- CVS Health (Tallahassee, FL)
- …and prepares cases for clinical and legal review. + Documents all appropriate case activity in case tracking system. + Prepare written case summaries ... + Gives presentations to internal and external customers regarding ongoing case investigations. **Required Qualifications** + 3-5 years investigative experience in… more
- Datavant (Tallahassee, FL)
- …judgment in the performance of job responsibilities. + Communicate with co-workers, management , and hospital staff regarding clinical and reimbursement issues. + ... positive manner. + Adhere to the American Health Information Management Association's code of ethics. + Be customer-service focused...reviewed by Datavant Human Resources and determined on a case -by- case basis. Depending on the state in… more
- Datavant (Tallahassee, FL)
- …from our solutions. As such, we need an experienced account and/or relationship management individual who can drive success for our customers. This role includes ... adoption, advocacy, retention, etc.). **You Will:** + Own account management and value management for a dedicated...life sciences space + Understanding of drug development and/or clinical trials \#LI-BC1 We are committed to building a… more
- Elevance Health (Miami, FL)
- …and providers. **How you will make an impact** : + Ensures timely completion of clinical case reviews for their board certified specialty. + Makes physician to ... Clinical Operations Associate Medical Director** **Carelon Medical Benefits Management ** **Radiology Benefit** ** Management /Utilization** **Review** **Virtual:** This… more
- WestCare Foundation (Miami, FL)
- …development, parent individual functioning, family/parenting functioning and case management /community. + Develop and maintain clinical records and program ... in this position will be responsible for planning and coordinating the clinical activities pertaining to services for families. Conducts admissions for consumers… more
- Gentiva (Ocala, FL)
- …hospice leadership, registered nurse manager, hospice nurse jobs, nurse leader, hospice case management , home health manager, end-of-life care leadership_ ReqID: ... **Overview** **Advance Hospice Care. Lead Clinical Excellence. Inspire Compassionate Teams.** We are seeking...of Science in Nursing (BSN) + Previous leadership, team management , or supervisory experience in hospice or home health… more
- Humana (Tallahassee, FL)
- …the start time is 10:00AM EST.** Our nurses are titled Care Managers, because our case management services are centered on the person rather than the condition. ... Seasoned RN with a **minimum of 3 years of clinical nursing experience.** + Demonstrated clinical knowledge...MCG or CMS guidelines, assessment and documentation practice + Case Management certification (CCM) + Bilingual in… more
- AdventHealth (Sebring, FL)
- …+ Recent, relevant experience in a Medicare-certified home health agency as a case -manager + Certificate for OASIS Specialist - Clinical + Home Health ... on individual patient needs. The PT Care Manager is responsible for independent management of the Home Health patient population requiring the use of advanced… more
- MyFlorida (Jacksonville, FL)
- …for Syphilis and HIV, or other bacterial, biological, or viral agents Perform case management activities as directed in the process of identifying individuals ... not be limited to case discussions, work prioritization, records documentation, case management , interviewing, visual case analysis and documentation of… more
- Datavant (Tallahassee, FL)
- …and reimbursement purposes. You will play a critical role in translating clinical documentation into precise codes that reflect the complexity and severity of ... + Maintain communication with both Coders as well as management on errors, trends, educational opportunities, etc. + Other...reviewed by Datavant Human Resources and determined on a case -by- case basis. Depending on the state in… more