- Aveanna Healthcare (Fort Myers, 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
- Highmark Health (Tallahassee, FL)
- …analytics skills, and deep understanding of healthcare customer journeys-including Medicare , Medicaid, Commercial, and provider engagement pathways. Experience with ... Expertise** + Understanding ofhealthcare marketing (enrollment flows, provider networks, Medicare AEP/OEP). + Familiarity with HIPAA, PHI, consent management, and… more
- Evolent (Tallahassee, FL)
- …in the MD review process to reflect appropriate utilization and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission ... by any state or federal health care program, including Medicare or Medicaid, and is not identified as an...General Service Administration (GSA), or reprimanded or sanctioned by Medicare . + No history of a major disciplinary or… more
- Zelis (St. Petersburg, FL)
- …+ Perform regulatory research from multiple sources to keep abreast of compliance enhancements and additional bill review opportunities. + Support for client facing ... with providers + Experience and working knowledge of Health Insurance, Medicare guidelines and various healthcare programs + Understanding of hospital coding… more
- 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 (Dunedin, FL)
- …responsible for the development, implementation and management oversight of the company's Medicare Stars Program in the West Coast Tampa region (Clearwater, St. ... 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 (Gainesville, FL)
- …responsible for the development, implementation and management oversight of the company's Medicare Stars Program in the Florida region. Ideal candidates will be ... 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
- HCA Healthcare (Gainesville, FL)
- …with the patient, including having the Patient Choice letter signed. + Monitors Medicare patient's planned discharge dates and delivers the Important Medicare ... with PAC providers. + Demonstrates knowledge of regulatory requirements, HCA Ethics and Compliance policies. + Practices and adheres to the "Code of Conduct" and… more
- 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
- CenterWell (Jacksonville, FL)
- …indicators (KPIs), such patient experience via Net Promoter Score (NPS) and Medicare clinical quality via HEDIS, meeting local and organizational goals + Personally ... environment in a value-based relationship environment + Knowledge of Medicare guidelines and coverage + Knowledge of HEDIS quality...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more