Clinical Peer Review Coordinator Job at Baptist Health (Florida) (Jacksonville)

Manager, Clinical Relations

This non-academic post will provide day-to-day supervision of the clinical coord...

Location

United States , Phoenix

Salary:

61720.78 - 111584.97 USD / Year

Adtalem Global Education

Expiration Date

Until further notice

Requirements

Bachelor's Degree in a related discipline Required
3+ years professional experience in an administrative and/or supervisory capacity Required
2+ years Coordination experience Preferred
Ability to lead teams including talent management in hiring, holding accountabilities, growth and development of direct reports
Excellent computer and written and oral communication skills
Strong leadership and in-depth knowledge of standard operating procedures and policies relative to clinical experiences
Ability to influence peers, superiors and indirect reports in a matrix organization
Ability to learn quickly and adapt to change

Job Responsibility

Hire, train and develop Clinical Coordination Specialists
Manage the workload of the team and complete Clinical Coordination Specialist tasks when short-staffed
Maintain a high level of quality clinical services through supervision of Clinical Coordination Specialists
Review and prioritize of student clinical escalations
Complete performance review evaluations for direct reports
Participate in quality assurance tasks, including review of placement records, accreditation site visits, etc.
Plan, develop and present trainings for partners and internal colleagues
Maintain a flexible schedule, with a willingness to participate in university activities and events
Maintain relationships with community partners
Assist in budget preparation, tracking program/division expenses

What we offer

Health, dental, vision, life and disability insurance
401k Retirement Program + 6% employer match
Participation in Adtalem’s Flexible Time Off (FTO) Policy
12 Paid Holidays

Fulltime

Manager, Clinical Relations

This non-academic post will provide day-to-day supervision of the clinical coord...

Location

United States , Lisle

Salary:

61720.78 - 111584.97 USD / Year

Adtalem Global Education

Expiration Date

Until further notice

Requirements

Bachelor's Degree in a related discipline Required
3+ years professional experience in an administrative and/or supervisory capacity Required
2+ years Coordination experience Preferred
Ability to lead teams including talent management in hiring, holding accountabilities, growth and development of direct reports
Excellent computer and written and oral communication skills
Strong leadership and in-depth knowledge of standard operating procedures and policies relative to clinical experiences
Ability to influence peers, superiors and indirect reports in a matrix organization
Ability to learn quickly and adapt to change

Job Responsibility

Hire, train and develop Clinical Coordination Specialists
Manage the workload of the team and complete Clinical Coordination Specialist tasks when short-staffed
Maintain a high level of quality clinical services through supervision of Clinical Coordination Specialists
Review and prioritize of student clinical escalations
Complete performance review evaluations for direct reports
Participate in quality assurance tasks, including review of placement records, accreditation site visits, etc.
Plan, develop and present trainings for partners and internal colleagues
Maintain a flexible schedule, with a willingness to participate in university activities and events
Maintain relationships with community partners
Assist in budget preparation, tracking program/division expenses

What we offer

Health, dental, vision, life and disability insurance
401k Retirement Program + 6% employer match
Participation in Adtalem’s Flexible Time Off (FTO) Policy
12 Paid Holidays

Fulltime

Manager, Clinical Relations

This non-academic post will provide day-to-day supervision of the clinical coord...

Location

United States , Tysons

Salary:

61720.78 - 111584.97 USD / Year

Adtalem Global Education

Expiration Date

Until further notice

Requirements

Bachelor's Degree in a related discipline Required
3+ years professional experience in an administrative and/or supervisory capacity Required
2+ years Coordination experience Preferred
Ability to lead teams including talent management in hiring, holding accountabilities, growth and development of direct reports
Excellent computer and written and oral communication skills
Strong leadership and in-depth knowledge of standard operating procedures and policies relative to clinical experiences
Ability to influence peers, superiors and indirect reports in a matrix organization
Ability to learn quickly and adapt to change

Job Responsibility

Hire, train and develop Clinical Coordination Specialists
Manage the workload of the team and complete Clinical Coordination Specialist tasks when short-staffed
Maintain a high level of quality clinical services through supervision of Clinical Coordination Specialists
Review and prioritize of student clinical escalations
Complete performance review evaluations for direct reports
Participate in quality assurance tasks, including review of placement records, accreditation site visits, etc.
Plan, develop and present trainings for partners and internal colleagues
Maintain a flexible schedule, with a willingness to participate in university activities and events
Maintain relationships with community partners
Assist in budget preparation, tracking program/division expenses

What we offer

Health, dental, vision, life and disability insurance
401k Retirement Program + 6% employer match
Participation in Adtalem’s Flexible Time Off (FTO) Policy
12 Paid Holidays

Fulltime

Manager, Clinical Relations

This non-academic post will provide day-to-day supervision of the clinical coord...

