HEDIS Medical Record Review Project Nurse Elevance HealthHEDIS Medical Record Review Project NurseTampa, FloridaEducates providers on HEDIS specifications and medical record documentation via various mediums such as HEDIS Encounter Portal Submission Tool, Hybrid Review Tool, HEDIS reference material development, and any other educational pieces for Provider relations, etc. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
HEDIS Utilization Review Nurse Central Florida Health CareHEDIS Utilization Review NurseWinter Haven, FloridaWork closely with PCP to manage patient “care items” which could include; medication refills per protocol, lab triage, document management, management of durable medical equipment (i.e. Glucometer, test strips, lancets), prior authorizations of needed medications or other services. Primary Duties include, but are not limited to, the following: Assess, identify problems, plan goals, monitor and evaluate patient plans, and develop strategies that meet the patients immediate and long-term goals.
HEDIS Medical Record Review Project Nurse Elevance Health IncHEDIS Medical Record Review Project NurseTampa, FLEducates providers on HEDIS specifications and medical record documentation via various mediums such as HEDIS Encounter Portal Submission Tool, Hybrid Review Tool, HEDIS reference material development, and any other educational pieces for Provider relations, etc. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
NewHEDIS Registered Nurse Integrated Resources, IncHEDIS Registered NurseJacksonville, FloridaContractorHedis Registered NurseIntegrated Resources, Inc., is led by a seasoned team with combined decades in the industry. Since launching in 1996, IRI has attracted, assembled and retained key employees who are experts in their fields.
NewHEDIS Nurse Integrated Resources, IncHEDIS NurseJacksonville, FloridaContractorWe deliver strategic workforce solutions that help you manage your talent and business more efficiently and effectively. Since launching in 1996, IRI has attracted, assembled and retained key employees who are experts in their fields.
NewHEDIS RN/LPN Integrated Resources, IncHEDIS RN/LPNJacksonville, FloridaTemporarySkills Required:Must have prior experience working on a HEDIS audit (at least 1 season)Must have an active RN or LPN license in FloridaResponsibilities includes medical records reviews, data collection, chart abstractions, reporting and analyses. Job DescriptionJob Title: HEDIS NurseLocation: Jacksonville, FL Duration: 5+ MonthsThis position is responsible for the coordination, implementation, and monitoring of all Medicaid and Medicare (Stars) HEDIS member.
Casual Medical Review Nurse (Gov/Comm) Acuity International LLCCasual Medical Review Nurse (Gov/Comm)Cape Canaveral, FL$66,560–$70,000 / yearMay participate in interdepartmental project groups or task forces to integrate activities, communicate issues, obtain approvals, resolve problems, and maintain a specific level of knowledge pertaining to new developments, new task efforts, contract awards, and new policy requirements. Job Summary: Under general supervision of the Program Manager (PM) and reporting to the PM, the Medical Review Nurse (MRN) is responsible for the initial chart review and chart case management for medical exam/screening programs to verify that all medical information and exam components are accurate.
Medical Review Nurse (USACE) Acuity International LLCMedical Review Nurse (USACE)Cape Canaveral, FL$66,560–$70,000 / yearMay participate in interdepartmental project groups or task forces to integrate activities, communicate issues, obtain approvals, resolve problems, and maintain a specific level of knowledge pertaining to new developments, new task efforts, contract awards, and new policy requirements. Job Summary: Under general supervision of the Program Manager (PM) and reporting to the PM, the Medical Review Nurse (MRN) is responsible for the initial chart review and chart case management for medical exam/screening programs to verify that all medical information and exam components are accurate.
Clinical Quality Review Team Lead TriWest Healthcare AllianceClinical Quality Review Team LeadTampa, FLRemoteFull timeThe team lead supports clinical and non-clinical staff supporting CQM programs by providing training and onboarding of new staff; determining work assignments; performing audits for clinical records and/or work accuracy; and ensuring effective, consistent and accurate workflow. Technical Skills: Comprehensive knowledge of research methodology; proficient applying appropriate data analysis processes; knowledge of managed care principles and methods; knowledge in the application of clinical criteria; proficient with Microsoft Word, Excel, and PowerPoint.
