• Business Manager II - SES

    MyFlorida (Port Charlotte, FL)
    …Term Care billing or Medical Health insurance billing. . Knowledge of Medicare , Medicaid, and 3rd party billing. . Strong accounts receivable collection experience. ... the Florida Department of Veterans' Affairs (FDVA) remains in compliance with all State and Federal Billing regulations. ....and Collections including, but not limited, to monthly billing Medicare A & B, Medicaid and Third-party insurers .… more
    MyFlorida (09/24/25)
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  • Home Health Clinical Manager RN Full Time

    Aveanna Healthcare (Bradenton, FL)
    …of care and performs home visits as needed. + Ensures client compliance with federal/state regulations through policy and procedure administration to staff. + ... in a healthcare setting (home health or hospice) + Medicare Skilled Nursing experience and a basic understanding of...a basic understanding of OASIS As an employer accepting Medicare and Medicaid funds, employees must comply with all… more
    Aveanna Healthcare (09/23/25)
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  • Home Health Licensed Practical Nurse LPN Full Time

    Aveanna Healthcare (Palm City, FL)
    …and Martin County Essential Job Functions + Deliver quality patient care in compliance with physician orders under direction of their Registered Nurse teammate. * ... application + Valid CPR and Drivers License Preferred: + Medicare Skilled Nursing experience + Basic understanding of Oasis...Home Base exp a plus As an employer accepting Medicare and Medicaid funds, employees must comply with all… more
    Aveanna Healthcare (09/20/25)
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  • Clinical Support Team Social Worker

    Healthfirst (FL)
    …advocate and liaison with various governmental and private agencies such as Medicaid, Medicare , and Social Security to maximize network of support and secure needed ... as needed. + Keeps up to date on federal ( Medicare ) and state (Medicaid) regulations. + Interacts with community...skills **License or Certification:** LMSW or LCSW **Regulatory or Compliance activities:** N/A WE ARE AN EQUAL OPPORTUNITY EMPLOYER.… more
    Healthfirst (09/19/25)
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  • Sr. Clinical Program Coordinator

    University of Miami (Miami, FL)
    …+ Ensures all provider templates and physician leave requests meet compliance and Department of Medicine guidelines before submitting template modifications. + ... documentation including pulling cases logs. + Assists with new faculty with Medicare and Medicaid applications. + Assists Practice Manager with off boarding duties… more
    University of Miami (09/19/25)
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  • SNF Utilization Management RN - Compact Rqd

    Humana (Tallahassee, FL)
    …states: California, Hawaii, Nevada, Oregon + Health Plan experience + Previous Medicare /Medicaid Experience a plus + Call center or triage experience + Bilingual ... to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
    Humana (09/12/25)
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  • Home Health Licensed Practical Nurse LPN PRN

    Aveanna Healthcare (Melbourne, FL)
    …at this time. Essential Job Functions + Deliver quality patient care in compliance with physician orders under direction of their Registered Nurse teammate. + ... the state of application + Valid CPR Preferred: + Medicare Skilled Nursing experience + Basic understanding of Oasis...Home Base exp a plus As an employer accepting Medicare and Medicaid funds, employees must comply with all… more
    Aveanna Healthcare (09/10/25)
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  • Home Health RN Clinical Manager

    Aveanna Healthcare (Orlando, FL)
    …of care and performs home visits as needed. + Ensures client compliance with federal/state regulations through policy and procedure administration to staff. + ... in a healthcare setting (home health or hospice) + Medicare Skilled Nursing experience and a basic understanding of...a basic understanding of OASIS As an employer accepting Medicare and Medicaid funds, employees must comply with all… more
    Aveanna Healthcare (09/10/25)
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  • Home Health Licensed Practical Nurse LPN PRN

    Aveanna Healthcare (Bradenton, FL)
    …at all times. Essential Job Functions + Deliver quality patient care in compliance with physician orders under direction of their Registered Nurse teammate. + ... the state of application + Valid CPR Preferred: + Medicare Skilled Nursing experience + Basic understanding of Oasis...Home Base exp a plus As an employer accepting Medicare and Medicaid funds, employees must comply with all… more
    Aveanna Healthcare (08/22/25)
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  • Value-Based Reimbursement Specialist

    Highmark Health (Tallahassee, FL)
    …share and risk share models and will be implemented for the Organization's Medicare Advantage, Medicaid, ACA, and commercial populations with the goal of maximizing ... interpretation, and outcomes strategic plan development. + 1 year experience with Medicare STARS, Medicaid HEDIS, risk revenue value streams, and population health… more
    Highmark Health (08/20/25)
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