- AdventHealth (Winter Garden, FL)
- …responsible for, but not limited to: Coordination of Care, Centers for Medicare & Medicaid Services (CMS) Conditions of Participation, Social Services implementation ... of processes based upon data management, accountability for Length of Stay, Excess Days, Avoidable Days, Readmission Prevention, and Discharge Planning. In addition, the Care Management Manager is responsible for department engagement, customer experience,… more
- Aveanna Healthcare (Lakeland, FL)
- …Speech Therapist in an acute care setting desired 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
- CVS Health (Tallahassee, FL)
- …health advocacy team looking for dedicated friendly colleagues to help the Medicare population learn about and complete important health screenings and activities. ... As a Health Advocate on the Healthy Outcomes Team, you will interact with members telephonically to inspire healthy behaviors. Our goal on each call is to give every member a clear understanding of their benefits for specific screenings and medications. You… more
- AdventHealth (Orlando, FL)
- …year **The role you'll contribute:** OurLegacy is designated by the Centers for Medicare and Medicaid Services (CMS) as the only organ procurement organization (OPO) ... in east central Florida and is accredited by the American Association of Tissue Banks (AATB) as a tissue recovery agency. OurLegacy's scope of operations extends to each of the following hospitals within the AdventHealth's Hospital system: Altamonte, Apopka,… more
- HCA Healthcare (Largo, FL)
- …be authorized by the state to provide outpatient psychiatry treatment services to Medicare beneficiaries. + American Heart Association BLS (within 30 days of hire) + ... Crisis Intervention Prevention (CPI) training required (within 30 days of hire) **What will you do in this role:** + Maintains effective communication with patients, families, multidisciplinary teams, and continuum of care providers. + Maintains… more
- MyFlorida (Fort Myers, FL)
- …clinic services. Stays abreast of Accounts Receivable policies, Medicaid/ Medicare /Third Party insurance verification processes/requirements, and HMS functions ... relating to clinic registration and service entry. Monitors collections of client fees by clerical staff. Prepares documentation and reports from analyzed data to communicate outcome of quality improvement activities, to include the Q-Flow system, FL SHOTS,… more
- Molina Healthcare (Miami, FL)
- …rate proposals. * Research, analyze, and consult Medicaid and Medicare reimbursement methodologies, evaluate the impact of reimbursement changes, educate/consult ... the health plans on the financial impact. * Work independently to support and validate Provider Network contracting and unit cost management activities through financial and network pricing modeling, analysis, and reporting * Ability to translate contract… more
- Molina Healthcare (Miami, FL)
- …to, phone, chat, email, and off phone work supporting our Medicaid, Medicare and/or Marketplace business. * Conduct varies surveys related to health assessments ... and member/provider satisfaction. * Accurately document pertinent details related to Member or Provider inquiries. * Ability to work regularly scheduled shifts within our hours of operation, where lunches and breaks are scheduled and work over-time and/or… more
- WestCare Foundation (Key Largo, 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
- Molina Healthcare (Orlando, FL)
- …provide quality and cost-effective member care. The candidate must have Medicare Appeals and/or Utilization Management knowledge. Work hours are Monday-Friday ... 8:00am- 5:00pm PST. This position included rotating weekends and holidays is required. Remote position **Essential Job Duties** * Assesses services for members to ensure optimum outcomes, cost-effectiveness and compliance with all state/federal regulations and… more