23 quality care specialist jobs at 14 companies in Florida
2mo
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Quality Assurance - Specialist 2, PCU
Pensacola, Florida, United States
OnsiteFull Time
Perform quality reviews of long-term care insurance transactions and claims against SOPs, monitor billing suspense, validate benefit eligibility, maintain product knowledge, comply with HIPAA, and use MS Word/Excel; strong attention to detail and communication required.
Microsoft Word, Microsoft Excel
2mo
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Clinical Quality Specialist II - Quality Assurance - Bayfront Hospital
St. Petersburg, Florida, United States
OnsiteFull Time
5+ YOEBachelor's degree, Florida professional licensure (RN/respiratory/pharmacy) or related degree, CPHQ/CPPS/NE-BC certification within 1 year, and 5 years acute care experience.
2w
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Quality Specialist
Hialeah, Florida, United States
OnsiteFull Time
1+ YOEHigh school diploma required; bachelor's degree preferred. Preferred medical assistant certification and one year of outpatient, HMO, MSO, or ACO care coordination experience.
3mo
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BRIDGES Youth Care Specialist (Temporary)
West Palm Beach, Florida, United States
OnsitePart Time
0+ YOEProvide high quality care and supervision for children/adolescents; residential facility operations; growth and development support; documentation; compliant with policies.
1w
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Environment of Care / Safety Specialist - Corporate Safety
Orlando, Florida, United States
OnsiteFull Time
3+ YOEAssociate's degree and three years of healthcare safety, regulatory, or quality experience required; related trade or vocational education with two years of experience may substitute.
computer software programs
1w
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Environment of Care / Safety Specialist - Corporate Safety
Orlando, Florida, United States
OnsiteFull Time
3+ YOEAssociate’s degree required, or trade/vocational training plus two years of related healthcare experience. Requires three years in healthcare safety, regulatory, or quality work.
1w
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Environment of Care / Safety Specialist - Corporate Safety
Orlando, Florida, United States
OnsiteFull Time
3+ YOEAssociate's degree required, or trade/vocational training plus two years of related healthcare experience. Requires three years in healthcare safety, regulatory, or quality work.
1w
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Environment of Care / Safety Specialist - Corporate Safety
Orlando, Florida, United States
OnsiteFull Time
3+ YOEAssociate's degree and three years of safety, regulatory, or quality experience in a healthcare environment; trade or vocational training plus two years of related experience may substitute.
computer software programs
1w
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Environment of Care / Safety Specialist - Corporate Safety
Orlando, Florida, United States
OnsiteFull Time
3+ YOEAssociate's degree and 3 years of healthcare safety, regulatory, or quality experience required; related trade or vocational experience may substitute. Requires audit, risk assessment, compliance, reporting, training, and communication skills.
3mo
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Transitions of Care Clinical Pharmacist Specialist
Daytona Beach, Florida, United States
$50-$94/hr OnsiteFull Time
5+ YOERequires Bachelor's in Pharmacy, PGY1 completion plus PGY2 or 5+ years hospital/specialty experience, licensed pharmacist (RPH). Responsible for medication therapy management, transitions-of-care, precepting, and quality improvement.
Cerner, Pyxis, Microsoft Outlook, Microsoft Word, Microsoft Excel, Microsoft PowerPoint
1w
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Clinical Quality Support Spec
Alaska or Arkansas or Arizona or Colorado or Florida or Hawaii or Iowa or Idaho or Illinois or Kansas or Louisiana or Maryland or Minnesota or Missouri or Montana or Nebraska or Nevada or New Mexico or North Carolina or North Dakota or Oklahoma or Oregon or South Carolina or South Dakota or Tennessee or Texas or Utah or Virginia or Washington, D.C. or Washington or Wisconsin or Wyoming or Phoenix
$43k-$47k/yr RemoteFull Time
3+ YOEHigh school diploma or GED, 3+ years administrative experience, and medical office, health insurance, or managed care experience. Requires Microsoft Office proficiency, multi-system computer skills, and U.S. citizenship.
