- Aveanna Healthcare (Sebastian, FL)
- …and progress on a weekly basis or as ordered * Attends patient case conferences when requested. Attends and participates in in-services as indicated * Supervises ... the state of practice * Current CPR certification As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in… more
- BayCare Health System (Sarasota, 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
- HCA Healthcare (Kissimmee, 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
- AdventHealth (Ormond Beach, FL)
- …family + Understand End of Life issues + Work independently and maintain case load expectations **The expertise and experience you'll need to succeed:** **Minimum ... **Preferred qualifications:** + EMR experience + Hospice experience + Hospice Medicare Conditions of Participation This facility is an equal opportunity employer… more
- Sedgwick (Orlando, FL)
- …legal inquiries or disputes; to develop a strategy to bring a case to satisfactory resolution. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Reviews/acts on ... principles including medical management practices and Social Security and Medicare application procedures as applicable to line-of-business. + Technically skilled… more
- Humana (Tallahassee, FL)
- …and evaluations. + Facilitate the vendor selection process, including business case creation, planning, evaluation, execution of agreements, and ongoing tracking of ... efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. … more
- Actalent (Sunrise, FL)
- …management + Interqual + Milliman Commercial Guidelines + Medicaid + Medical management + Medicare + Managed care + Patient care + Medical record Additional Skills & ... and experience. + Valid Florida Driver's License. + Knowledge of case management and utilization review concepts, including InterQual and Milliman Criteria,… more
- Molina Healthcare (Jacksonville, FL)
- …contact information is current and up to date. + Effectively communicate general Medicare and Medicaid plan benefits to existing members. + Interact with appropriate ... with completion of comprehensive medication reviews through pre-work up to case preparation. + Proactively identify ways to improve member relations. **Job… more
- Aveanna Healthcare (New Port Richey, 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 ... drivers license and proof of automobile insurance As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in… more
- HCA Healthcare (Jacksonville, FL)
- …a liaison between the patient, hospital, and governmental agencies and is involved in all case management areas. What you will do in this role: + Screen and evaluate ... + Previous experience with government programs such as Disability or Medicaid/ Medicare preferred + Minimum one-year related experience required, preferably in… more