- Humana (Tallahassee, FL)
- …no time off permitted for the first 90 days; any/all exceptions are at the manager 's discretion Travel: While this is a remote position, occasional travel to ... of our caring community and help us put health first** The Care Manager , Telephonic Behavioral Health 2, in a telephonic environment, assesses and evaluates members'… more
- Bluestone Physician Services (Fort Myers, FL)
- …medicare -26-6-million/) as measured by the overall savings per Medicare beneficiary. Position Overview : The Territory Manager ... addition to fostering relationships with external stakeholders, the Territory Manager will work closely with internal stakeholders to coordinate...field at least 3-4 days per week, 1-2 days remote (work from home). Territory: Fort Myers, FL &… more
- Humana (Tallahassee, FL)
- …and other vendors. + Document all calls and requests. + Search for Medicare and Medicaid Guidelines. + Process all incoming fax/emails request for services the ... in special projects as assigned by your Supervisor or Manager . **Use your skills to make an impact** Additional...your request quicker. \#LI-BB1 Travel: While this is a remote position, occasional travel to Humana's offices for training… more
- BAYADA Home Health Care (Orlando, FL)
- …Apply now for immediate consideration. OASIS Review, Utilization Review, Quality Assurance, Remote , Home Health Coding, Coder, Medicare **As an accredited, ... opening for a **Full Time,** OASIS and Coding Review Manager with OASIS and Coding certification to work remotely....they need. **BAYADA Perks:** + This is a fully remote , permanent salaried position. + Base Salary: **$74,000** /… more
- CenterWell (Tallahassee, FL)
- …one of the largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing the ... implementing quality improvement best practice initiatives designed to improve Medicare quality measures (HEDIS), patient safety and patient experience (CAHPS-HOS).… more
- Trinity Health (Fort Lauderdale, FL)
- …use Excel and other Microsoft 365 tools.** **Position Highlights and Benefits :** **Comprehensive benefit packages available, including medical, dental, vision, ... work of assigned staff including the monitoring of competencies. Develops with manager goals and objectives, conducts annual performance appraisals with manager … more
- Humana (Miramar, FL)
- …request additional applicable information from referring entity. Perform verification of benefits coverage and eligibility for services per Health Plan contract. ... Provide referral management education to members and providers regarding medical benefits , referral status and prior authorizations. Communicate with patient to… more
- CenterWell (Tallahassee, FL)
- …one of the largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing the ... Previous experience in utilization management within Insurance industry + Previous Medicare Advantage/ Medicare /Medicaid Experience a plus + Current nursing… more
- CenterWell (Tallahassee, FL)
- …one of the largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing the ... delivery of associate-facing contact center technologies that support Pharmacy and Medicare Part D operations. This enterprise-wide platform empowers associates to… more
- CenterWell (Tallahassee, FL)
- …one of the largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing the ... cost improvement for high-risk senior populations in full risk Medicare arrangements. This individual will help assess the value...markets or team on-sites Travel: While this is a remote position, occasional travel to Humana's offices for training… more