- HCA Healthcare (Sebring, FL)
- …full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Parallon has over 17,000 ... colleagues, and serves close to 1,000 hospitals and 3,000 physician practices, all making an impact on patients, providers and their communities. HCA Healthcare has been recognized as one of the World's Most Ethical Companies(R) by the Ethisphere Institute… more
- Humana (Stuart, FL)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal ... Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information,… more
- MyFlorida (Gainesville, FL)
- …and in a timely manner in compliance with state, federal and Medicaid regulations through hands-on training, modeling and oversight. Through direct observation and ... oversight, ensures direct care staff provide transportation of residents to the off-home programs on center in line with the residents' daily activity schedules and preferences. Assists the IDT team with the development and implementation of corrective actions… more
- Humana (Tallahassee, FL)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal ... Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information,… more
- HCA Healthcare (Margate, FL)
- …You will maintain a thorough working knowledge of the rules of Medicare, Medicaid , and private payer regulations and processes. You will possess a thorough ... understanding of managed-care concepts and length-of-stay management relating to patient and organizational fiscal responsibility. + You will perform thorough assessments and develop appropriate discharge plans for high-risk patients with discharge planning or… more
- MyFlorida (Daytona Beach, FL)
- …in Agency Hearings, meetings, and client staffing. Provides consultation for Medicaid exception denial requests and eligibility reviews as needed. Performs ... additional duties as required. Minimum Qualifications + Bachelor of Science in Nursing is preferred. + Must have a valid Driver's License or other efficient means of transportation to travel for work purposes and willing to travel. + Minimum 2 years of… more
- HCA Healthcare (Fort Walton Beach, FL)
- …MSW maintains a thorough working knowledge of the rules of Medicare, Medicaid , and private payer regulations and processes, and possesses a thorough understanding ... of managed-care concepts and length-of-stay management relating to patient and organizational fiscal responsibility. The scope of this role includes intensive care units, Trauma, Oncolgy, NICU, Transplant, ED, and responds to physician, non-discharge planning… more
- AdventHealth (Davenport, FL)
- …not limited to: Coordination of Care, Centers for Medicare & Medicaid Services (CMS) Conditions of Participation, Discharge Planning, Social Services, Readmission ... Prevention, Length of Stay, Excess days, Avoidable Days, Value Based Care partnerships, Care Manager's roles in Multidisciplinary Rounds, Care Transitions, team member engagement, team member evaluations and customer experience. The Care Management Facility… more
- AdventHealth (Orlando, FL)
- …requirements. Operationalizes and assures compliance with Centers for Medicare and Medicaid (CMS), Occupational Safety and Health Administration (OSHA), Center for ... Disease and Prevention (CDC) and Patient Safety regulations at the campus level. Adheres to applicable practice standards that relate to their area of specialty. . Operating & Capital Budget/Financial Responsibility: * Analyzes financial statements, manages… more
- AdventHealth (Maitland, FL)
- …including Medicare Advantage, commercial payers, direct to employer agreements, managed Medicaid and various CMS programs and bundled payments. . Fosters effective ... collaboration between the PHSO, Managed Care, CIN providers, AH medical groups, Acute Care Services (ACS) leadership, Institute executives, Ambulatory Services, CMO, Chief Clinical Officer and other affiliated services to improve quality and utilization to… more