- Molina Healthcare (FL)
- …RN license in the state of MI. This position will support our MMP (Medicaid Medicare Population) will be supporting DSNP. This position will have a case load ... Nurses who have experience working with manage care population and/or case management role. Excellent computer skills and diligence are especially important… more
- CVS Health (Coral Gables, FL)
- …management, clinical coverage, and policies. **Position Summary/Mission** Community Care Case Manager use a collaborative process of assessment, planning, ... and healthcare personnel as appropriate. + Implements and coordinates all case management activities relating to catastrophic cases and chronically ill… more
- Datavant (Tallahassee, FL)
- …work environment. + Keep up to date with current coding policies for ICD-10, Medicare Advantage, HHS (ACA), and other markets. + Provide guidance and make strategic ... + Current CCS, CRC, or CPC required. + Previous Medicare Advantage Risk Adjustment, CDI, Medicaid, Commercial RA, and...reviewed by Datavant Human Resources and determined on a case -by- case basis. Depending on the state in… more
- AdventHealth (Palm Coast, FL)
- …Physical Therapy . Doctorate in Physical Therapy . Recent, relevant experience in a Medicare -certified home health agency as a case -manager . COS-C . Home Health ... : **Location:** **The role you'll contribute:** The Home Health Physical Therapist (PT) Case manager is a professional therapist who coordinates and directs the home… more
- AdventHealth (Clearwater, FL)
- …current car insurance **Preferred qualifications:** + Recent, relevant experience in a Medicare -certified home health agency as a case -manager + Certificate for ... Time **Shift** : **Location:** **The role you'll contribute:** The Home Health ST Case Manager is a professional therapist who coordinates and directs the home care… more
- Elevance Health (Tampa, FL)
- …organization with health plans for people enrolled in Medicaid and/or Medicare programs in Florida. **Title** : Medical Management Specialist I **Virtual:** ... areas. **How you will make an impact:** + Gathers clinical information regarding case and determines appropriate area to refer or assign case (utilization… more
- AdventHealth (Palm Coast, FL)
- …American Heart Association BLS Preferred qualifications: + Recent, relevant experience in a Medicare -certified home health agency as a case -manager + Home Health ... areas. The role you'll contribute: The Home Health ST Case Manager is a professional therapist who coordinates and...home care patient's care based on individual patient needs. Case Manager is responsible for independent management of the… more
- HCA Healthcare (The Villages, 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 ... Two years of experience within a licensed and certified ( Medicare ) home health agency required + Competent in Federal...) home health agency required + Competent in Federal ( Medicare ) and Local standards including Conditions of Participation and… more
- CenterWell (Sarasota, FL)
- …the delivery of care to all patients served by the location. Receives case referrals. Reviews available patient information related to the case , including ... the decision to admit patients to service. Assigns appropriate clinicians to a case , as needed. + Instructs and guides clinicians to promote more effective… more
- Molina Healthcare (FL)
- …RN Licensure._ _Case Manager RN will work in remote setting supporting our Medicare /Medicaid population who have recently been admitted into Hospital. The Case ... position and productivity is important. Preferred candidates will have previous case management, managed care, hospital, and/or home health experience._ _This role… more