Clinic Manager - Fox Crossing

The Medicare Clinical Program Manager will focus on utilization management compliance and CMS audit readiness activities such as evaluating and supporting Health and Medical Management's · (HMM)and delegate's CMS regulations and reporting. · This position leverages analytical le ...

Ready to help us transform healthcare? Bring your true colors to blue.  · The Role · The Clinical Business Consultant for Cost and Trend Management is responsible for identification, outreach and analysis of individual members and membership populations to ensure the most efficie ...

Description · Specialization: · Internal Medicine · Job Summary: · 4th Year Chief Resident (Junior Faculty) · HCA Florida Citrus Hospital is seeking PGY-4 Chief Residents for its GME Internal Medicine Continuity Clinic. We are seeking candidates with a broad knowledge base, desi ...

The Physician Reviewer will evaluate pre & post-service clinical service requests made by BCBSMA members and providers. · ...

We are actively hiring a Clinical Research Coordinator at our Inverness research site. · ...

The Physician Reviewer is responsible for evaluating clinical service requests made by BCBSMA members and providers. · Evaluate clinical service requests · ...

Citrus Cardiology Consultants busca un Nurse Practitioner o Physician Assistant para su clínica cardiológica en Lecanto e Inverness. El rol es completamente basado en el consultorio con un horario regular durante la semana sin turnos nocturnos ni fines de semana.Full-time schedul ...

Citrus Cardiology Consultants is looking to add a patient-centered Nurse Practitioner or Physician Assistant to their cardiology clinics in Lecanto and Inverness. · Provide outpatient and inpatient cardiovascular care including evaluations and follow-upsMaintain thorough, timely ...

+Job summary · The Clinical Care Manager is responsible for facilitating care for members and families of members who may have rising health risks or complex healthcare needs. · +ResponsibilitiesEngage members in appropriate plans of care. · Coordinate care and services as approp ...

Become a Post-Service Claims Nurse Reviewer and safeguard the integrity of our claims process in a post-service, pre-payment environment. · ...

A Level I Trauma acute care hospital in Central Florida is seeking an experienced Director of Case Management to lead hospital-wide care coordination, utilization management and discharge planning operations. · Maintain up-to-date knowledge of regulatory requirements for case man ...

The RN Case Manager is responsible for facilitating care for members and families of members who may have rising health risks or complex healthcare needs, to promote optimal health. · ...

Ready to help us transform healthcare? Bring your true colors to blue.  · About the Role: · The Sr. Professional Auditor is responsible to verify the accuracy of claims reimbursement, clinical significance, medical necessity, coding, and billing in accordance with the Plans' prov ...

A large Level I Trauma acute care hospital in Central Florida is seeking an experienced Director of Case Management to lead and oversee hospital-wide care coordination and discharge planning operations. · ...

The Therapy Program Director (PD) is responsible for directing clinical assessments, · program development quality improvement productivity enhancement in a flexible interdisciplinary environment. · ...

Ready to help us transform healthcare? Bring your true colors to blue.  · What we need · The Senior Product Owner will be a member of Data Product Team managing various portfolio, operations, maintenance and enhancements (M&E), and internal projects.  We are looking for someone ...