Microsoft Excel, Microsoft Word, Microsoft Outlook, Microsoft OneNote, Microsoft PowerPoint, Internet, TriWest Intranet
1mo
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Appeals and Grievances Clinical Specialist/ Quality Of Care
New York City or Lake Mary
$83k-$120k/yr HybridFull Time
Active RN required; experience in clinical practice and appeals & grievances, claims processing, utilization review or case management; knowledge of utilization review guidelines and ability to manage large caseloads.
Microsoft Word, Microsoft Excel, Macess, CCMS, TruCare, Hyland, InterQual, Milliman
4w
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Appeals and Grievances Clinical Specialist/ Quality Of Care
New York or New York City or Lake Mary
$73k-$120k/yr RemoteFull Time
Active RN required; experience in appeals & grievances, utilization review, or case management preferred; familiarity with utilization guidelines and ability to manage large caseloads under regulatory timeframes.
Microsoft Word, Microsoft Excel, Macess, CCMS, TruCare, Hyland, InterQual, Milliman
1w
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Environment of Care / Safety Specialist - Corporate Safety
Orlando, Florida, United States
OnsiteFull Time
3+ YOEAssociate’s degree and three years of safety, regulatory, or quality experience in a healthcare environment required; vocational graduates may substitute with two related years.
4w
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Culinary Specialist - Anchor Care & Rehabilitation Center - Food
Palm Bay, Florida, United States
OnsiteFull Time
Prepare quality food, maintain sanitation and records, follow food safety and uniform policies, and perform physical kitchen duties; Food Service Certificate as needed; able to read/write and work under pressure.
3mo
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Patient Safety Specialist - USFTGP UMSA Quality and Safety
Tampa, Florida, United States
$69k/yr HybridFull Time
3+ YOEBSN with 3+ years in ambulatory or community setting; Florida Nursing License; CPPS/CPHQ or Ambulatory Care Nursing preferred; formal training in Patient Safety, LEAN, Six Sigma or APIC/CDC preferred; Risk Management Certification preferred.
LEAN, Six Sigma, APIC/CDC training
3mo
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Patient Safety Specialist - USFTGP UMSA Quality and Safety
Tampa, Florida, United States
HybridFull Time
3+ YOEBSN with at least 3 years of ambulatory/community practice experience; Florida RN license; CPPS/CPHQ or ambulatory care nursing preferred; Lean/Six Sigma training preferred; risk management certification preferred; knowledge of healthcare regulations.
Lean, Six Sigma
1mo
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Provider Performance Specialist
Arizona or Arkansas or Connecticut or Florida or Georgia or Idaho or Indiana or Iowa or Kansas or Kentucky or Louisiana or Maryland or Michigan or Mississippi or Missouri or Montana or Nebraska or Nevada or New Hampshire or New Mexico or North Carolina or Oklahoma or South Carolina or South Dakota or Tennessee or Texas or Utah or Virginia or West Virginia or Wisconsin
RemoteFull Time
3+ YOEBachelor's in related field or equivalent experience and 3 years healthcare payer/provider/managed care experience; knowledge of HEDIS/Stars, Medicaid/Medicare Advantage, quality improvement, and provider workflows.
Microsoft Excel
2mo
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Clinical Document Integrity Specialist 1, Managed Care Network Development Med Mgmt, FT, 8:30A-5P
Miami, Florida, United States
OnsiteFull Time
3+ YOEMD/DO (or BSN RN considered), 3+ years inpatient clinical experience, knowledge of coding/DRG/quality measures, experience with EHRs and analytics, familiarity with AHIMA-ACDIS query guidance and DRG encoder tools.
EHRs, CDEOne, Epic, TruBridge, InterQual, Windows
2w
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Second Level Reviewer I
Daytona Beach, Florida, United States
$66k-$123k/yr OnsiteFull Time
4+ YOEAssociates in nursing or health field required. 4+ years acute care nursing and 2+ clinical documentation specialist experience; CCDS required. RN/PA/CRNP/APRN/MD/DO or ECFMG acceptable. Strong clinical knowledge and communication.
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