- 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 ... this area:** + BayCarePlus Medicare Advantage Plans (https://baycare.org/ medicare -advantage-plans) **Facility:** BayCare Health System, Sales-BHS **Location:**… more
- Humana (Tallahassee, FL)
- …on quality management, utilization management, case management, discharge planning and/or home health or post-acute services such as inpatient rehabilitation ... teaching conferences, and other sources of expertise. The Behavioral Health Medical Directors will learn Medicare , ...The Behavioral Health Medical Directors will learn Medicare , Medicare Advantage and Medicaid requirements, and… more
- Humana (Palm Bay, FL)
- **Become a part of our caring community and help us put health first** Are you passionate about the Medicare population, looking for an opportunity to work in ... our consumers. **_Face to face interactions in prospective members' home are a requirement for this position._** **Use your...recognized leader in healthcare delivery that has been offering Medicare Advantage health plans in Florida over… more
- BAYADA Home Health Care (Orlando, FL)
- …Apply now for immediate consideration. OASIS Review, Utilization Review, Quality Assurance, Remote, Home Health Coding, Coder, Medicare **As an accredited, ... considered, there is no flexibility around this requirement.** BAYADA Home Health Care has an immediate opening...Medicare Certified Offices with regards to CMS guidelines, Home Care Coding, PDGM guidelines and billing related issues.… more
- Centene Corporation (Tampa, FL)
- …access to health insurance, by providing education and assistance to Medicare individuals. Distribute health education materials and arrange for health ... for our 28 million members. Centene is transforming the health of our communities, one person at a time....enrollees and determine eligibility for participation in the Advantage Medicare product + Understand and apply all policies and… more
- Humana (Tallahassee, FL)
- **Become a part of our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health claims. The ... established clinical experience + Knowledge of the managed care industry including Medicare , Medicaid and or Commercial products + Must be passionate about… more
- Humana (Tallahassee, FL)
- **Become a part of our caring community and help us put health first** The Corporate Medical Director (CMD) relies on medical background to review health claims ... clinical experience + Knowledge of the managed care industry including Medicare , Medicaid and/or Commercial products + Must be passionate about contributing… more
- CVS Health (Tallahassee, FL)
- At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... health care. As the nation's leading health ...care resources. This is a remote based (work from home ) role. Preferred candidates will have Internal Medicine or… more
- Acute Home Healthcare (Orlando, FL)
- …psychology, sociology or other field related to social work + One year of Home Health experience + Ability to exercise initiative and independent judgment + ... professional expertise as required + Maintains current knowledge of Medicare Conditions of Participation for social work services +...own hours + Day shift Experience: + MSW in Home Health : 1 year (Required) Work Location:… more
- CVS Health (Tallahassee, FL)
- …Heart Failure (CHF), Chronic Kidney Disease (CKD), post-acute care, hospice, palliative care, cardiac, home health with Medicare members + 2+ years case ... management, discharge planning and/or home health care coordination experience + 2+ years of experience with Microsoft Word, Excel, and Outlook **Preferred… more