• Primary Care Physician

    ChenMed (Kenneth City, FL)
    …mission-driven, primary care organization, is currently one of the most successful full-risk Medicare Advantage providers in the nation and has a vision to be ... PCP will engage with the transitional care team and others including case managers, acute and transitional-care physicians, and other resources that may be… more
    ChenMed (08/28/25)
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  • Primary Care Physician

    ChenMed (Bradenton, FL)
    …mission-driven, primary care organization, is currently one of the most successful full-risk Medicare Advantage providers in the nation and has a vision to be ... PCP will engage with the transitional care team and others including case managers, acute and transitional-care physicians, and other resources that may be… more
    ChenMed (08/28/25)
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  • Care Coordination Assistant

    BayCare Health System (Sarasota, FL)
    …Assistant will work under the direction of the Care Transition Coordinator or RN Case Manager to establish and maintain a positive working relationship with ... insurance, and benefit information. + Verifying insurance and benefits for all Medicare , Managed Care and Private Fee for Service Plans. Securing authorization for… more
    BayCare Health System (08/22/25)
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  • Clinical Appeals Nurse (RN)

    Molina Healthcare (Tampa, FL)
    …unrestricted Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager + Certified Professional Healthcare Management + Certified ... MCG, InterQual or other medically appropriate clinical guidelines, Medicaid, Medicare , CHIP and Marketplace, applicable State regulatory requirements, including the… more
    Molina Healthcare (08/15/25)
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  • Coding Auditor Educator

    Highmark Health (Tallahassee, FL)
    …system entities in response to external coding audits conducted by the Medicare Administrative Contractor, the RAC, MIC, ZPIC, etc. Determine appeal action, prepare ... works with external resources to create and monitor inpatient case mix reports and the top 25 assigned DRGs/APCs...related to special projects and providing coverage for coding manager (s). (10%) + Depending on location provides or arranges… more
    Highmark Health (08/08/25)
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  • Clinical Documentation Integrity Specialist Remote

    AdventHealth (Altamonte Springs, FL)
    …and in some situations the supervision of the Clinical Documentation Integrity Manager , and in collaboration with physicians, nursing and HIM coders, the Clinical ... healthcare team. This includes quarterly and annual compliance updates from Medicare . . Effectively and appropriately communicates with physicians and other… more
    AdventHealth (08/07/25)
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  • Care Coordination Assistant

    BayCare Health System (Largo, FL)
    …Assistant will work under the direction of the Care Transition Coordinator or RN Case Manager to establish and maintain a positive working relationship with ... insurance, and benefit information. + Verifying insurance and benefits for all Medicare , Managed Care and Private Fee for Service Plans. Securing authorization for… more
    BayCare Health System (07/18/25)
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  • Associate Medical Director

    CenterWell (Daytona Beach, FL)
    …coaching initiatives are precise *Identify critical issues for high-risk patients during case reviews & other forums, and modeling and driving clinical excellence ... indicators (KPIs), such patient experience via Net Promoter Score (NPS) and Medicare clinical quality via HEDIS, meeting local and organizational goals *Personally… more
    CenterWell (06/12/25)
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