- Actalent (West Palm Beach, FL)
- …the state. You will be involved in engineering, design, permitting, construction management services, and engineering during construction for a diverse range of ... new business opportunities, manage subconsultants, and staff. + Provide construction management services, acting as a liaison between the contractor, government… more
- HCA Healthcare (Fort Walton Beach, FL)
- …set forth by accrediting agencies: CAP, JCAHO, CLIA, FDA and CMS . Leads department accreditation preparation. . Oversee quality control/assurance programs related ... to test methodology, protocols, equipment and supplies. . Actively participates in Continuous Quality Improvement. . Ensure that staff receives information by developing and implementing a communication plan. **You Should Have:** . Bachelor's Degree in Medical… more
- Centene Corporation (Miami, FL)
- …is required. **Position Purpose:** Develops, assesses, and facilitates complex care management activities for primarily physical needs members to provide high ... needs + Identifies problems/barriers to care and provide appropriate care management interventions + Coordinates as appropriate between the member and/or… more
- AdventHealth (Sebring, FL)
- …Raceway . Nature and hiking trails **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
- NCH (Naples, FL)
- …independent, locally governed non-profit delivering premier comprehensive care. Our healthcare system is comprised of two hospitals, an alliance of 700+ physicians, ... care. NCH is transforming into an Advanced Community Healthcare System (TM) and we're proud to: Provide higher acuity care...mortality for the patient and is reflective of current CMS or other regulatory standards. Will provide other duties… more
- HCA Healthcare (Ocala, FL)
- …daily ancillary charge report to identify any potential charging issue related to system failures, system updates or other. Reviews denial trends for ... drive total charge variations. + Reviews Regulatory and Compliance Communications, applicable CMS transmittals, and Local Coverage Decisions (LCD). + Works on Charge… more
- AdventHealth (Zephyrhills, 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
- ChenMed (Pembroke Pines, FL)
- …to preferred providers. + Coordinate the integration of social services/case management functions in the pre-acute, ER, acute and post-acute setting. Coordinate ... the patient care, discharge, and home planning processes with hospital case management departments, and other healthcare facilities. + In conjunction with the PCP,… more
- Point32Health (FL)
- …per State and Federal regulations for the professional and compliant management and coordination of assigned member appeals and grievance (complaints) received ... (National Committee for Quality Assurance), DOI (Dept of Insurance), CMS , DOL and any state or federal specific regulations...and skills required of employees assigned to this position. Management retains the discretion to add to or change… more
- Carrington (Jacksonville, FL)
- …Loss Mitigation Department Underwriters to achieve maximum performance in assisting CMS customers with available loss mitigation options. Responsible for oversight ... Mitigation Department including monthly and quarterly audits, reporting, change management , compliance, quality assurance/quality control, and vendor/third party communication.… more