- Gentiva (Crestview, FL)
- …hospice, home health, clinical liaison, RN liaison, clinical coordination, discharge planner, hospice case manager or RN educator + Known and respected within ... part of the Gentiva family of hospice, home health, palliative, and community care providers, focuses on clinical excellence with compassion and dignity. Our company… more
- ChenMed (Lakeland, FL)
- …disease, taking medical history, conducting physical exams, developing a plan of care , providing health education, specialty referrals and case management ... and reduced hospital readmissions **ESSENTIAL JOB DUTIES/RESPONSIBILITIES:** + Provides excellent inpatient and outpatient cardiovascular care as well as, … more
- Molina Healthcare (Orlando, FL)
- …ASSOCIATION:** Certified Clinical Coder, Certified Medical Audit Specialists, Certified Case Manager , Certified Professional Healthcare Management, Certified ... Claim review including DRG Validation, Itemized Bill Review, Appropriate Level of Care , Inpatient Readmission, and any opportunity identified by the Payment… more
- University of Miami (Miami, FL)
- …scheduling, lab, radiology, billing, and inpatient clinical + Familiarity with case or care management workflows and wellness programs preferred + ... Specialist, supports the University's clinical systems required for patient care and maintains a solid understanding of the overall...MST Build Specialist, you will report to the Senior Manager of the group and will be responsible for:… more
- Elevance Health (Tampa, FL)
- …of member and provider medical necessity appeals. + Reviews prospective, inpatient , or retrospective medical records of denied services for medical necessity. ... leadership skills and serves as a subject matter expert for appeals/grievances/quality of care issues and is a resource for clinical and non-clinical team members in… more
- Actalent (Miami, FL)
- …+ Bachelor's Degree in Occupational Therapy + CNOR, CSSM certifications + Experience in Case Management or as a Manager , Supervisor, or Team Lead Work ... as prescribed by a licensed physician. The role involves providing age-specific direct care services to patients throughout their lifespan in both inpatient and… more