- Molina Healthcare (FL)
- **JOB DESCRIPTION** **Job Summary** Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and ... visits of all members while in the hospital and home visits of high- risk members post-discharge. + Coordinates care and reassesses member's needs using the Coleman… more
- Molina Healthcare (Miami, FL)
- …activities.* Responsible for alignment with project methodologies and change management processes.* Responsible to organize, manage and lead cross-team project ... engineering teams, and business stakeholders to evaluate design consistency, risk posture, and architectural completeness.* Provides constructive feedback on people,… more
- Molina Healthcare (Jacksonville, FL)
- …to ensure the Molina provider network consists of providers that meet regulatory and risk management criteria to minimize liability to the company and to ... for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare … more
- Molina Healthcare (St. Petersburg, FL)
- …issues, steer partners toward durable fixes, and convert disciplined CTM management into Stars gains, audit readiness, and measurable member-experience improvements. ... data-validation reviews * Ability to quantify financial, regulatory, and member-experience risk from complaint trends and to drive prioritized remediation. 3.… more
- Genesis Healthcare (Panama City, FL)
- …* work simplification * orientation * physical agent modalities * low vision * falls risk management * medication management * health and wellness * ... community integration and reintegration * Case Management skills in the home and community space 12....Salary Range USD $61.00 - USD $61.00 /Hr. Genesis HealthCare , Inc. and all affiliated entities (collectively "Genesis") has… more
- WTW (Tampa, FL)
- …plan design and innovative financial solutions. You will apply your financial management and data analytics expertise to solve complex client problems and to ... Drives revenue growth through client sales of additional actuarial, financial, and/or risk solutions + Provides consulting quality reviews and client delivery for… more
- Genesis Healthcare (St. Augustine, FL)
- …physical agent and mechanical modalities * Health and Wellness * Falls Risk Interventions * Chronic Disease Management Education 11. Performs other ... reliable, independent transportation to and from the patients' residence. Genesis HealthCare , Inc. and all affiliated entities (collectively "Genesis") has a strong… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …+ Maintain accurate and timely documentation in electronic health records and care management platforms. + Identify and intervene in high- risk cases to reduce ... and insurance coverage. + Provide telephonic and/or in-person case management and member education regarding conditions, medications, and treatment options.… more
- HCA Healthcare (Pensacola, FL)
- …a 308,000 Sq Ft commercial multi-tenant medical office building. + A strong risk management and compliance program. + A solid governance structure represented ... by physicians, that represents every physician - You can participate! + My MCC - a proprietary physician information system that gives you real-time financial information on your practice and the latest on MCC happenings. THIS is unheard of in any other… more
- Carnival Cruise Line (Miami, FL)
- …International Maritime Health standards. + **Crew Medical Claims Management ** + Escalate high- risk crew cases to risk management , legal, HR, and clinical ... This role reports to the Senior Manager of Case Management and oversees the daily operations of crew case management . The Manager leads a team of specialists to… more