Advanced Practice Registered Nurse Integrity Placement GroupAdvanced Practice Registered NurseDebary, FL$90,000–$130,000 / yearWe are Committed to Providing High-Quality, Compassionate Healthcare with a Strong Focus on Preventive Medicine, Chronic Disease Management, and Improving Health Outcomes for Medicare Advantage Patients. The Ideal Candidate is Passionate About Primary Care, Value-Based Medicine, and Delivering Exceptional Patient Care While Helping Improve Quality Metrics, Patient Satisfaction, and Overall Healthcare Outcomes.
Quality Improvement Nurse HEART OF FLORIDA HEALTH CENTER, INC.Quality Improvement NurseOcala, FLThe Quality Improvement (QI) Nurse supports the organization's Quality Improvement, Population Health, and Patient-Centered Medical Home (PCMH) initiatives through clinical quality activities, preventive care outreach, care gap closure, quality data validation, and coordination of population health programs. Conduct patient outreach, education, and follow-up to improve preventive care, chronic disease management, and care gap closure, including providing scheduled Quality nurse visits focused on preventive services, chronic disease support, and patient education.
Nurse Practitioner - Sphere Senior Di Rezze Family OfficeNurse Practitioner - Sphere SeniorMiami, FLOur proprietary clinical intelligence platform, SphereOS, works alongside you in real time, surfacing risk flags, streamlining documentation, tracking care gaps, and keeping the full care team coordinated. Sphere Senior is an AI-native, home-based primary care program built for older adults with serious, complex medical needs, people who deserve more than rushed office visits and reactive emergency care.
RN Care Manager - FGC Market ArchWell Health LLCRN Care Manager - FGC MarketFort Myers, FLJob Summary: The Nurse Care Manager is responsible for helping coordinate and evaluate the management of patients with acute and chronic conditions, across the care continuum, to achieve high quality care measured by positive patient outcomes. In our medical clinics, we provide comprehensive primary care for senior adults with traditional Medicare and Medicare Advantage plans, focused on delivering improved quality, better patient experience and lower total cost of care.
NewOPS ADVANCED PRACTICE RN SPECIALIST - 64952416 Government of FloridaOPS ADVANCED PRACTICE RN SPECIALIST - 64952416Gulfport, FL$48–$52 / hourOPS Advanced Practice Registered Nurse Specialist: Provides comprehensive health care to Primary Care, Women's Health/, Family Planning and STD clients at any DOH-Pinellas clinic sites including Mid County, Clearwater, St. Pete, Pinellas Park and Tarpon Springs as needed using own/personal vehicle. Through the Departments VALOR program, which expedites licensing for military veterans, the Department also waives initial licensing and application fees for military veterans who apply for a health care professional license within 60 months of an honorable discharge.
NewOPS ADVANCED PRACTICE RN SPECIALIST - 64952519 Government of FloridaOPS ADVANCED PRACTICE RN SPECIALIST - 64952519Clearwater, FL$50–$60 / hourOPS Advanced Practice Registered Nurse Specialist: Provides comprehensive health care to Primary Care, Women's Health/, Family Planning and STD clients at any DOH-Pinellas clinic sites including Mid County, Clearwater, St. Pete, Pinellas Park and Tarpon Springs as needed using own/personal vehicle. Through the Departments VALOR program, which expedites licensing for military veterans, the Department also waives initial licensing and application fees for military veterans who apply for a health care professional license within 60 months of an honorable discharge.
Senior Health Educator- Clinical Transplant Nurse- Remote Molina Healthcare IncSenior Health Educator- Clinical Transplant Nurse- RemoteFLRemoteAt least 3 years of experience in a health education-related capacity, and at least 1 of year experience working with a wide range of member populations within a managed care setting, or equivalent combination of relevant education and experience. May serve as the designated QI representative at various external activities to include immunization, Early and Periodic Screening, Diagnostic, and Treatment (EPSDT), chronic condition collaborative and other work group meetings.
Outpatient Registered Nurse - ENT Head and Neck AdventHealthOutpatient Registered Nurse - ENT Head and NeckTampa, FL$68,132.50–$119,520.35 / yearApplicants may review general information about Florida's background screening requirements at the Florida Care Provider Background Screening Clearinghouse: https://info.flclearinghouse.com/ . It's about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit.