Location

United States , St. Louis

Salary:

61720.78 - 111584.97 USD / Year

Adtalem Global Education

Expiration Date

Until further notice

Requirements

Bachelor's Degree in a related discipline Required
3+ years professional experience in an administrative and/or supervisory capacity Required
2+ years Coordination experience Preferred
Ability to lead teams including talent management in hiring, holding accountabilities, growth and development of direct reports
Excellent computer and written and oral communication skills
Strong leadership and in-depth knowledge of standard operating procedures and policies relative to clinical experiences
Ability to influence peers, superiors and indirect reports in a matrix organization
Ability to learn quickly and adapt to change

Job Responsibility

Hire, train and develop Clinical Coordination Specialists
Manage the workload of the team and complete Clinical Coordination Specialist tasks when short-staffed
Maintain a high level of quality clinical services through supervision of Clinical Coordination Specialists
Review and prioritize of student clinical escalations
Complete performance review evaluations for direct reports
Participate in quality assurance tasks, including review of placement records, accreditation site visits, etc.
Plan, develop and present trainings for partners and internal colleagues
Maintain a flexible schedule, with a willingness to participate in university activities and events
Maintain relationships with community partners
Assist in budget preparation, tracking program/division expenses

What we offer

Health, dental, vision, life and disability insurance
401k Retirement Program + 6% employer match
Participation in Adtalem’s Flexible Time Off (FTO) Policy
12 Paid Holidays

Fulltime

Utilization Management Physician Reviewer

Full-time role responsible for provisioning accurate and timely coverage determi...

Location

United States , Remote

Salary:

174070.00 - 374920.00 USD / Year

CVS Health

Expiration Date

August 21, 2026

Requirements

At least one year experience providing Utilization Management services to a Medicare and/or Medicaid line of business
Excellent verbal and written communication skills
A current, clinical, unrestricted license to practice medicine in the United States
Graduate of an accredited medical school with M.D. or D.O. Degree
3-5 years of clinical practice in a primary care setting
Deep understanding of managed care, risk arrangements, capitation, peer review, performance profiling, outcome management, care coordination, and pharmacy management
Strong record of continuing education activities
Demonstrated understanding of culturally responsive care
Proven organizational and detail-orientation skills
US work authorization

Job Responsibility

Review service requests and document the rationale for the decision
Use evidence-based criteria and clinical reasoning to make UM determinations
Work collaboratively with the Oak Street Health Transitional Care and PCP care teams
Maintain knowledge of current CMS and MCG evidence-based guidelines
Maintain compliance with legal, regulatory and accreditation requirements
Participate in initiatives to achieve and improve UM imperatives
Assist in formal responses to health plan regarding UM process
Adhere to regulatory and accreditation requirements of payor partners
Participate in rounding and patient panel management discussions
Fulfill on-call requirement

What we offer

Affordable medical plan options
401(k) plan with matching company contributions
Employee stock purchase plan
Wellness screenings
Tobacco cessation and weight management programs
Confidential counseling and financial coaching
Paid time off
Flexible work schedules
Family leave
Dependent care resources

Fulltime

Clinic director

The Clinic Director will partner with the Franchise Owners to improve and expand...

