• Quality Management Analyst 2

    University of Miami (Miami, FL)
    …published by external regulatory agencies, ie, Centers for Medicare and Medicaid Services, Hospital Compare and Physician Compare. Collaborates closely with ... Credentialing, and IT to produce reports, monitor performance, and identify opportunities for improvement. Maintains knowledge of industry trends in quality and outcome measures.CORE JOB FUNCTIONS 1. Abstracts and analyze data to maximize productivity 2.… more
    University of Miami (07/25/25)
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  • Child Case Manager

    WestCare Foundation (Key West, FL)
    …sources; + Ability to maintain an active and up-to-date knowledge of Medicaid /Medicare and Social Security disability application procedures. + Ability to organize, ... interpret and communicate data in a comprehensive and effective manner. + Ability to network with internal and external departments and agencies. + Knowledge in the understanding and application of case management techniques + Knowledge in the understanding… more
    WestCare Foundation (07/24/25)
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  • Care Coordinator

    Help at Home (Sarasota, FL)
    …staffing coordination, home care coordination, or healthcare support preferred + Medicaid , Waiver, or Home Healthcare experience preferred. **Benefits:** + Direct ... deposit + Healthcare, dental, and vision insurance + Paid time off and parental leave + 401k + Ongoing, in-depth training opportunities + Meaningful work with clients who need your help + Career growth and experience with an industry leader with 50+years of… more
    Help at Home (07/24/25)
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  • Home Health Physical Therapist PT Full time

    Aveanna Healthcare (Gainesville, FL)
    …and completion of OASIS documentation As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all ... relevant jurisdictions, including required vaccinations and testing, subject to exemptions for medical or religious reasons as appropriate. Notice for Job Applicants Residing in California (https://www.aveanna.com/CaliforniaPrivacyNotices.html) Apply more
    Aveanna Healthcare (07/24/25)
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  • Advanced Practice Provider - Bilingual (Spanish)…

    Elevance Health (FL)
    …modalities to patients who receive home and community-based services through state Medicaid programs, dual eligible members and other membership as assigned by our ... MCO partners. + Develops and implements clinical plans of care for adult patients facing chronic and complex conditions (eg, co-morbid medical and mental health diagnoses, limited personal resources, chronic medical conditions.). + Gathers history and physical… more
    Elevance Health (07/24/25)
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  • Medical Billing Specialist Not a Remote Position

    National Health Transport (Miami, FL)
    …School Graduate/GED + Medical coding training and experience + Familiar with Medicare/ Medicaid laws and billing + Certified Ambulance Coder helpful + Ambulance ... Industry experience helpful Compensation: $15.00 - $18.50 hourly Required Shifts/Schedule: Hours must be flexible to meet the demands of the office, but would generally be 8:00am-4:30pm, Monday through Friday. This position is not remote. Note: This… more
    National Health Transport (07/23/25)
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  • Facility HIM Coordinator

    HCA Healthcare (Fort Pierce, 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
    HCA Healthcare (07/23/25)
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  • Social Worker MSW PRN

    HCA Healthcare (Pensacola, 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
    HCA Healthcare (07/19/25)
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  • Senior Manager, Network Management, National…

    CVS Health (Tallahassee, FL)
    …yourself and others) skills **Required Qualifications** * Commercial, Medicare, and/or Medicaid knowledge * 5+ years related experience, proven and proficient ... managed care network negotiating skills. * 3+ years contracting for large facilities or provider groups. * Proven working knowledge of competitor strategies, complex contracting options, financial/contracting arrangements, and regulatory requirements.… more
    CVS Health (07/19/25)
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  • PPEC -Pediatric Licensed Practical Nurse (LPN)

    Aveanna Healthcare (Brandon, FL)
    …and Employees Residing in California As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all relevant ... jurisdictions, including required vaccinations and testing, subject to exemptions for medical or religious reasons as appropriate. Notice for Job Applicants Residing in California (https://www.aveanna.com/CaliforniaPrivacyNotices.html) Apply more
    Aveanna Healthcare (07/18/25)
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