- CVS Health (Tallahassee, FL)
- …team will review prior claims to address potential impact on current case management and eligibility status. Focus assessments and/or questionnaires are designed to ... (CKD), post-acute care, hospice, palliative care, cardiac, home health with Medicare members **Preferred Qualifications** + 4+ years of Licensed Practical Nurse… more
- HCA Healthcare (Pensacola, FL)
- …you will do in this role: + You will work collaboratively with RN case managers, acute care nurses, physicians, insurance companies, and other staff members to ... + You will maintain a thorough working knowledge of the rules of Medicare , Medicaid, and private payer regulations and processes. You will possess a thorough… more
- BayCare Health System (Largo, FL)
- …insurance, and benefit information. + Verifying insurance and benefits for all Medicare , Managed Care and Private Fee for Service Plans. Securing authorization for ... will work under the direction of the Care Transition Coordinator or RN Case Manager to establish and maintain a positive working relationship with patients, payors… more
- Aveanna Healthcare (Spring Hill, FL)
- …physical or emotional condition to the patient's physician and to the RN on the case if applicable, on a timely basis. * Records clinical and progress notes at the ... in the state of practice * Valid CPR As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all… more
- Humana (Hallandale Beach, FL)
- …in a professional setting (under 21). + Minimum one, (1) year of case management experience. + ACHA Level II Background Check is required. **Preferred ... efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. … more
- HCA Healthcare (Margate, FL)
- …you will do in this role: + You will work collaboratively with RN case managers, acute care nurses, physicians, insurance companies, and other staff members to ... + You will maintain a thorough working knowledge of the rules of Medicare , Medicaid, and private payer regulations and processes. You will possess a thorough… more
- HCA Healthcare (Hudson, FL)
- …you will do in this role: + You will work collaboratively with RN case managers, acute care nurses, physicians, insurance companies, and other staff members to ... + You will maintain a thorough working knowledge of the rules of Medicare , Medicaid, and private payer regulations and processes. You will possess a thorough… more
- HCA Healthcare (Miami, FL)
- …you will do in this role: + You will work collaboratively with RN case managers, acute care nurses, physicians, insurance companies, and other staff members to ... + You will maintain a thorough working knowledge of the rules of Medicare , Medicaid, and private payer regulations and processes. You will possess a thorough… more
- HCA Healthcare (Port Charlotte, FL)
- …you will do in this role: + You will work collaboratively with RN case managers, acute care nurses, physicians, insurance companies, and other staff members to ... + You will maintain a thorough working knowledge of the rules of Medicare , Medicaid, and private payer regulations and processes. You will possess a thorough… more
- BayCare Health System (Sarasota, FL)
- …and other documentation in accordance with agency policies & procedures, and Medicare guidelines + Captures documentation during the home visit following company ... assessments and approval, prepares clinical progress notes and participates case conference and utilization reviews **Required Certifications and Licensures:** +… more