• SNF Utilization Management RN - Compact Rqd

    Humana (Tallahassee, FL)
    …states: California, Hawaii, Nevada, Oregon + Health Plan experience + Previous Medicare /Medicaid Experience a plus + Call center or triage experience + Bilingual ... paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. **About us** About OneHome: OneHome coordinates… more
    Humana (09/12/25)
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  • Value-Based Reimbursement Specialist

    Highmark Health (Tallahassee, FL)
    …share and risk share models and will be implemented for the Organization's Medicare Advantage, Medicaid, ACA, and commercial populations with the goal of maximizing ... in the primary care and the ambulatory care environment, healthcare insurance industry, healthcare administration in primary care, or healthcare consulting in… more
    Highmark Health (08/20/25)
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  • Case Management Assistant

    HCA Healthcare (Fort Walton Beach, FL)
    …plans (accident, critical illness, hospital indemnity), auto and home insurance , identity theft protection, legal counseling, long-term care coverage, moving ... assistance, pet insurance and more. + Free counseling services and resources...including having the Patient Choice letter signed. + Monitors Medicare patient's planned discharge dates and delivers the Important… more
    HCA Healthcare (08/08/25)
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  • Home Health Area Director of Sales

    Aveanna Healthcare (Jacksonville, FL)
    …Development efforts of a team of sales professionals selling Skilled Intermittent Medicare Certified Home Health services to members of the healthcare community. ... Valid and current driver's license and evidence of automobile insurance . + Ability to travel to multiple job sites...thinking and strategic sales skills As an employer accepting Medicare and Medicaid funds, employees must comply with all… more
    Aveanna Healthcare (10/13/25)
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  • RN Clinical Supervisor - Hybrid Schedule

    Aveanna Healthcare (Jacksonville, FL)
    …in 2024 Comprehensive Benefits Package + Health, Dental, Vision, and Company-paid Life Insurance + Paid Holidays, Vacation Days, and Sick Days + Quarterly Bonus ... to infants, children, adolescents, and adults. Note: As an employer receiving Medicare and Medicaid funds, Aveanna employees must comply with all health-related… more
    Aveanna Healthcare (10/12/25)
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  • Home Health Registered Nurse RN Full Time

    Aveanna Healthcare (Dade City, FL)
    …Offerings: + 401(k) with company match + Health, dental, vision, life, and pet insurance + Mileage reimbursement and cell phone allowance + Generous PTO, sick time, ... the state of application + Valid CPR Preferred: + Medicare Skilled Nursing experience + Basic understanding of Oasis...in a health care setting As an employer accepting Medicare and Medicaid funds, employees must comply with all… more
    Aveanna Healthcare (10/12/25)
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  • Home Health Registered Nurse RN Full Time

    Aveanna Healthcare (Palm Beach Gardens, FL)
    …Offerings: + 401(k) with company match + Health, dental, vision, life, and pet insurance + Mileage reimbursement and cell phone allowance + Generous PTO, sick time, ... application * Valid CPR and Drivers License Preferred: * Medicare Skilled Nursing experience * Basic understanding of Oasis...in a health care setting As an employer accepting Medicare and Medicaid funds, employees must comply with all… more
    Aveanna Healthcare (10/11/25)
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  • Care Experience Manager

    Aveanna Healthcare (Fort Myers, FL)
    …in 2024 Comprehensive Benefits Package + Health, Dental, Vision, and Company-paid Life Insurance + Paid Holidays, Vacation Days, and Sick Days + Quarterly Bonus ... to work an after-hours on-call schedule. Note:As an employer receiving Medicare and Medicaid funds, employees must comply with all health-related requirements… more
    Aveanna Healthcare (10/11/25)
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  • Clinical Reviewer, Physical Therapy

    Evolent (Tallahassee, FL)
    …current exclusion or sanction by any state or federal health care program, including Medicare or Medicaid, and is not identified as an "excluded person" by the ... Human Services or the General Service Administration (GSA), or reprimanded or sanctioned by Medicare . + No history of disciplinary or legal action by a state medical… more
    Evolent (10/10/25)
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  • Registered Nurse - Clinical Appeals & Denials…

    Cognizant (Tallahassee, FL)
    …based on the review of clinical documentation in accordance with Medicare , Medicaid, and third-party guidelines. . Effectively document and log claims/appeals ... Reviews can be based on InterQual, Milliman Clinical Guidelines (MCG), Medicare guidelines, and health insurer specific guidelines. . Review retro-authorizations in… more
    Cognizant (10/09/25)
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