• Senior Coding Educator

    Humana (Tallahassee, FL)
    **Become a part of our caring community and help us put health first** The Senior Coding Educator identifies opportunities to improve provider documentation, coding ... **Preferred Qualifications** + Bachelor's Degree + Previous experience in Medicare Advantage or Value-Based Care + AAPC CRC (Certified...time that is best for your schedule. **Work At Home / Internet Guidance:** To ensure Home more
    Humana (08/08/25)
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  • Clinical Trainer (Medicaid)

    Humana (Tallahassee, FL)
    **Become a part of our caring community and help us put health first** The Clinical Trainer (Learning Facilitation Professional 2) conducts or facilitates training ... Virginia and Wisconsin._ + Bachelor's degree in social work, psychology, behavioral Health or related field, **OR** Registered Nurse (RN) or Licensed Practical Nurse… more
    Humana (08/08/25)
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  • Staff Utilization Management Pharmacist

    Humana (Tallahassee, FL)
    **Become a part of our caring community and help us put health first** The Staff Utilization Management Pharmacist is a clinical expert responsible for conducting ... residence + Eligibility to participate in federal prescription programs (eg, Medicare /Medicaid) + Self-directed with the ability to work effectively both… more
    Humana (08/13/25)
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  • Field Care Coordinator

    Humana (Fort Lauderdale, FL)
    …of Health Services/Case Management Experience + Prior experience with Medicare & Medicaid recipients + Intermediate to advanced computer skills and experience ... part of our caring community and help us put health first** The Care Coach evaluates member's needs and...to work Monday-Friday 8:30am-5:00pm **Preferred Qualifications** + Prior nursing home diversion or long term care case management experience… more
    Humana (08/09/25)
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  • RN / Registered Nurse - Hospice Admissions

    BrightSpring Health Services (Palatka, FL)
    …comprehensive clinical assessments to determine eligibility for hospice based on Medicare /insurance guidelines + Coordinate the start of services (nursing, aides, ... Perks for You! + Medical, Dental, Vision insurance + Health Savings & Flexible Spending Accounts (up to $5,000...care to the warmest and most serene environment possible: home . We provide the full spectrum of hospice services,… more
    BrightSpring Health Services (08/09/25)
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  • Provider Programs Strategic Product Lead

    Humana (Tallahassee, FL)
    **Become a part of our caring community and help us put health first** The Program Delivery Lead strategically identifies, develops, and implements programs that ... demonstrate the following attributes: . Strong understanding of the Medicare Advantage payment model and value based care ....Sigma Certification also a plus **Additional Information** To ensure Home or Hybrid Home /Office employees' ability to… more
    Humana (08/13/25)
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  • Area Manager

    BrightSpring Health Services (Sarasota, FL)
    …and contract monitoring personnel assigned to the local area Agency on Aging, DSHS Home and Community Services, health care providers, and the Dept. of ... ensure that all federal and state law requirements and conditions of participation for Medicare and Medicaid are met. + Gather data for assigned area(s) and prepare… more
    BrightSpring Health Services (08/16/25)
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  • Care Coordination Assistant

    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 ... benefit information. + Verifying insurance and benefits for all Medicare , Managed Care and Private Fee for Service Plans....Required 1 year Medical Related field **Benefits:** + Benefits ( Health , Dental, Vision) + Paid time off + Tuition… more
    BayCare Health System (07/18/25)
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  • Assistant Director Of Nursing\ADON\12k Sign ON

    BrightSpring Health Services (Gainesville, FL)
    …living, adult host homes for adults regardless of disability, behavioral/mental health support, in- home pharmacy solutions, telecare and remote support, ... with Company policies and procedures, state licensure and regulations, Medicaid, and Medicare standards, as well as state reimbursement regulations + Leads case… more
    BrightSpring Health Services (06/13/25)
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  • Audit and Compliance Supervisor - Patient…

    BayCare Health System (Clearwater, 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 ... We blend high-tech with high touch in ways that are advancing superior health care throughout the communities we serve. **BayCare offers a competitive total reward… more
    BayCare Health System (06/03/25)
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