- Elevance Health (Tampa, 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 ... in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance Health location at least… more
- Humana (Belle Glade, FL)
- …on patient plan of care. Report's problems/potential problems to RN/Case Manager .forward and of moderate complexity. The Licensed Practical Nurse participates in ... are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal… more
- CenterWell (Fort Lauderdale, FL)
- …preferred . Active and unrestricted DEA license . Medicare Provider Number . Medicaid Provider Number . Minimum of two to five years directly applicable experience ... largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing the physical,… more
- Humana (Miramar, FL)
- …purchase orders if required. + Maintains inventory as required by the manager and company inventory control. + Performs equipment maintenance and record keeping ... are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal… more
- WestCare Foundation (Miami, FL)
- …reviews + Document all clinical services and activities in accord with licensing, Medicaid , and Joint Commission standards and agency policy and procedure + Conduct ... Essential Qualifications: Certifications/Licensures: + Certification as a certified case manager in good standing and recognized by the Florida Certification… more
- Molina Healthcare (Tampa, FL)
- …Guidelines, MCG, InterQual or other medically appropriate clinical guidelines, Medicaid , Medicare, CHIP and Marketplace, applicable State regulatory requirements, ... Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager + Certified Professional Healthcare Management + Certified Professional in Healthcare… more
- CenterWell (North Miami, FL)
- …and recreational activities + Health Plan experience, including Medicare/ Medicaid + Electronic Medical Record (ECW) knowledge/experience **Additional Information:** ... largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing the physical,… 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 ... with discharge planning or psychosocial needs. + Obtains input from the RN case manager to ensure the discharge plan is appropriate and aligns with the patient care… more
- Wider Circle (Daytona Beach, FL)
- …in Wider Circle's digital systems in a timely manner. + Support Area Manager by assisting Specialists in their role, which can include training, shadowing or ... phone or video conferencing. + A genuine interest in working with Medicare/DSNP/ Medicaid populations and a commitment to building strong, supportive relationships. +… more
- Public Consulting Group (Tallahassee, FL)
- …agency and school district clients in their efforts related to special education, Medicaid reimbursement, data management and use. While a remote role, it is ... with and support clients. **Duties And Responsibilities** + Serves as project manager and subject matter expert, independently managing complex projects, staff, and… more