Care Partner - Medical Assistant BayCare Health SystemCare Partner - Medical AssistantTampa, FLThe Care Partner-Medical Assistant responsibilities include: Works collaboratively with the Licensed Practical Nurse (LPN) Care Partner to review patient chart data, identify open Healthcare Effectiveness Data and information Set (HEDIS) gaps and facilitates gap closure. Performs telephonic outreach to patients to discuss needed care, assess and document barriers to accessing medical services and support care coordination efforts for Population Health Services Organization (PHSO).
NewDirector of Quality, Risk & Safety United Vein & Vascular CentersDirector of Quality, Risk & SafetyTampa, FloridaThis role partners with Medical Leadership, Clinical Leadership, Operations, Legal, Compliance, and other cross-functional teams to advance clinical excellence, regulatory readiness, patient safety, and risk reduction through quality reporting, peer review support, performance improvement, and evidence-based practice initiatives. Provide strategic oversight of the organization’s clinical quality program, including quality assurance, clinical documentation improvement, peer review support, quality reporting, clinical practice guideline implementation, regulatory readiness, policy development, and performance improvement initiatives.
Market Physician Executive (MPE) - Float Monogram HealthMarket Physician Executive (MPE) - FloatFort Myers, FLReporting to the Region President, the Market Physician Executive (MPE) float is a key clinical leader within Monogram Health who contributes to the development and oversight of clinical strategies, policies, programs, processes, protocols, guidelines, and operations that drive improved patient health outcomes within the market. The MPE - Float oversees the daily clinical and business operations through delivery of direct patient care, care management services, social worker support and pharmacy services within the market.
Market Physician Executive (MPE) Monogram HealthMarket Physician Executive (MPE)Bonita Springs, FLReporting to the Region President, the Market Physician Executive (MPE) is a key clinical leader within Monogram Health who contributes to the development and oversight of clinical strategies, policies, programs, processes, protocols, guidelines, and operations that drive improved patient health outcomes within the market. Monogram health takes a comprehensive and personalized approach to a person’s health, treating not only a disease, but all of the chronic conditions that are present - such as diabetes, hypertension, chronic kidney disease, heart failure, depression, COPD, and other metabolic disorders.
Associate Medical Director CenterWell Senior Primary CareAssociate Medical DirectorThe Villages, FLFull timeAssociate Medical Director Role Overview: Leadership and Organizational Management: Identify and monitor clinical risks that could otherwise impact the organization financially or operationally, through collaboration with Care Center Medical Directors and clinical operations and under the direction of the Market CMO. As the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients.
Ambulatory Pharmacist ChenMed LLCAmbulatory PharmacistLauderhill, FL$118,062–$168,658 / yearOperating under a collaborative practice agreement, this role focuses on reducing polypharmacy, enhancing medication adherence, and managing chronic diseases to improve patient outcomes and elevate quality performance metrics such as CMS Star Ratings and HEDIS scores. ESSENTIAL JOB DUTIES/RESPONSIBILITIES: Medication Management & Optimization: Collaborates with healthcare providers to adjust medication therapies, interpret lab results, and support clinical decision-making within a protocol-driven framework.
Regional Manager, Ambulatory Pharmacist ChenMed LLCRegional Manager, Ambulatory PharmacistMiami, FL$128,686–$183,837 / yearOperating under a collaborative practice agreement, this role focuses on reducing polypharmacy, enhancing medication adherence, and managing chronic diseases to improve patient outcomes and elevate quality performance metrics such as CMS Star Ratings and HEDIS scores. Medication Management & Optimization: Collaborates with healthcare providers to adjust medication therapies, interpret lab results, and support clinical decision-making within a protocol-driven framework.
Director of Informatics Central Florida Health CareDirector of InformaticsWinter Haven, FloridaPOSITION SUMMARY: The Director of Informatics provides enterprise-wide leadership for the optimization, integration, governance, and strategic use of information systems across all CFHC service lines in partnership with department leaders. This position works collaboratively with executive leadership, providers, clinical teams, operational leaders, and technology staff to align informatics strategies with CFHC's mission/vision/overarching goal, regulatory requirements.
