Healthcare Quality Jobs in Tallahassee

Description The RN, Compliance Nurse 2 reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The RN ..

Job ID 21000L1TAvailable Openings 1 PURPOSE AND SCOPE: The registered professional nurse (CAP RN 1) position is an entry level designation into the Clinical Advancement Program for Registered Nurses. The CAP ..

Description The Quality Compliance Professional 2 completes annual ... Compliance Professional 2 completes annual quality reviews and research. The Quality Compliance Professional 2 work assignments ... courses of action. Responsibilities..

Job Information Centerwell Registered Nurse, Home Health Full Time in Tallahassee Florida As a Home Health Registered Nurse , you will: Provide admission, case management, and follow-up skilled nursing visits for ..

Description Humana Healthy Horizons in Florida is seeking an Associate Director, Care Management leads teams of nurses and behavior health professionals responsible for care management. The Associate Director, Care Management requires ..

FLDOH-1240 Contractor will perform the following tasks in the time and manner specified: Develop user requirement documents, design documents and screen presentations based on user requirements, user input and feedback as ..

Description The Grievances & Appeals Professional 2 manages client medical denials by conducting a comprehensive analytic review of clinical documentation to determine if an appeal is warranted. The Grievances & Appeals ..

Job Information Centerwell RN Clinical Manager in Tallahassee Florida The Clinical Manager coordinates and oversees all direct care patient services provided by clinical personnel. Develops, plans, implements, analyzes, and organizes clinical ..

Description The Care Coach 1 assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources appropriate for the ..

Job Information Humana Quality Improvement Coordinator in Tallahassee Florida ... in Tallahassee Florida Description The Quality Improvement Coordinator 3 assists in ... assists in administering and monitoring quality improvement and..

Job Information Humana Care Coach 1 - Leon/Madison/Taylor County, FL in Tallahassee Florida Description The Care Coach 1 assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness ..

Description The Manager, Risk Adjustment oversees coding educators and quality assurance audits of medical records and ICD-9/10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS). ..

Description The Care Coach 1 assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources appropriate for the ..

Job Description ***This position will support the greater Tallahassee and surrounding areas*** As a Registered Nurse (RN), Home Infusion you will work outside the walls of a hospital setting in a ..

Description The mission of the Physician Performance Insights team is to empower Humana members to make informed healthcare decisions. Our key goal is to ensure transparency and help our members obtain ..

... any applicable licensure/certification requirement, applicable healthcare standards, governmental laws and regulations, ... manager(s), other members of the healthcare team in a timely manner ... raise the bar on home..

... you grow or advance: Previous healthcare experience is not required to ... part of the future of healthcare, apply today.PRINCIPAL DUTIES AND RESPONSIBILITIES:As ... a member of the nephrology..

Job Information Kindred at Home Registered Nurse Home Health Full Time-Baylor in Tallahassee Florida As a Home Health Registered Nurse , you will: Provide admission, case management, and follow-up skilled nursing ..

... 30 years at Tallahassee Memorial Healthcare (TMH), home to the region's ... team to provide family centered quality healthcare. Supported by a variety of ... to great weather, affordability..

Description Humana Healthy Horizons in Florida is seeking an Associate Director, Care Management who will lead teams of nurses and behavior health professionals responsible for care management. The Associate Director, Care ..

Description The mission of the Physician Performance Insights team is to empower Humana members to make informed healthcare decisions. Our key goal is to ensure transparency and help our members obtain ..

Job Information Kindred at Home Registered Nurse Home Health PRN in Tallahassee Florida As a Home Health Registered Nurse , you will: Provide admission, case management, and follow-up skilled nursing visits ..

Job Description Summary: Health is everything. At CVS Health, colleagues are committed to increasing access, lowering costs and improving quality of care. Millions of times a day, we help people on ..