- City of Boynton Beach (Boynton Beach, FL)
- …list, and other factors, such as moral character, may be considered on a case -by- case basis. Moral character may include, but is not limited to, factors ... general life experiences. These factors are considered on a case -by- case basis which may include, among other...rejected if requested information is not received. Please CAREFULLY review your application submission now. Have you reviewed and… more
- CenterWell (The Villages, FL)
- …of action through the utilization of Performance Improvement principles. + Responsible for review of the appropriate number of Case Managers and clinical staff ... care to all patients served by the location. Receives case referrals. Reviews available patient information related to the...+ Assesses staff education needs based on own the review of clinical documentation in addition to feedback and… more
- CenterWell (Ocala, FL)
- …of action through the utilization of Performance Improvement principles. + Responsible for review of the appropriate number of Case Managers and clinical staff ... care to all patients served by the location. Receives case referrals. Reviews available patient information related to the...+ Assesses staff education needs based on own the review of clinical documentation in addition to feedback and… more
- Datavant (Tallahassee, FL)
- …CPT, and appropriate coding references for accurate DRG and APC assignment. + Review non-CC/MCC records to assess proper coding or identify the need for additional ... + Provide coder education through the auditing process. + Prepare preliminary results for review by the facility or CCS HIM director. + Review disagreements on… more
- Datavant (Tallahassee, FL)
- …through automation, auditable development workflows, and practical risk management + Review application projects our development teams build. This will mean putting ... You'll be very comfortable providing control feedback in a review environment to development teams. This role is not...reviewed by Datavant Human Resources and determined on a case -by- case basis. Depending on the state in… more
- Fox Rothschild LLP (West Palm Beach, FL)
- …clients. **ESSENTIAL FUNCTIONS:** + **Calendaring/Critical Data Management (Docketing)** + Review documents, including but not limited to, correspondence, pleadings, ... deadlines; + Docket client-specific actions with accuracy in accordance with case team preferences, including daily data entry into the calendaring database… more
- US Tech Solutions (Hialeah, FL)
- …enable decision making at most appropriate level **Duties:** + Coordinates case management activities for Medicaid Long Term Care/Comprehensive Program enrollees. + ... Utilizes critical thinking and judgment to collaborate and inform the case management process, in order to facilitate appropriate healthcare outcomes for members by… more
- Datavant (Tallahassee, FL)
- …organizations. **You will:** + Develop and adapt content assets (presentations, case studies, whitepapers, blogs, videos, etc.) that support Sales and Marketing ... + Experience creating a wide variety of content formats (presentations, blogs, case studies, whitepapers, etc.). + Strong project management skills with the ability… more
- Molina Healthcare (Miami, FL)
- …care fraud, waste, and abuse. Duties include performing accurate and reliable medical review audits that may also include coding and billing reviews. The SIU ... also entails producing audit reports for internal and external review . The position may also work with other internal...regulatory agencies and law enforcement. + Documents appropriately all case related information in the case management… more
- Elevance Health (FL)
- …policies when making medical necessity decisions. + Brings to their supervisors attention, any case review decisions that require Medical Director review or ... mandated policies, and CMS Coverage Determinations, as applicable. + Perform physician-level case review of utilization requests for procedures and interventions… more