- HCA Healthcare (Ocala, 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 (Fort Myers, FL)
- …or work to deliver clinical excellence behind the scenes in data science, case management or transfer centers. Unlock your potential at HCA Florida Healthcare at ... 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
- HCA Healthcare (St. Petersburg, FL)
- …but is not limited to, Family Practice and/or Internal Medicine Physicians, RN Case Managers, Nurse Practitioners and other clinic staff. The purpose of this ... is to provide a comprehensive, coordinated model of care to a mostly Medicare aged population. The Physician primarily manages the Geriatric - aged population… more
- HCA Healthcare (St. Petersburg, FL)
- …but is not limited to, Family Practice and/or Internal Medicine Physicians, RN Case Managers, Nurse Practitioners and other clinic staff. The purpose of this ... is to provide a comprehensive, coordinated model of care to a mostly Medicare aged population. The Physician primarily manages the Geriatric - aged population… more
- BrightSpring Health Services (Gainesville, FL)
- …with Company policies and procedures, state licensure and regulations, Medicaid, and Medicare standards, as well as state reimbursement regulations + Leads case ... conferences and other client-related meetings when the Director of Nursing is unavailable + Participates on the safety, infection control, incident review and human rights committees + Facilitates communication and serves as a liaison between and among… more
- BayCare Health System (Lakeland, 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
- CenterWell (Daytona Beach, FL)
- …coaching initiatives are precise *Identify critical issues for high-risk patients during case reviews & other forums, and modeling and driving clinical excellence ... indicators (KPIs), such patient experience via Net Promoter Score (NPS) and Medicare clinical quality via HEDIS, meeting local and organizational goals *Personally… more
- Humana (Miramar, FL)
- …quality of life. - Work closely with the Director of Nursing, Case Managers, and interdisciplinary teams including LPNs, NPs, physicians, dieticians, and therapists. ... efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. … more
- University of Miami (Miami, FL)
- …+ Build and maintain Clinician's workflow and HEDIS quality measure for Medicare Advantage programs + Build and maintain CMS Quality Payment Program (MIPS/MVP/MACRA) ... + Previous operational, project management, and organizational skills + Familiarity with case or care management workflows and wellness programs + Familiarity with… more
- ChenMed (Bradenton, FL)
- …mission-driven, primary care organization, is currently one of the most successful full-risk Medicare Advantage providers in the nation and has a vision to be ... PCP will engage with the transitional care team and others including case managers, acute and transitional-care physicians, and other resources that may be… more