- Humana (Tallahassee, FL)
- …US. At the core of this evolution is Humana's Insurance Segment, which provides Medicare Advantage, Medicaid, and other health plans to millions. By integrating ... part of our caring community and help us put health first** Humana is a publicly traded, Fortune 50...a pivotal role in defining the future of Humana's Medicare and Medicaid businesses, which generate the majority of… more
- Humana (Tallahassee, FL)
- …research and analysis skills** **Prior experience in a fast-paced insurance or health care setting** **Demonstrated experience working with Medicare and Medicaid ... **Become a part of our caring community and help us put health first** The Senior Encounter Data Management Professional develops business processes to ensure… more
- BayCare Health System (Largo, FL)
- …Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians. With ... transitions of care from acute and subacute setting to home with home health care.**...referral sources and physicians. + Responsible for knowledge of Medicare and Managed Care regulations and requirements. + Timely… more
- Humana (Tallahassee, FL)
- **Become a part of our caring community and help us put health first** The Behavioral Health Care Manager, Telephonic Nurse, in a telephonic environment, ... of the appropriate courses of action. Humana is seeking a Behavioral Health Care Manager to telephonically assess, evaluate, and support members who are… more
- BayCare Health System (Lakeland, FL)
- …seamless care they deserve. BayCare is currently in search of our newest ** Home Health , Physical Therapist Assistant** who is passionate about providing ... team award bonus + Community discounts and more The ** Home Health PTA** provides hands-on care in...documentation in accordance with agency policies & procedures, and Medicare guidelines + Captures documentation during the home… more
- Cardinal Health (Tallahassee, FL)
- …sectors, preferred. + Deep familiarity with Urology, Ostomy and Wound Care Categories and home health landscape. + Deep understanding of both pharmacy and DME ... **Cardinal Health (TM) at- Home Solutions** is an...supply chains across public and private sectors, specifically including Medicare DMEPOS reimbursement landscape. + Comprehensive communication and negotiating… more
- Humana (Tallahassee, FL)
- **Become a part of our caring community and help us put health first** The Senior Encounter Data Management Professional develops business processes to ensure ... successful submission and reconciliation of encounter submissions to Medicaid/ Medicare . Ensures encounter submissions meet or exceed all compliance standards via… more
- CenterWell (Tallahassee, FL)
- … Advantage/ Medicare + Current nursing experience in Hospital, SNF, LTAC, DME or Home Health . + Bilingual **Use your skills to make an impact** **Alert** ... provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused… more
- Humana (Tallahassee, FL)
- …focusing on quality management, utilization management, case management, discharge planning and/or home health or post acute services such as inpatient ... Utilization management experience in a medical management review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance. +… more
- Humana (Orlando, FL)
- **Become a part of our caring community and help us put health first** The Care Coach 1 assesses and evaluates member's needs and requirements to achieve and/or ... quality services to promote their ultimate well-being and drive health outcomes. If you enjoy applying your creativity and...4 years of relevant experience + Prior experience with Medicare & Medicaid recipients + Minimum 2 years case… more