- AdventHealth (Minneola, FL)
- …spirit in the Minneola community. **The role you'll contribute:** The Care Management Facility Director has full accountability and oversight for the overall ... operations of the Care Management department, including but not limited to: Coordination of...Coordination of Care, Centers for Medicare & Medicaid Services ( CMS ) Conditions of Participation, Discharge Planning, Social Services, Readmission… more
- AdventHealth (Daytona Beach, FL)
- …discharge planning needs, ensures patients meet criteria for inpatient rehabilitation per CMS guidelines. + Responds to all referrals promptly and communicates the ... decision to admit or deny to referral source + Completes pre-admission screen with the required clinical information, verifying medical and rehabilitation needs, insurance coverage, and discharge plans. + Upon receiving concurrence or denial from the Rehab… more
- AdventHealth (New Smyrna Beach, FL)
- …patient satisfaction, patient safety, readmission prevention and length of stay management . The RN Care Manager communicates daily with the interdisciplinary team ... core competencies of this role. The RN Care Manager facilitates the collaborative management of patient care across the continuum, intervening to remove barriers to… more
- Cisco (FL)
- …+ Custom application development on the ServiceNow platform including Custom UI Pages and content in the CMS . + Experience managing CMDB + Experience with ... and maintains, tests and integrates application components. + Ensures that system improvements are successfully implemented. + Handles incidents per published SLAs,… more
- MyFlorida (Miami, FL)
- …and are complete prior to entering the incidents into the Agency's Incident Management System (IMS). Follows up with providers to collect missing information, ... - 67044201 Date: Aug 23, 2025 The State Personnel System is an E-Verify employer. For more information click...independently performs a variety of functions related to incident management including ensuring CMS compliance with provider… more
- Molina Healthcare (Jacksonville, FL)
- …building regulatory compliance audit procedures. * At the direction of management , coordinates and performs oversight audits and validation activities to ensure ... other evidence as part of regulatory audits. EX: DMHC, CMS active audits. Responsible for acting as the liaison...Provides draft written reports of audits and findings to management , including recommendations for any identified finding; Supports … more
- CenterWell (Tallahassee, FL)
- …measure technical specifications etc. + Minimum of 2 years' experience working with CMS STARs quality measures. + Prior experience in a fast-paced health care ... care to seniors, including wellness visits, physical exams, chronic condition management , screenings, minor injury treatment and more. As part of CenterWell… more
- AdventHealth (Port Charlotte, FL)
- …and pediatric units in Charlotte County. **The role you'll contribute** **:** The Care Management Manager is under the general leadership of the Care Management ... of the departmental daily operations and supervision of team members. The Care Management Manager is responsible for, but not limited to: Coordination of Care,… more
- University of Miami (Coral Gables, FL)
- …requirements including but not limited to: OSHA, HIPAA, JC, AHCA, EMTALA, and CMS . This list of duties and responsibilities is not intended to be all-inclusive ... medical, dental, tuition remission and more. UHealth-University of Miami Health System , South Florida's only university-based health system , provides… more
- Humana (Miramar, FL)
- …process and preparing comprehensive documentation to communicate account issues to management , market groups, and regional personnel. Decisions made in this position ... software systems. + Highly detail-oriented, with excellent organizational and time- management skills. + Capable of working independently with minimal supervision,… more