- Elevance Health (Miami, FL)
- …Health office locations Work schedule: Monday - Friday, standard business hours.** The Medical Director Clinical Programs is responsible for designing and ... of Elevance Health's family of brands, offering Medicaid and Medicare plans in several states. We also provide administrative...implementing clinical programs with specific medical condition focus for all lines of business enterprise… more
- Elevance Health (Miami, FL)
- …May be responsible for an entire clinical program and/or independently performs clinical reviews. + The Medical Director typically has program management ... miles of one of our Elevance Health locations.** The Medical Director is responsible for the administration...Director Associates. May be responsible for an entire clinical program. How you will make an impact: +… 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
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …to objectively and systematically monitor and evaluate the quality and appropriateness of clinical and non- clinical care and services provided to members. Key ... member of the Quality Improvement Committee, Appeals and Grievance Committee, and Medical Management Committee. + Responsible for quarterly reporting to the Quality… more
- University of Miami (Miami, FL)
- …job related duties, as may be assigned, by the Chairman of Family Medicine. MSO Medical Director After six months of tenure with adequate progress, the incumbent ... on shift. + Supervise and direct the center's other clinical staff ( Medical Assistants, etc.). + Collect...is eligible to transition to the administrative role of Medical Director of the MSO program. The… more
- Conviva (Tamarac, 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 (Dania Beach, 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
- ChenMed (Delray Beach, FL)
- …will have demonstrated mastery of: + PCP Black Belt Training and PCP Essentials + Medical Director Essentials and Center Operations + Medical Economics and ... 2 slots, follow-up patients 1 slot), CGCAHPS (patient experience), clinical gaps closures, and medical cost measures....an existing high performing PCP partner and/or Associate Center Medical Director within the ChenMed core model,… more
- University of Miami (Miami, FL)
- …Verify the diagnosis by checking the Health-works ABN module for UMHC and ADIC Medicare recipients for proper coding and medical necessity. For any denials which ... ensure a high level of performance + Possess knowledge of extensive knowledge medical terminology and insurance ( Medicare , Medicaid, and HMO, PPO, Exchange plans… more
- Aveanna (Fort Lauderdale, FL)
- …the client's physician, therapists or other care givers. + Provide input to the Medicare Director regarding the need for formulation or modification of agency ... care based on clinical diagnosis, client and physician input that includes medical and social interventions and measurable goals or outcomes. + Arranges to have… more
- University of Miami (Medley, FL)
- …and maintains high-level accounting financial records and reports and assists the Director of Health System Pricing and Reimbursement in all physician and hospital ... and reports on all supplemental Federal and State reimbursement matters. Administers Medicare and Medicaid audits and prepares all supporting work papers and… more
- HCA Healthcare (Plantation, 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 (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
- Humana (Doral, 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
- 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
- University of Miami (Miami, FL)
- …leased facilities for continuous and ongoing compliance with the Center of Medicare & Medicaid Services Conditions of Participation. + Compiles and analyzes ... conducted by AHJ. + Produces the executive framework in conjunction with the Director of Continuity and Compliance, that that provides best practices and systematic… more