Clinical Educator PANCARE OF FLORIDA INCClinical EducatorPanama City, FLThe Clinical Educator collaborates with executive leadership, clinical operations, and quality teams to support workforce development, promote evidence-based practice, and advance PanCare's mission to provide a comprehensive system of accessible, community-based healthcare services delivered with dignity and respect. Position Summary: The Clinical Educator provides leadership in the development, implementation, and evaluation of clinical education and training programs across PanCare of Florida, Inc., a Federally Qualified Health Center (FQHC).
Chronic Care Coordinator PANCARE OF FLORIDA INCChronic Care CoordinatorFLThey work closely with providers, care manager, and interdisciplinary team members to improve patient outcomes, reduce avoidable utilization, and support quality initiatives including HEDIS, UDS, value-based care, Chronic Care Management (CCM), Advanced Primary Care Management (APCM) and Remote Patient Monitoring (RPM). This role serves as the primary point of contact for patients between office visits, ensuring care plans are followed, chronic conditions are monitored, device data is reviewed, and all clinical and administrative activity is documented in compliance with CMS billing requirements.
Ambulatory Pharmacist ChenMedAmbulatory PharmacistMiami Lakes, Florida$118,062–$168,658 / yearOperating under a collaborative practice agreement, this role focuses on reducing polypharmacy, enhancing medication adherence, and managing chronic diseases to improve patient outcomes and elevate quality performance metrics such as CMS Star Ratings and HEDIS scores. The ambulatory pharmacist partners closely with patients, physicians, advanced practice providers, nurses, and care teams to deliver evidence-based, individualized care that promotes safety, efficacy, and cost-effectiveness.
NewAssociate Director, Advanced Practice Provider CenterWellAssociate Director, Advanced Practice ProviderFloridaRemoteWork at Home Requirements: To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. As the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients.
IPA Area Medical Director - Hybrid Humana IncIPA Area Medical Director - HybridJacksonville, FL$310,000–$368,500 / yearAs the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients. About CenterWell Senior Primary Care: CenterWell Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more.
Medical Assistant Humana IncMedical AssistantOrlando, FL$43,000–$56,200 / yearMedical Assistant Role Overview: The Medical Assistant performs clinical duties such as discussing symptoms, obtaining vital signs, medication/vaccine administration, phlebotomy, collecting specimens, performing diagnostic screening tests, sterilizing/cleaning equipment, maintaining examination rooms, and documenting information into the electronic medical records system. As the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients.
IPA Medical Director - hybrid Humana IncIPA Medical Director - hybridFLRemote$246,100–$344,200 / yearAs the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients. About CenterWell Senior Primary Care: CenterWell Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more.
Medical Assistant - $1K bonus Humana IncMedical Assistant - $1K bonusOrlando, FL$40,000–$52,300 / yearMedical Assistant Role Overview: The Medical Assistant performs clinical duties such as discussing symptoms, obtaining vital signs, medication/vaccine administration, phlebotomy, collecting specimens, performing diagnostic screening tests, sterilizing/cleaning equipment, maintaining examination rooms, and documenting information into the electronic medical records system. As the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients.
Market Physician Executive (MPE) Monogram Health Professional ServicesMarket Physician Executive (MPE)Cape Coral, FLPart timeReporting to the Region President, the Market Physician Executive (MPE) is a key clinical leader within Monogram Health who contributes to the development and oversight of clinical strategies, policies, programs, processes, protocols, guidelines, and operations that drive improved patient health outcomes within the market. The MPE oversees the daily clinical and business operations through delivery of direct patient care, care management services, social worker support and pharmacy services within the market.
Market Physician Executive (MPE) - Float Monogram Health Professional ServicesMarket Physician Executive (MPE) - FloatTampa, FLPart timeReporting to the Region President, the Market Physician Executive (MPE) float is a key clinical leader within Monogram Health who contributes to the development and oversight of clinical strategies, policies, programs, processes, protocols, guidelines, and operations that drive improved patient health outcomes within the market. The MPE - Float oversees the daily clinical and business operations through delivery of direct patient care, care management services, social worker support and pharmacy services within the market.
IPA Area Medical Director - Hybrid CenterWellIPA Area Medical Director - HybridJacksonville, FloridaAs the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients. About CenterWell Senior Primary Care: CenterWell Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more.
NewX-Ray/MA (Palatka) Aza HealthX-Ray/MA (Palatka)Palatka, FLCompletes all documentation including medical charts as appropriate according to the medical records system and government regulations, including sexually transmitted diseases Cleans and sterilizes x-ray/radiology equipment. Responsible for a variety of tasks assisting patients and providing basic in-take tests and services; assists providers with direct patient care as directed.