Location

United States , Nassau County

Salary:

110000.00 - 150000.00 USD / Year

Ellie Mental Health

Expiration Date

Until further notice

Requirements

NY Licensed Clinical Psychologist with a PhD or PsyD degree
Strong leadership, problem-solving, and executive skill sets
Strong working knowledge of New York State requirements regulating mental health practice
Excellent verbal and written communication skills
Excellent interpersonal and customer service skills
Excellent organizational skills and attention to detail
Working understanding of human resource principles, practices and procedures
Excellent time management skills with a proven ability to meet deadlines
Ability to function well in a high-paced and changing environment
Adept at learning and navigating Electronic Health Record systems

Job Responsibility

Hiring, Training and Staff Management
Oversee the hiring process for therapists within the clinic
Provide training for clinic new hires
Assess ongoing development needs and coordinate ongoing training as needed
Hold staff compassionately accountable for meeting performance expectations
Manage staff performance
Supervision and Consultation
Provide 1:1 consultation with all therapy staff to review productivity, caseload and clinical documentation
Provide clinical oversight to clinic’s mental health practitioners including signing clinical documentation for pre-licensed providers
Participate in Clinic Director peer consult group

What we offer

Continuing education credits through online learning management system
Unique pay model with industry leading compensation
Comfortable, furnished offices and clinic environment

Fulltime

Sr. Disability Clinical Specialist

Responsible for reviewing analyzing, and interpreting medical documentation and ...

Location

United States , San Antonio

Salary:

Not provided

Valero

Expiration Date

Until further notice

Requirements

High School diploma or GED required
Active LVN or RN license required
5 years of experience in clinical nursing or occupational health required
Able and willing to work on-site, in-person at the Valero San Antonio location, required

Job Responsibility

Reviews and analyzes medical documentation submitted for assigned STD and FMLA claims
Determines eligibility and benefit duration in accordance with company policies and applicable legal requirements
Act as a clinical resource to HR and claim professionals, providing guidance on medical management and claim decisions
Recommend specific medical information needed to evaluate ongoing impairment and facilitate optimal claim management
Make appropriate referrals to internal and external clinical resources (e.g., IME, FCE, peer reviews)
Communicates clearly with employees, healthcare providers, and internal partners throughout the claim process
Coordinates with third-party medical review vendors for complex or extended claims
Evaluates claims for potential work-related illnesses or injuries and initiate appropriate follow-up actions with HR, Safety, Claims Management, or Legal
Provides guidance and explanations of medical review protocols and claim decisions to employees and HR staff as needed
Collaborates with HR, healthcare providers and medical teams to facilitate return-to-work plans

What we offer

Competitive Pay and Annual Bonus Program
100% match on 401(K) up to 7%, with immediate vesting
Company-sponsored Pension Plan
Comprehensive Healthcare and Wellness Programs
Onsite Daycare Center
Onsite Employee and Family Wellness Centers (Physician & Pediatrician)
Onsite Pharmacy
State-of-the-art 24-hour Fitness Center free for employees and spouses with access to Tennis and Basketball Facilities
Onsite cafeteria open for breakfast and lunch
Sprawling campus with walking paths and access to biking trails

Fulltime

Assistant Practitioner

The Community Mental Health and Assistant Practitioner, predominately working wi...

Location

United Kingdom , Grimsby

Salary:

27485.00 - 30162.00 GBP / Year

Navigo Health and Social Care CIC

Expiration Date

January 21, 2026

Requirements

Full driving licence and daily use of car
Able to organise and prioritise own workload
Skills in Information Technology
Able to work independently and use own initiative
Good written and verbal communication skills
Ability to co-ordinate and run group sessions
Ability to negotiate work priorities
Work experience in Social/Health care (including housing support, welfare rights or equivalent)
Experience of working with all age functioning
Foundation degree in Health and Social care or equivalent

Job Responsibility

Managing a caseload and acting in a care coordination role of completing assessments, care plans, risk management plans
Work alongside colleagues in ensuring the service users needs are met effectively to prevent relapse and admission onto the acute mental health unit
Work closely with the crisis team
Work with all members of staff within the PCN team
Work in close liaison with health and social care professionals in statutory and non-statutory agencies
Participate in multidisciplinary meetings, case conferences and any other meetings as necessary
Effectively communicate complex and/or sensitive information where there are barriers to understanding
Maintain accurate clinical records according to professional standards
To participate in Practice and Management supervision
Promote and implement creative ways of working with service users

Parttime

!

Clinical Peer Review Coordinator

Baptist Health (Florida)

Location:
United States , Jacksonville

Category:
Health and Beauty

Contract Type:
Not provided

Salary:

Job Description:

Job Responsibility:

Requirements:

Nice to have:

Additional Information:

Job Posted:
January 05, 2026

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