- Elevance Health (Tampa, FL)
- …CPEC-Claims Payment Extract and Capitation; CIFT, CFE; GBD IT Pre/Post-Adjudication; COPS ; UM MATCH LOGIC; PROVIDER/PRICING CONFIG utilization. + Data & Analytics ... experience with our the following tools strongly preferred: EdWard, OPAL, OBI, EDI. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including… more
- Gentiva (Crestview, FL)
- …personalized methods + Complete bereavement assessments per Conditions of Participation ( CoPs ) and organizational policies + Maximize family access to resources ... including volunteers, support groups, and referrals to outside agencies + Provide education and training to team members, community, and contract agencies as requested + Maintain accurate bereavement charts and provide monthly summary reports including… more
- AdventHealth (Altamonte Springs, FL)
- …of the team and documentation requirements to meet Conditions of Participation ( COPs ). Additionally, the Admissions Manager is tasked with the management of ... admissions and referral processes and staff, admitting new patients, and assigning their cases to Patient Care Managers Teams, ensuring a comprehensive approach to patient intake and care coordination. **The value you'll bring to the team:** + Oversees the… more
- BAYADA Home Health Care (Jacksonville, FL)
- …and clinical staff + Ensure compliance with Medicare Conditions of Participation ( CoPs ), state regulations, and agency protocols + Monitor and manage quality ... assurance processes, including OASIS documentation, Plan of Care development, and clinical chart reviews + Facilitate staff orientation, education, and performance evaluations + Collaborate with the interdisciplinary team to ensure coordinated, efficient, and… more
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