- Sedgwick (Orlando, FL)
- …and arranges appropriate referral of claims to outside vendors or physician advisor reviews, surveillance, independent medical evaluation, functional capability ... disability plan. + Reviews and analyzes complex medical information (ie attending physician statements, office notes, operative reports, etc.) to determine if the… more
- AdventHealth (Orlando, FL)
- …Management concerns or barriers Escalates operational and/or financial concerns to Physician Advisor (s) as appropriate Determines proactive strategies and ... methods necessary for a high-performance culture related to Care Management Identifies process improvement opportunities and develops, implements and monitors action plans based upon identified Care Management metrics Educates and mentors facility Care… more
- Centene Corporation (Orlando, FL)
- …Purpose:** Establishes and fosters a healthy working relationship between large physician practices, IPAs and Centene. Educates providers and supports provider ... practice sites regarding the National Committee for Quality Assurance (NCQA) HEDIS measures and risk adjustment. Provides education for HEDIS measures, appropriate medical record documentation and appropriate coding. Assists in resolving deficiencies impacting… more
- AssistRx (Orlando, FL)
- …point of contact during implementation, and maintain position as trusted advisor to clients. + Define implementation projects, execute tasks, complete deliverables, ... different in patients' lives and reducing the administrative burden on physician offices. + Bachelor's Degree (preferably in Management Information Systems, Computer… more