- CVS Health (Coral Gables, FL)
- …health needs through communication and available resources to promote quality, cost effective outcomes. **Fundamental Components & Physical Requirements** + Acts as ... reside in Miami, FL (This role would travel and report to Jackson Memorial Hospital) + Candidate must be...Disease (CKD), post-acute care, hospice, palliative care, cardiac) with Medicare members + 2+ years care management, discharge planning… more
- Aveanna Healthcare (Miami, FL)
- …patients coming onto services * Supervise and evaluate client satisfaction survey report on client served * Incident Management/Issue Resolution * Plan and implement ... productivity and goal achievement and to determine areas needing cost reduction and program improvement * Consistently meet reporting...and Spanish) * Valid CPR As an employer accepting Medicare and Medicaid funds, employees must comply with all… more
- HCA Healthcare (Atlantis, FL)
- …include: + Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health ... management plan, and fire safety and evacuation plan to comply with JCAHO, Medicare , OSHA, and other regulatory agencies; Coordinate and implement fire and emergency… more
- HCA Healthcare (Fort Myers, FL)
- …include: + Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health ... physician's plan of care. + You will observe and report patient's reaction to treatment and changes in patient's...quality care during their recovery at home. We are Medicare certified. Our patients are under the supervision of… more
- HCA Healthcare (Sarasota, FL)
- …include: + Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health ... physician's plan of care. + You will observe and report patient's reaction to treatment and changes in patient's...quality care during their recovery at home. We are Medicare certified. Our patients are under the supervision of… more
- Aveanna Healthcare (West Palm Beach, FL)
- …data, ensuring productivity and goal achievement. + Identify opportunities for cost savings and process improvements. + Ensure timely billing, collections, and ... report submission. Requirements + Associate degree or equivalent work...future of home care excellence! As an employer accepting Medicare and Medicaid funds, employees must comply with all… more
- Molina Healthcare (St. Petersburg, FL)
- …progress toward desired outcomes with quality care that is medically appropriate and cost -effective based on the severity of illness and the site of service. The ... staff workload for adherence to the Policies, Procedures, Guidelines, Medicare Model of Care, and deadlines. Assures oversight and...with UM Leadership to ensure the Daily Auth Reconciliation Report (DARR) is run every workday and cases found… more
- Modernizing Medicine (Tampa, FL)
- …medical billing claims submission process and working with insurance carriers required (eg, Medicare , private HMOs, PPOs) + Manage/ field 60+ inbound calls per day + ... and life insurance plans, including coverage for family members, all at no cost to employees, + Allowances: Annual wellness allowance to support your well-being and… more
- AdventHealth (Sebring, FL)
- …recognized as the #1 Hospital in Central Florida, by US News and World Report . See our website for cardiac treatments and services offered at AdventHealth. This ... are a leading provider of cardiovascular and thoracic services among Medicare patients with national rankings. **Requirements for the position:** Board… more
- Healthfirst (FL)
- …service, compliance) to ensure seamless management of members. + Monitor , report , and deliver updates on memberships, data integrity and address discrepancies ... processes to improve turnaround time and to reduce admin cost . + Background in developing recovery plans to address...and Knowledge of NY lines of business such as Medicare NY, Medicaid, Child Health Plus, QHP, EP, HARP… more