- Humana (St. Augustine, FL)
- … Plans is a recognized leader in healthcare delivery that has been offering Medicare Advantage health plans in Florida over 23 years. CarePlus strives to ... our consumers. **_Face to face interactions in prospective members' home are a requirement for this position._** **Use your...help people with Medicare , or both Medicare and Medicaid, achieve their best possible health… more
- Humana (Tallahassee, FL)
- **Become a part of our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health claims and ... of services provided by other healthcare professionals in compliance with review policies, procedures, and performance standards. Represents Humana at Administrative… more
- Humana (Tallahassee, FL)
- … first** The Corporate Medical Director (CMD) relies on medical background to review health claims and preservice appeals. The Corporate Medical Director works ... clinical experience + Knowledge of the managed care industry including Medicare , Medicaid and/or Commercial products + Must be passionate about contributing… more
- Molina Healthcare (Tampa, FL)
- …medical director, and quality improvement staff. + Facilitates conformance to Medicare , Medicaid, NCQA and other regulatory requirements. + Reviews quality referred ... requests in timely support of nurse reviewers; reviews cases requiring concurrent review , and manages the denial process. + Monitors appropriate care and services… more
- BAYADA Home Health Care (Orlando, FL)
- …Manager. The OASIS and Coding Review Manager provides support to all BAYADA Home Health Care Medicare service offices by monitoring Outcome and ... and OASIS review . + Knowledge of OASIS, Home Care and Medicare regulations + Excellent...from 8:30am-5:00pm. _Medicare, Coder, OASIS Review , Utilization Review , Quality Assurance, Remote, Home Health… more
- BAYADA Home Health Care (Orlando, FL)
- …consideration. OASIS Review , Utilization Review , Quality Assurance, Remote, Home Health Coding, Coder, Medicare **As an accredited, regulated, ... considered, there is no flexibility around this requirement.** BAYADA Home Health Care has an immediate opening...Medicare PDGM billing model and CMS guidelines. + Review and communicate OASIS edit recommendations to each clinician… more
- Acute Home Healthcare (Orlando, FL)
- …+ All Elements of Oasis Documentation + Medicare Programs ( Home Health Value Based Purchasing, Pre-Claim Review ) + CMS and Other Regulatory Resources + ... Home Healthcare Clinical and Business Operations + Medicare and Insurance Billing Processing + Reviewing Patient Charts...+ Licensed RN + Minimum 5 years Experience in Home Health + Minimum 2 years Experience… more
- Acute Home Healthcare (Orlando, FL)
- Job description Description for RN Case Manager for Home Health Office Acute Home Healthcare is looking for a Registered Nurse Case Manager to join our team! ... primary responsibilities include but are not limited to: + Review of RN's OASIS Assessments to Ensure Completion and...License (State of Florida) + Minimum of 2 Years Home Health Experience + OASIS Home… more
- BayCare Health System (Sarasota, FL)
- …Centers for Medicare & Medicaid Services (CMS), is seeking for its newest full time Home Health Registered Nurse in beautiful North Port, FL. The Home ... team award bonus + Community discounts and more The Home Health RN provides hands-on care in...provided are authorized and covered by physician orders + Review of patient visits weekly and providing plan to… more
- HCA Healthcare (Gainesville, FL)
- …health , public nursing or acute hospital nursing experience + Familiar with Medicare home health regulations, documentation requirements, ICD-10 coding ... providing patients with quality care during their recovery at home . We are Medicare certified. Our patients...you to apply for our RN Home Health opening. Our team will promptly review … more