- AdventHealth (Ormond Beach, FL)
- …+ Meeting productivity of admissions per day + Documentation accuracy per Medicare guidelines **The expertise and experience you'll need to succeed:** **Minimum ... qualifications:** + 2 years Related Experience + Active American Heart Association BLS + Valid in state Driver's License with current car insurance + Registered Nurse - State Licensure and/or Compact State Licensure In Florida **Preferred qualifications:** +… more
- AdventHealth (Orlando, FL)
- …and keeps up with regulatory and healthcare changes pertaining to Medicare /Medicaid, payer guidelines, ICD-10, CPT coding, and documentation guidelines. Works ... closely with CDI specialists and Coding, providing coding conventions and guidelines when clinical and coding determinations are in conflict. Works directly with the physician advisor to discuss cases that require additional evaluation and finalization. **The… more
- AdventHealth (Orlando, FL)
- …nation. We are a leading provider of cardiovascular and thoracic services among Medicare patients with national rankings that include: #1 in Cardiology volume, #1 in ... Vascular Surgery volume, #5 in Thoracic Surgery volume and #8 in Open Heart Surgery volume. HLVI is centered in a quaternary facility with 1400 beds, known as AdventHealth Orlando with a beautiful Ginsburg Tower. This 15-story sanctuary of healing offers… more
- AdventHealth (Orlando, 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
- AdventHealth (Palm Coast, FL)
- …Heart Association BLS Preferred qualifications: + Recent, relevant experience in a Medicare -certified home health agency as a case-manager + Home Health Case-Manager ... Certification + Cert for Oasis Specialist-Clinical (COSC) This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances. The salary range reflects the anticipated base pay range… more
- AdventHealth (Sebring, FL)
- …are a leading provider of cardiovascular and thoracic services among Medicare patients with national rankings. **Requirements for the position:** Board ... Certification/Board Eligible in Cardiovascular Disease. **Benefits:** * Salary guaranteed with productivity incentives * Occurrence-based malpractice coverage * 21 Paid leave days for traditional model/clinic * CME days and allowance * 403B retirement plan and… more
- AdventHealth (Winter Springs, FL)
- …Therapist EDUCATION AND EXPERIENCE PREFERRED: + Recent, relevant experience in a Medicare -certified home health agency as an Occupational Therapist + Masters degree ... in Occupational Therapy This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances. The salary range reflects the anticipated base pay range for this position. Individual… more
- Molina Healthcare (Miami, FL)
- …experience with HEDIS programs. + 2 years Medicaid experience + 2 years Medicare experience + 3 years management experience + Operational knowledge and experience ... with Excel and Visio (flow chart equivalent). + Proficiency with data manipulation and interpretation. + NCQA Accreditation experience. **Preferred Education** Master's Degree or higher in a clinical field, IT, Public Health or Healthcare Administration.… more
- NHS Management, LLC (West Melbourne, FL)
- …billing and collection experience with nursing home receivable which includes Medicaid and Medicare Part A & B, HMO's + Experience with Medicaid Applications + ... Strong organization skills including the ability to prioritize and manage multiple tasks in a dynamic environment + Strong analytical skills; ability to quickly identify problems and find effective solutions + Strong written and oral communication skills +… more
- Molina Healthcare (FL)
- …Directory (including ongoing execution, QA and maintenance of supporting tables), Medicare Provider Directory preparation, and FQHC/RHC reports. + Generates other ... provider-related reports, such as: claims report extractions; regularly scheduled reports related to Network Management (ER, Network Access Fee, etc.).; and mailing label extract generation. + Develops and maintains documentation and guidelines for all… more