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In this role you will determine, develop and implement the plan of care based on accurate assessment of the member and current or proposed treatment plan in cases of member inquiry, triage hub, chronic conditions, poly-pharmacy, pre-natal care, and voluntary member health assessment, in addition to indication of multiple monthly ER visits. The Case Management team performs case management (CM) activities demonstrating clinical judgment and independent analysis, collaborating with members and those involved with members' care including clinical nurses and treating MDs.

At the Blue Cross and Blue Shield Association (BCBSA), we provide business strategy, technical support and consulting expertise to 36 Blue Cross and Blue Shield companies across the nation, employing more than 1,000 of the best strategic thinkers in the industry.  We are a Brand manager that sets quality control standards for the 36 independent companies that use the Blue Cross and Blue Shield Brands, and we serve as a trade association that represents these Blue companies. It is through our involvement that the Blues companies share a united vision and strategy while also benefiting from the local strength of all member companies.

Blue Cross and Blue Shield Association

Care Management - Nurse, Senior - Transplant

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Knowledge of treatment guidelines (NCCN, ASCO, ESMO, etc.), clinical research processes, FDA regulations, CMS reimbursement coverage process, and OIG guidelines Knowledge or experience in ovarian cancer/gynecologic oncology is a plus Must have the ability to network and partner with important external customers, including medical thought leaders, academic institutions, large group practices, NCI Cooperative Group leadership and members, medical directors of medical groups or insurance carriers, as well as pharmacy directors. Leading national level priority projects or cross-functional initiatives on behalf of Medical Affairs Leading interactions for specific select priority projects with external collaborators or groups Mentoring or coaching responsibilities for other MSLs especially new hires Coordinating with MA Training for identifying or delivering advanced training initiatives.

HOUR

Verastem Inc

Medical Science Liaison/Senior Medical Science Liaison (FL, AL, MS)

Assist in Daily Chart Reconciliation & Workflow Coordination: Monitor and log daily patient discharge lists to reconcile all incoming medical records, follow up on missing charts with clinical units, compile and distribute daily suspension and status letters, and assign staff tasks for document prep, scanning, and indexing into OneContent. Monitor physicians incomplete record activity, including notifying physicians of incomplete records until records are completed for release of information purposes and to assist coding staff obtain necessary clinical documentation for coding and reimbursement purposes.

Mount Sinai Medical Center

Team Leader Data and Systems HIM Medical Records

We offer the latest in advanced medicine, technology, and comfort in 12 facilities across Miami-Dade (including our 674-bed main campus facility) and Monroe Counties, with 38 medical services, including cancer care, 24/7 emergency care, orthopedics, cardiovascular care, and more. Maintains Supply Chain Services decision support databases, collecting data from various electronic sources such as, production systems in structured changes, semi-structured and unstructured form as well as collected paper documents.

Supply Chain Control Analyst

Performs selected clinical skills and procedures as delineated in their specific Medical Staff privileges (Delineation of privileges, DOP).Incorporates knowledge of current clinical evidence and technology in making sound decisions/judgments and resolving problems using scientific methods and intervention strategies. Screens surgical/procedure patients for appropriateness of surgical procedure and assesses risk/benefit of procedures for specific patients''-manages high-risk, critically ill patients with physicians and the multidisciplinary team.

Jackson Health System

Inpatient ACUTE APP Supervisor, Transplant, Jackson Memorial Hospital, Full Time, Days

Responds to clinical rotation preceptor inquiries and resolves non-routine problems requiring broad understanding of work-area policies and procedures in a timely manner to ensure questions are answered and resolved. Primary Purpose: Performs a wide variety of administrative tasks in department or unit including providing customer service and support by coordinating activities/functions to ensure efficient operations.

Nova Southeastern University

Administrative Coordinator I - 991708

Mount Sinai Medical Center of Florida

Supply Chain Business and Control Analyst

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Supply Chain Business and Contract Analyst

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We offer the latest in advanced medicine, technology, and comfort in 12 facilities across Miami-Dade (including our 674-bed main campus facility) and Monroe Counties, with 38 medical services, including cancer care, 24/7 emergency care, orthopedics, cardiovascular care, and more. Collaborates with Manager of Education to design, plan, coordinate, and evaluate formal education programs for specific clinical area based on staff, hospital needs, and age specific criteria.

Nurse Educator Human Resources

Mount Sinai Medical Center of Miami Beach

Team Leader Data And Systems HIM Medical Records

The position routinely uses classroom and conference-room technology, computers, telephone/headset equipment, dual monitors, CRM/case management systems, telephony applications, payer or pharmacy benefit systems, learning platforms, presentation tools, and other client or Omega systems. Founded in 2003, Omega Healthcare Management Services (Omega Healthcare) empowers healthcare to thrive via intelligent solutions that optimize revenue cycle operations, administrative workflows, care coordination, and clinical research on a global scale.

OMH HealthEdge Holdings Inc

Trainer

As a global leader in clinical diagnostics, Beckman Coulter Diagnostics has challenged convention to elevate the diagnostic laboratory’s role in improving patient health for more than 90 years. The Planning & Materials Supervisor for Beckman Coulter Diagnostics is responsible for leading a team of Buyers and Planners to ensure production takt is met, aligning delivery and inventory goals.

Danaher is a global science & technology innovator committed to helping our customers solve complex challenges and improve quality of life worldwide. Our world class brands are leaders in some of the most demanding and attractive industries, including life sciences, medical diagnostics, dental, environmental and applied solutions. Our globally diverse team of 71,000 associates is united by a common culture and operating system, the Danaher Business System, which serves as our competitive advantage. We generated $19.9B in revenue last year. We are ranked #162 on the Fortune 500 and our stock has outperformed the S&P 500 by more than 5,200% over 25 years.
At Danaher, you can build a career in a way no other company can duplicate. Our brands allow us to offer dynamic careers across multiple industries. We're innovative, fast-paced, results-oriented, and we win. We need talented people to keep winning. Here you'll learn how DBS is used to shape strategy, focus execution, align our people, and create value for customers and shareholders. Come join our winning team.
Danaher is committed to competitive compensation that typically has key components including base salary, variable annual incentive compensation based on personal and company performance, and long-term incentive.

Clinical Research Manager Jobs in Miami, FL

Care Management - Nurse, Senior - Transplant Blue Cross and Blue Shield Association

Medical Science Liaison/Senior Medical Science Liaison (FL, AL, MS) Verastem Inc

Team Leader Data and Systems HIM Medical Records Mount Sinai Medical Center

Supply Chain Control Analyst Mount Sinai Medical Center

Inpatient ACUTE APP Supervisor, Transplant, Jackson Memorial Hospital, Full Time, Days Jackson Health System

Administrative Coordinator I - 991708 Nova Southeastern University

Supply Chain Business and Control Analyst Mount Sinai Medical Center of Florida

Supply Chain Business and Contract Analyst Mount Sinai Medical Center of Florida

Nurse Educator Human Resources Mount Sinai Medical Center

Team Leader Data And Systems HIM Medical Records Mount Sinai Medical Center of Miami Beach

Team Leader Data and Systems HIM Medical Records Mount Sinai Medical Center of Florida

Trainer OMH HealthEdge Holdings Inc

Planning & Materials Supervisor Danaher

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