- MyFlorida (Clearwater, FL)
- …and planning entity. The Agency is responsible for administering the Florida Medicaid program, the licensure and regulation of nearly 50,000 health care facilities, ... all calls relays to appropriate persons, if necessary. Places outgoing calls for supervisor as required. May perform all clerical functions related to a particular… more
- MyFlorida (Haines City, FL)
- …the inventory is kept up to date, and notifies any discrepancies to the supervisor + Works independently to provide services to clients under protocol in Family ... Facilitate case management of families through work with staff, Medicaid HMOs, and/or insurance companies. + Coordinates with HMOs...and the clinic as assigned by the Sr. CHN Supervisor . + This position may serve clients that speak… more
- MyFlorida (Greenacres, FL)
- …(HMS) for Employee Activity Reports (EARs); WIC FL WISE System; Florida Medicaid Management Information System (FMMIS); Florida Shots and Q-Flow. Answers phone and ... clients, community partners and the general public. Explains WIC program eligibility , application and appointment procedures including but not limited to … more
- Actalent (Sunrise, FL)
- …an interdisciplinary team under the supervision of the Director and/or Manager/ Supervisor of Medical Management. The primary role involves reviewing requests for ... and utilization review concepts, including InterQual and Milliman Criteria, Florida Medicaid Program and CMS Guidelines. + Proficient in word processing software,… more
- Actalent (Sunrise, FL)
- …use of services. Under the general supervision of the Director and/or Manager/ Supervisor of Medical Management, and in collaboration with the interdisciplinary team, ... concepts, including InterQual and Milliman Criteria. + Understanding of Florida Medicaid Program and CMS Guidelines. + Familiarity with community and post-acute… more
- Communities Connected for Kids (Fort Pierce, FL)
- …insurance, generous time-off, and competitive 403b retirementplus 30-day benefit eligibility waiting period for new hires! Home | BenePortal ... medical coverage and other needed services for children + Coordinate cases with supervisor , team members, providers, DCF and CLS attorneys as needed + Facilitate… more
- AdventHealth (Altamonte Springs, FL)
- …**Schedule:** Full Time, Hourly **Shift** : Monday-Friday 8am- 5pm with Rotation Supervisor On-Call. **Location:** Hospice is based out of our Altamonte Springs ... with federal, state and local guidelines as well as Medicare, Medicaid and insurance reimbursement requirements. Interprets requirements to determine eligibility… more
- MyFlorida (Milton, FL)
- …for the Statewide Travel Management System (STMS), 2) Performs budgetary monitoring; 3) Medicaid Cost Report 4) Serves as Internal Auditor for FDOH in Santa Rosa ... seminars related to disbursements. Performs other duties as assigned by supervisor , including performance of additional interpreter duties consistent with skill… more
- HCA Healthcare (Sarasota, FL)
- …Learn more about Employee Benefits (https://careers.hcahealthcare.com/pages/employee-benefits-and-rewards) **_Note: Eligibility for benefits may vary by location._** ... patient services. Under the supervision of the Business Office Manager/Business Office Supervisor , you will obtain payment from third party payers and self-pay… more
- MyFlorida (Orlando, FL)
- …for the agency's financial standing as well as direction and supervisor of administrative services (Finance (AR/AP), Purchasing, Budget, Contracts and Facility ... appropriate regulatory procedures. Oversee accounts payable including the preparation of the Medicaid cost-based report and ensure that DOH A/R standards are met.… more
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