• Nursing Supervisor

    Option Care Health (Jacksonville, FL)
    …competency is maintained by providing direct patient care 20-40% of the time. In a Medicare Certified Home Health agency, this position may also serve as ... Acts as Administrator and/or Director of Nursing of the Home Health Agency for Medicare ...using find and replace, undo, spell check, track changes, review pane and/or print functions). + Basic level skill… more
    Option Care Health (04/23/25)
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  • Medical Director - OneHome

    Humana (Tallahassee, FL)
    …relies on fundamentals of CMS Medicare Guidance on following and reviewing home health , DME, skilled nursing facility and waiver requests. The Medical ... management experience in a medical management review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance. + Experience… more
    Humana (05/31/25)
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  • Customer Success Agent

    Humana (Tallahassee, FL)
    **Become a part of our caring community and help us put health first** The Customer Success Agent is responsible for member retention through active engagement with ... position requires you to have a current and valid Health Care Sales License in your current state of...business demands (see additional details below under Work At Home Requirements) + 2+ years of experience working in… more
    Humana (05/29/25)
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  • Clinical Pharmacist - Coverage…

    CVS Health (Tallahassee, FL)
    At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... health care. As the nation's leading health ...Advisor in Government Services you will be directly supporting Medicare Part D members and providers with requests related… more
    CVS Health (05/29/25)
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  • Community Health Worker

    CenterWell (Jupiter, FL)
    …in the patient's community (eg, facilitate coordination with local food bank) and health care providers (eg, coordinate visits, review annual wellness visits, ... part of our caring community and help us put health first** **Community Health Worker** **Job Summary**...providers for further evaluation and treatment. + Outreach and Home Visits: Conducting community outreach activities, including home… more
    CenterWell (05/15/25)
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  • Behavioral Health Nurse

    Actalent (Sunrise, FL)
    …services. + Conduct thorough needs assessments, including risk stratification, to determine health , psychological, educational, and social needs. + Review the ... Actalent is hiring Behavioral Health Care Coordinators! Job Description The Behavioral ...Participate in team huddles and multidisciplinary team conferences to review strategies and develop action plans for quality care.… more
    Actalent (05/29/25)
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  • Physician -Florida

    CenterWell (Tallahassee, FL)
    …largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is ... part of our caring community and help us put health first** We are excited to offer the role...nurse practitioners or physician assistants, including completing regular chart review , coordinating monthly meetings, and being readily available to… more
    CenterWell (05/22/25)
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  • Field Reimbursement Manager

    Amgen (Orlando, FL)
    …reimbursement issue resolution, requiring knowledge and experience with patient health information (PHI). **Key Responsibilities:** + Act as an extension ... through payer prior authorization to appeals/denials requirements and forms. + Review patient-specific information in cases where the site has specifically requested… more
    Amgen (05/22/25)
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  • Pre-Service Coordinator

    Humana (Miramar, FL)
    …About OneHome: OneHome coordinates a full range of post-acute care ranging from home health , infusion therapy and durable medical equipment services at patients' ... Health Plan contractual agreements. The Pre-Service Coordinator will review inbound referrals and correspondence for processing, fulfilment or resolution… more
    Humana (05/16/25)
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  • Public Health Nutrition Consultant

    MyFlorida (Delray Beach, FL)
    …of the Social Security Act. In accordance with 400.275, FS, each member of a nursing home survey team who is a health professional licensed under part X of ... 68058480 - PUBLIC HEALTH NUTRITION CONSULTANT Date: May 27, 2025 The...state licensure and federal certification requirements for participation under Medicare /Medicaid. The incumbent will document findings and complete written… more
    MyFlorida (05/28/25)
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