• Field Care Coordinator

    Humana (Orlando, FL)
    …Florida, with at least 4 years of relevant experience + Prior experience with Medicare & Medicaid recipients + Minimum 2 years case management experience + Bilingual ... your life extends outside of work. Among our benefits, Humana provides medical , dental and vision benefits, 401(k) retirement savings plan, time off (including… more
    Humana (07/22/25)
    - Related Jobs
  • Claims and Call Auditor (Call Center QC)

    CHS (Clearwater, FL)
    …experience is preferred + Knowledge of medical terminology + Knowledge of medical coding systems + Knowledge of Medicaid/ Medicare Guidelines + Knowledge of ... Clearwater, FL** ** ** **Summary** The Claims & Call Auditor audits processed medical insurance claims and customer service calls to ensure validity, accuracy, and … more
    CHS (06/14/25)
    - Related Jobs
  • Revenue Integrity Coding Specialist - CPC Required

    Trinity Health (Fort Lauderdale, FL)
    …charges/coding are in alignment within AMA and Medicare coding guidelines. Ensure medical documentation and coding compliance with Federal , State and ... M-F, 8a-5p remote position that requires certification. For the Holy Cross Medical Group this individual performs charge entry, charge approvals, and/or quality… more
    Trinity Health (08/14/25)
    - Related Jobs
  • PreA InfBen & Auth Spec-ONC

    AdventHealth (Maitland, FL)
    …reviewed, and financially cleared based on the patient insurance requirements. + Verifies medical necessity in accordance with Centers for Medicare & Medicaid ... test, and procedure or registration being performed. Adheres to AdventHealth Corporate Compliance Plan and to all rules and regulations of all applicable local,… more
    AdventHealth (08/28/25)
    - Related Jobs
  • Chief Of Nursing Services - F/C

    MyFlorida (Gainesville, FL)
    …food service, maintenance, direct care, nurses, counselors, rehab therapists, medical doctors, security, psychiatrists, and psychologists. NORTH FLORIDA EVALUATION ... for the coordination, development, and implementation of nursing procedures in compliance with professional nursing standards, the Joint Commission on Accreditation… more
    MyFlorida (08/20/25)
    - Related Jobs
  • Pharmacy Fulfillment Coordinator

    Humana (Miramar, FL)
    …manufacturing to packing/delivery. **Duties and Responsibilities:** + Assemble patient's electronic medical record and process orders in CPR + and One Care ... new orders in a timely manner. + Obtains renewal medical orders for Clinical Pharmacist prior to providing services....to standard practice of the profession, and states, and federal laws + Provides industry-best phone customer services to… more
    Humana (08/29/25)
    - Related Jobs
  • Executive Director Of Operations Specialty Care

    AdventHealth (Palm Coast, FL)
    …that together we are even better. Schedule: Full Time Shift:Day Location: AdventHealth Medical Group East FL The community you'll be caring for: 301 MEMORIAL ... MEDICAL PKWY, Daytona Beach, 32117 The role you'll contribute:...such as developing goals and program initiatives, ensuring practice compliance , improving patient experience, maintaining quality metrics, revenue cycle… more
    AdventHealth (08/23/25)
    - Related Jobs
  • Administrator in Charge, Nursing Support Services…

    University of Miami (Miami, FL)
    …a timely and professional manner. + Use of Tracer-methodology to assure compliance and standards of practice Medical examiner notification/presentation of cases ... delivery of high-quality patient care, efficient management of resources and compliance with healthcare regulations. This leadership role involves human resource… more
    University of Miami (07/18/25)
    - Related Jobs
  • Assistant Director Of Nursing\ADON\12k Sign ON

    BrightSpring Health Services (Gainesville, FL)
    …with operations management + Provides additional oversight to ensure completion and compliance of all client medical records, assessments, appointments and any ... to family and patients/clients with escalated issues. Monitors quality control, compliance , and overall performance of the unit. Responsibilities + Coordinates with… more
    BrightSpring Health Services (06/13/25)
    - Related Jobs
  • Pharmacy Warehouse Technician

    Humana (Miramar, FL)
    …for individual patient orders. + Coordinates all supplies recall activities and assures compliance with FDA and company policies for same if applicable. + Maintains ... Pharmacy Warehouse is in optimal condition at all times, according to State, Federal , and Accreditation Standards, and is stocked to handle packing, pulling, and… more
    Humana (08/21/25)
    - Related Jobs