
Intermountain Health
Rn trainer auditor prn
Review medical records for HEDIS audits, abstracting relevant clinical information using a proprietary tool. Perform remote medical record reviews, ensuring compliance with HEDIS, CMS, and STARS measures.

Empath Health
·7 days agoEmpath Health
·7 days agoLocation
remote, FL, United States
Commitment
Part Time
Level
Junior (<2 years)
Since 1980, Tidewell Hospice has proudly served families across southwest Florida with compassionate, dignified care. As a member of Empath Health, we help patients with advanced illness live meaningfully while supporting their families with warmth, expertise, and respect.
Schedule: PRN, Remote. Candidates must be local and available to work flexible hours as needed. Typical coverage hours are 5:00 PM to 8:00 AM Must be available to provide coverage for call-offs and other staffing needs on short notice.
Unified in empathy, we serve our communities through extraordinary Full Life Care for All. Empath Health is a not-for-profit healthcare organization providing Full Life Care through a connected network of services across Florida, including hospice, home health, grief care, geriatric primary care, elder care (PACE), HIV and sexual health (EPIC), and dementia support. Full Life Care means caring for the whole person, body, mind, and spirit, with empathy and dignity. Our care goes beyond medicine to help people feel seen, supported, and valued at every stage of life. At Empath Health, you'll find purpose, partnership, and possibility in a culture where compassion drives excellence and every team member helps make life's journey more meaningful.
Empath Health is committed to complying with all applicable provisions of the Americans with Disabilities Act, as amended ("ADA"), and applicable state and local laws. It is Empath Health's policy not to discriminate against any qualified person or applicant with regard to any terms or conditions of employment on the basis of such individual's disability. Consistent with this policy of non-discrimination, Empath Health will provide reasonable accommodations to an individual with a disability, as defined in the ADA or applicable law, who has made Empath Health aware of his/her disability, unless doing so would cause an undue hardship to Empath Health. If you are an applicant and need a reasonable accommodation when applying for job opportunities within Empath Health or to request a reasonable accommodation to utilize Empath Health's online employment application, please contact HRTalentAcquisition@EmpathHealth.org.
Workplace Discrimination is Illegal. For more information, please refer to this machine-readable PDF to Know Your Rights: Workplace Discrimination is Illegal. If viewing in HTML, please see Know Your Rights: Workplace Discrimination is Illegal in English or Know Your Rights: Workplace Discrimination is Illegal in Spanish.

Intermountain Health
Review medical records for HEDIS audits, abstracting relevant clinical information using a proprietary tool. Perform remote medical record reviews, ensuring compliance with HEDIS, CMS, and STARS measures.

St. Luke's University Health Network
Answer and triage patient calls, following clinical protocols. Verify and update patient demographic information in the electronic health record. Provide clinical support and advice to team members and manage escalated patient messages.

CareSource
Process medical necessity reviews for healthcare service authorization, assist with discharge planning, and coordinate care for members. Engage with medical directors for clinical expertise, monitor healthcare service delivery, and refer quality issues to Quality Improvement.

CareMore Health
Coordinate and manage care for members with complex medical needs, developing individualized care plans. Collaborate with interdisciplinary teams to monitor patient progress and revise care plans as necessary.

Highmark Health
Perform clinical review and data abstraction of patient records to support compliance with quality initiatives. Abstract key clinical findings accurately and timely, perform data entry for databases, and identify outliers.

NorthLakes Community Clinic
Provide triage and health advice via phone, following clinical guidelines. Process prescription refill requests and connect patients to community resources. Facilitate access to medical providers and conduct medication reconciliation.

Trinity Health
Assess and triage patient needs via phone and in-office visits. Provide clinical guidance, patient education, and care coordination. Manage medication refills, test results, referrals, and prior authorizations. Collaborate with healthcare partners and support chronic disease management.