- CVS Health (Tallahassee, FL)
- …integration. + Monitors member/client progress toward desired outcomes through assessment and evaluation. **Required Qualifications** + Candidate must have active ... Disease (CKD), post-acute care, hospice, palliative care, cardiac, home health with Medicare members + 2+ years case management, discharge planning and/or home… more
- CenterWell (Sebring, FL)
- …duties as assigned. Essential Functions: Administrative . Prepare patient assessment packets, including admission, recertification, and post hospital packets.. ... and be able to problem solve effectively. . Must possess knowledge of Medicare guidelines governing home health and hospice agencies. . Must have exceptional… more
- Healthfirst (FL)
- …CMS guidelines and to ensure member satisfaction + Lead cross functional risk assessment root cause analysis activities to identify, assess and address key risks ... visualization tools like Tableau and Knowledge of NY lines of business such as Medicare NY, Medicaid, Child Health Plus, QHP, EP, HARP + Bachelor's degree in… more
- Humana (Tallahassee, FL)
- …and improve reliability. + Establish and monitor DORA (DevOps Research and Assessment ) metrics to assess performance and identify areas for improvement. + Create, ... efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. … more
- BayCare Health System (Largo, FL)
- …meeting all regulatory, payer, and safety requirements. + Completion of preadmission assessment and education to patient and caregiver of homecare services. + ... communication with referral sources and physicians. + Responsible for knowledge of Medicare and Managed Care regulations and requirements. + Timely response to… more
- HCA Healthcare (The Villages, FL)
- …Therapy services to patients with in their homes. Will assist in the assessment , treatment, program planning and implementation. Functions under the supervision of a ... to providing patients with quality care during their recovery at home. We are Medicare certified. Our patients are under the supervision of a physician and our team… more
- University of Miami (Miami, FL)
- …monitored and published by external regulatory agencies, ie, Centers for Medicare and Medicaid Services, Hospital Compare and Physician Compare. Collaborates closely ... records up to date. 3. Meets with QA Medical Director for final assessment of quality data, outliers and corrective actions. 4. Analyzes data, generates graphs… more
- CVS Health (Tallahassee, FL)
- …of individuals, couples/families ages 13+. - Evidence-based care and access to assessment and treatment planning tools to elevate and support the continuity of ... engaging on multiple platforms - Demonstrated understanding of insurance, Medicaid, Medicare billing requirements - Evidence of strong crisis intervention skills -… more
- HCA Healthcare (Tallahassee, FL)
- …established by the Hospital, Federal, State, and accrediting agencies (ie, Medicare , Joint Commission, Core Measures, ACHA). 10. Actively participates with the ... developing and implementing collaborative standards, participating in interdepartmental quality assessment and improvement activities, and providing mechanisms to promote… more
- Aveanna Healthcare (Lakeland, FL)
- …+ Establish and maintain strong relationships with referral sources through ongoing assessment . + Coordinate and complete on-site discharge planning when needed. + ... Strong critical thinking and strategic sales skills As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements… more