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Healthcare
Clinical Quality Manager
Winter Haven, FL

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Peace River Center

Medical Quality Improvement Reviewer

Job Description

Peace River Center seeks a Medical Quality Improvement Reviewer to support quality and compliance across behavioral health programs. In this role, you will review clinical documentation, utilization, and outcomes data to ensure adherence to medical, regulatory, and payer standards. You will identify trends, risks, and opportunities for improvement, prepare reports, and collaborate with clinical, nursing, and administrative teams to implement corrective actions. The reviewer will participate in audits, support accreditation activities, assist in training staff on quality standards, and help drive continuous improvement that enhances safety, effectiveness, and client-centered care.