- Aveanna Healthcare (Lynn Haven, FL)
- School Case Aveanna Healthcare Private Duty Nurse LPN - Trach/Vent Pre-Teen ApplyRefer a FriendBack Job Details Requisition #: 207450 Location: Lynn Haven, FL 32444 ... First! Licensed Practical / Vocational Nurse - LPN/LVN *School Case - Nurse Will go to School with Patient*...from diverse backgrounds to apply. As an employer accepting Medicare and Medicaid funds, employees must comply with all… more
- Cleveland Clinic (Stuart, FL)
- …operations, utilize clinical expertise and understanding of care management and Medicare regulations, contribute to the goals of cost containment and quality ... * Current state FL licensure as Registered Nurse (RN). * Professional certification as a Case Manager (CCM) * 3 years or more of acute care nursing experience * 2… more
- Cardinal Health (Tallahassee, FL)
- …about long and short-range changes in the reimbursement environment including Medicare , Medicaid, Managed Care, and Commercial medical and pharmacy plans while ... experience preferred + High School diploma or equivalent preferred + Knowledge of Medicare (A, B, C, D), Medicaid & Commercial payers policies and guidelines for… more
- Humana (Orlando, FL)
- …with Medicare & Medicaid recipients + Minimum 2 years case management experience + Bilingual (English/Spanish) + Ability to work Monday-Friday (8:30am-5:00pm) ... often straightforward and of moderate complexity. **We are looking for motivated and dynamic case managers that enjoy making a difference in the lives of others in… more
- Medical Mutual of Ohio (Fort Myers, FL)
- …and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. **Provides telephonic/virtual, ... and /or face to face counseling, coaching, resource coordination, and case management for Employee Assistance Program members who call for immediate support. Manages… more
- CVS Health (Tallahassee, FL)
- …a best-in-class service experience. **Primary Duties and Responsibilities** 1. Ensure accurate case setup and review of Medicare appeals cases + Reviewing ... **Position Summary** As a Rep II, Operations, you will be directly supporting Medicare Part D members and providers with requests related to their pharmacy benefits.… more
- Molina Healthcare (Miami, FL)
- …and the site of service. This position will be supporting our Washington State Medicare plan. We are seeking a candidate with previous Case Management experience ... of MS Suite, organized and analytical thinking. Experience with Medicare /Medicaid, MS 365 and familiarity with claims is highly...365 and familiarity with claims is highly preferred. The Case Manager must be able to work in a… more
- Humana (Tallahassee, FL)
- …includes some experience in an inpatient environment and/or related to care of a Medicare type population (disabled or >65 years of age). + Current and ongoing Board ... experience participating in teams focusing on quality management, utilization management, case management, discharge planning and/or home health or post acute… more
- Molina Healthcare (St. Petersburg, FL)
- …for overseeing all aspects of healthcare subrogation operations across Medicaid, Medicare , and Marketplace lines of business. This includes direct management of ... role requires experience across a wide range of subrogation case types-including automobile-related claims (eg, no-fault/PIP), workers' compensation, general… more
- Molina Healthcare (FL)
- …Opportunity for a Texas licensed RN to join Molina to work with our Medicare members in the San Antonio service delivery area; candidates should reside in Bexar ... will be given to those candidates with previous experience working with the Medicare population within a Managed Care Organization (MCO). Mileage is reimbursed as… more