- MyFlorida (Sarasota, FL)
- …Total Compensation Estimator Tool (https://compcalculator.myflorida.com/) Join Our Team as a Case Management Medical Assistant! Are you passionate about making ... MEDICAL ASSISTANT - 64004451 1 1 1 Date: Aug...Join us for an exciting role that combines meaningful case management with dynamic clinic support! What You'll Do … more
- Humana (Tallahassee, FL)
- …our caring community and help us put health first** The Behavioral Health Medical Director is responsible for behavioral health care strategy and/or operations. The ... Behavioral Health Medical Director work assignments involve moderately complex to complex...skills + Evidence of analytic and interpretation skills, with prior experience participating in teams focusing on quality management,… more
- Humana (Tallahassee, FL)
- …a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make ... reference materials, internal teaching conferences, and other reference sources. Medical Directors will learn Medicare and Medicare Advantage requirements, and… more
- Humana (Tallahassee, FL)
- **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The ... situations or data requires an in-depth evaluation of variable factors. The Medical Director provides medical interpretation and decisions about the… more
- Veterans Affairs, Veterans Health Administration (Sorrento, FL)
- …at the White City VA SORCC. MRTs (Coder) are skilled in classifying medical data from patient health records in the hospital setting, and/or physician-based ... Responsibilities The supervisory coder creates and monitors outpatient reports, inpatient case mix reports, top DRGs, and key performance indicators to identify… more
- City of Boynton Beach (Boynton Beach, FL)
- …in community policing and community relations, investigating crimes; rendering medical assistance; writing reports (using, software, computers, portable technology ... those that are the same or different. + Apply prior experience and knowledge to assess a specific situation...such as moral character, may be considered on a case -by- case basis. Moral character may include, but… more
- AdventHealth (Altamonte Springs, FL)
- …Management (CM) departments and serves as a liaison between UM and CM teams and medical staff, as well as, the medical liaison for payor escalations. The ... Management, Care Management, Managed Care and Revenue Cycle departments and applicable medical staff, as well as collaborating with other disciplines to assist in… more
- Humana (Tallahassee, FL)
- …a part of our caring community and help us put health first** The Medical Director relies on broad clinical expertise to review Medicare drug appeals (Part D ... & B). The Medical director work assignments involve moderately complex to complex...where the analysis of situations or data requires a case -by- case consideration of the Medicare rules, Humana… more
- CVS Health (Tallahassee, FL)
- …Lead team meetings and serve as the first point of contact for complex case issues or challenges. + Support hiring, onboarding, and ongoing talent development of ... + Build and maintain relationships with stop loss carriers to support case resolution and negotiation efforts. + Clearly articulate Meritain's services, underwriting… more
- Cleveland Clinic (Vero Beach, FL)
- …the world. Under the supervision of the Director of Nursing or designee, the Medical Emergency Team (MET) Nurse plays a proactive role in identifying and managing ... decision-making and implementing process improvements and training based on case reviews and quality data. **A caregiver in this...quality data review tool, complete nursing reviews of events prior to emergencies or codes and present findings at… more