referral Coordinators… more
- University of Miami (Miami, FL)
- …when necessary + Performs other duties as assigned by the Chief and/or clinic Medical Director + Experience with Medicare Advantage (65+) patient population ... annual evaluations. This role also works directly with staff, administration, medical directors, and other relevant stakeholders to assure appropriate utilization of… more
- HCA Healthcare (Miami, FL)
- …and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low ... as well as free telemedicine services and free AirMed medical transportation. + Additional options for dental and vision...Rehab patient. The CM collaborates with the Rehab Program Director and Facility Case Management Director regarding… more
- Humana (Miramar, FL)
- …a part of our caring community and help us put health first** A clinical pharmacist is a licensed professional who is responsible for the safe and appropriate ... designs and monitors care plans that are unique and tailored specifically to the medical condition of the patient. * Gathers all pertinent medical information… more
- Humana (Boca Raton, FL)
- …with physician orders and plan of care under the direction and supervision of the Director of Clinical Services/ Clinical Manager. Such care must be provided ... in Quality Assurance and Performance Improvement activities as assigned. Prepares clinical and progress notes. Assists physician with evaluating the level of… more
- Trinity Health (Fort Lauderdale, FL)
- …Nursing Officer (CNO), Chief Quality and Patient Safety Officer, Director of Clinical Quality Management, Medical Director of Infection Prevention and ... implementation of Infection Prevention and Control programs in coordination with medical , nursing, and ancillary leadership across Holy Cross Hospital. **_What you… more
- HCA Healthcare (Margate, FL)
- …and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low ... as well as free telemedicine services and free AirMed medical transportation. + Additional options for dental and vision...Rehab patient. The CM collaborates with the Rehab Program Director and Facility Case Management Director regarding… more
- HCA Healthcare (Miami, FL)
- …and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low ... as well as free telemedicine services and free AirMed medical transportation. + Additional options for dental and vision...Rehab patient. The CM collaborates with the Rehab Program Director and Facility Case Management Director regarding… more
- HCA Healthcare (Miami, FL)
- …and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low ... as well as free telemedicine services and free AirMed medical transportation. + Additional options for dental and vision...Rehab patient. The CM collaborates with the Rehab Program Director and Facility Case Management Director regarding… more
- University of Miami (Miami, FL)
- …a Full Time, Manager, Facilities & Operations to work at the UHealth Medical Campus. Core Summary The Senior Manager, Facilities & Operations administers leadership ... leased facilities for continuous and ongoing compliance with the Center of Medicare & Medicaid Services Conditions of Participation. + Compiles and analyzes… more