- AdventHealth (Winter Haven, FL)
- …qualifications:** + Bachelor's Degree in Nursing + Recent, relevant experience in a Medicare -certified home health agency as a case- manager + Home Health Case- ... **Registered Nurse Case Manager - AdventHealth Home Health** **All the benefits...care team. Provides care based on physician's orders, in compliance with policies and procedures, standards of care, and… more
- Highmark Health (Tallahassee, FL)
- …with coding principles and guidelines. Promotes cooperation with CDMP and compliance programs to improve documentation which supports compliant coding. Interacts ... system entities in response to external coding audits conducted by the Medicare Administrative Contractor, the RAC, MIC, ZPIC, etc. Determine appeal action, prepare… more
- AdventHealth (Orlando, FL)
- …including but not limited to: Coordination of Care, Centers for Medicare & Medicaid Services (CMS) Conditions of Participation, Discharge Planning, Social ... of Stay, Excess days, Avoidable Days, Value Based Care partnerships, Care Manager 's roles in Multidisciplinary Rounds, Care Transitions, team member engagement, team… more
- HCA Healthcare (The Villages, FL)
- …physician approved orders and clinician plotted visits approved by Clinical Services Manager . Ensures compliance with the schedule. Communicates any requests to ... change the schedule to the Clinical Services Manager and, once approved, reschedules missed or declined visits....quality care during their recovery at home. We are Medicare certified. Our patients are under the supervision of… more
- AdventHealth (Daytona Beach, FL)
- …including but not limited to: Coordination of Care, Centers for Medicare & Medicaid Services (CMS) Conditions of Participation, Discharge Planning, Social ... Facility Director leads, manages, and supervises all activities of the Care Management Manager , Team Leads, Care Managers, Social Workers and Care Manager … more
- AdventHealth (Davenport, FL)
- …including but not limited to: Coordination of Care, Centers for Medicare & Medicaid Services (CMS) Conditions of Participation, Discharge Planning, Social ... of Stay, Excess days, Avoidable Days, Value Based Care partnerships, Care Manager 's roles in Multidisciplinary Rounds, Care Transitions, team member engagement, team… more
- ChenMed (Miami, FL)
- …mission-driven, primary care organization, is currently one of the most successful full-risk Medicare Advantage providers in the nation and has a vision to be ... work closely with the applicable managers and medical directors to ensure compliance with guidelines along with participating in risk and quality management… more
- ChenMed (Miami, FL)
- …mission-driven, primary care organization, is currently one of the most successful full-risk Medicare Advantage providers in the nation and has a vision to be ... work closely with the applicable managers and medical directors to ensure compliance with guidelines along with participating in risk and quality management… more
- ChenMed (Miami, FL)
- …contracts and instruments. + Ability to independently manage complex regulatory compliance matters which pose significant risk to the organization. + Regularly ... and employment contracts. + Other duties as assigned and modified at manager 's discretion. **KNOWLEDGE, SKILLS AND ABILITIES:** + Specific experience should include… more
- AdventHealth (Altamonte Springs, FL)
- …of performance. The Corporate Quality Auditor will adhere to AdventHealth Corporate Compliance standards, as well as rules and regulations of all applicable local, ... quality audits to the HIM/Coding leadership + Reports any compliance and/or risk issues to the compliance ...improvement. + Works with the audit team and coding manager to develop meaningful education and may conduct educational… more