NewX-Ray/MA (Keystone Heights) Aza HealthX-Ray/MA (Keystone Heights)FLCompletes all documentation including medical charts as appropriate according to the medical records system and government regulations, including sexually transmitted diseases Cleans and sterilizes x-ray/radiology equipment. Responsible for a variety of tasks assisting patients and providing basic in-take tests and services; assists providers with direct patient care as directed.
Market Physician Executive (MPE) - Float Monogram Health IncMarket Physician Executive (MPE) - FloatNaples, FLReporting to the Region President, the Market Physician Executive (MPE) Float is a key clinical leader within Monogram Health who contributes to the development and oversight of clinical strategies, policies, programs, processes, protocols, guidelines, and operations that drive improved patient health outcomes within the market. The MPE Float oversees the daily clinical and business operations through delivery of direct patient care, care management services, social worker support and pharmacy services within the market.
Market Physician Executive (MPE) Monogram Health IncMarket Physician Executive (MPE)Bonita Springs, FLReporting to the Region President, the Market Physician Executive (MPE) is a key clinical leader within Monogram Health who contributes to the development and oversight of clinical strategies, policies, programs, processes, protocols, guidelines, and operations that drive improved patient health outcomes within the market. The MPE oversees the daily clinical and business operations through delivery of direct patient care, care management services, social worker support and pharmacy services within the market.
Coordinator, Referrals Cano Health IncCoordinator, ReferralsPompano Beach, FLTrack referral patterns and help guide patients to in-network or preferred providers aligned with Accountable Care Organizations (ACOs) and narrow network strategies. The Referral Coordinator plays a vital role in supporting patient care coordination by managing insurance pre-verifications, referral processing, appointment scheduling, and communication between patients, providers, and health plans.
Office Manager Manpower - South FloridaOffice ManagerVero Beach, FLResponsible for the day-to-day operation of a multi-specialty medical clinic, to include planning and coordinating the work assignments of clinical staff and collaborating as necessary with Managers supervising non-clinical staff (i.e., front desk, Pharmacy, social services). Knowledgeable about provider specialties, FQHC regulations, services available to all patients as resources including but not limited to sliding fee scale eligibility, social service programs, Pharmacy services.
Patient Care Coordinator (LPN) Central Florida Health Care, Inc.Patient Care Coordinator (LPN)FLKnowledge of the techniques of administration of common medications, including immunizations, other injectable medications, and allergy injections using sterile technique, and knowledge of the side effects of these medications. Primary Duties include, but are not limited to, the following: Assess, identify problems, plan goals, monitor and evaluate patient plans, and develop strategies that meet the patients immediate and long-term goals.
OPS AUTONOMOUS ADVANCED PRACTICE REG NUR - 64952384 Government of FloridaOPS AUTONOMOUS ADVANCED PRACTICE REG NUR - 64952384FL$50–$60 / hourOPS Autonomous Advanced Practice Registered Nurse Specialist: Provides comprehensive health care to Primary Care, Women's Health/, Family Planning and STD clients at any DOH-Pinellas clinic sites including Mid County, Clearwater, St. Pete, Pinellas Park and Tarpon Springs as needed using own/personal vehicle. Through the Departments VALOR program, which expedites licensing for military veterans, the Department also waives initial licensing and application fees for military veterans who apply for a health care professional license within 60 months of an honorable discharge.
Associate Director, Advanced Practice Provider Humana IncAssociate Director, Advanced Practice ProviderFLRemote$115,200–$158,400 / yearWork at Home Requirements: To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. As the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients.
Staff Pharmacist CCS Medical Holdings, Inc.Staff PharmacistClearwater, FLBy combining data-driven insights with three decades of industry relationships, CCS is the smart choice for health plans, providers, employers, and manufacturers who believe that value-based care starts by keeping patients healthy and delivers benefits like lower cost of care, improved HEDIS scores, and alleviating provider burnout. Position Summary: Success in this role will perform general Pharmacist duties, including but not limited to: preparing medications, completing final check on filled medications, review and approval on data entry of prescriptions, monitoring patient drug therapies and drug utilization reviews.