- Humana (Miami, FL)
- …and connect them to the associate automatically + Employs a variety of case management strategies, approaches and techniques to manage a member's case . ... us put health first** The Telephonic Call Center Specialist / Care Coach 1 assesses and evaluates member's needs and requirements to achieve and/or maintain optimal… more
- Veterans Affairs, Veterans Health Administration (Cape Coral, FL)
- …this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/. Preferred Experience: Case Management experience preferred, 5 years ... for the coordination of care focused on patient education, self- management , and customer satisfaction throughout the continuum of care....VHA matching up to 5% of employee contribution Licensure: 1 full and unrestricted license from any US State… more
- Veterans Affairs, Veterans Health Administration (Orlando, FL)
- …RUR standards and policy. Utilizes comprehensive knowledge of nursing clinical practice and case management principles to assess appropriate level of care and to ... Billing, Insurance Verification, Veteran Services, Compliance, Providers, Health Information Management (HIM), Utilization Management (UM), and Community Care.… more
- Veterans Affairs, Veterans Health Administration (Bay Pines, FL)
- …within a healthcare setting. This includes product evaluation, clinical guidance, process management , and identification of opportunities for cost savings. Acts as a ... position responsibilities that demonstrates performance in product evaluation and management , clinical guidance and support, process management , opportunity… more
- MyFlorida (Orlando, FL)
- …services agency in lieu of an Associate 's degree. + Completion of Medical Case Management AETC Southeast AIDS Education course within 30 days of hire. + ... HUMAN SERVICES COUNSELOR III - 64035723 Date: Sep 1 , 2025 The State Personnel System is an...visits. + Current HIV 500/501 certification. + Current Medical Case Management AETC Southeast AIDS Education certification.… more
- Datavant (Tallahassee, FL)
- …and adherence to documentation + Oversee and audit the work of Level 1 & 2 Coders, where applicable + Champion documentation improvement opportunities and coding ... accuracy rate for MS-DRG assignments + Maintain a minimum production of 1 chart per hour or site-specific productivity benchmarks + Foster professional communication… more
- Veterans Affairs, Veterans Health Administration (West Palm Beach, FL)
- …participates in WH program experiences. Demonstrates creative approaches to the management of program aspects of complex patient care. Demonstrates performance and ... life/long-term care (many federal insurance programs can be carried into retirement) Licensure: 1 full and unrestricted license from any US State or territory Work… more
- Veterans Affairs, Veterans Health Administration (Bay Pines, FL)
- …position include systematic evaluation of current practice, development, coordination, and management of the Falls Prevention Program throughout the facility. Serves ... Formulating trends and providing the trends at least annually to the Associate Director of Patient Care Service (ADPCS). Establishing benchmarks. Assisting and… more
- Veterans Affairs, Veterans Health Administration (Cape Coral, FL)
- …Responsible for the coordination of care focused on patient education, self- management , and customer satisfaction throughout the continuum of care. Administers ... and coaching on wellness, disease prevention, and chronic care management . Manage and monitor high risk patients on the...federal insurance programs can be carried into retirement) Licensure: 1 full and unrestricted license from any US State… more
- AdventHealth (Orlando, FL)
- …for each position may vary based on geographical location. **Category:** Case Management **Organization:** AdventHealth Home Health and Hospice **Schedule:** ... **Registered Nurse Case Manager AdventHealth Home Health** **All the benefits...and experiences you'll need to succeed:** **Minimum qualifications:** + Associate 's Degree + 1 year Recent, relevant… more