Common use of Positions Required Clause in Contracts

Positions Required. Contractors are required to designate the following staff: (1) A full time administrator identified to administer the day-to-day business activities of the annual contract; (2) A licensed physician with demonstrated experience in geriatric medicine to serve as medical director to oversee and be responsible for the proper provision of covered services; (3) A designated individual responsible for the health information system with either a four-year degree in Health Information Management or equivalent four-year program; (4) A designated individual with a four-year degree in Health Information Management or equivalent program and with a Certified Professional in Health Quality (CPHQ) designation responsible for the provider’s quality assurance program; (5) A designated person with a four-year degree in Health Information Management or equivalent four year program to be responsible for the provider’s utilization control; (6) A designated person with a four-year degree in Health Information Management or an equivalent program to provide necessary, accurate and timely reports to the Department and AHCA; (7) A designated person with a four-year degree in Health Information Management or an equivalent program to be responsible for processing and resolution of grievances; and (8) Case Management Supervisors and Case Managers must meet the qualifications as provided for in Rule 58N-1 F.A.C.

Appears in 1 contract

Sources: Standard Contract

Positions Required. Contractors are required to designate the following staff: (1) A full time administrator identified to administer the day-to-day business activities of the annual contract; (2) A licensed physician with demonstrated experience in geriatric medicine to serve as medical director to oversee and be responsible for the proper provision of covered services; (3) A designated individual responsible for the health information system with either a four-year degree in Health Information Management or equivalent four-year program; (4) A designated individual with a four-year degree in Health Information Management or equivalent program and with a Certified Professional in Health Quality (CPHQ) designation responsible for the provider’s quality assurance program; (5) A designated person with a four-year degree in Health Information Management or equivalent four year program to be responsible for the provider’s utilization control; (6) A designated person with a four-year degree in Health Information Management or an equivalent program to provide necessary, accurate and timely reports to the Department and AHCA;; and (7) A designated person with a four-year degree in Health Information Management or an equivalent program to be responsible for processing and resolution of grievances; and (8) . Note: Case Management Supervisors and Case Managers must meet the qualifications as provided for in Rule 58N-1 F.A.C.

Appears in 1 contract

Sources: Standard Contract (Wellcare Health Plans, Inc.)