- AdventHealth (Deland, FL)
- …Team **The role you'll contribute:** The Home Health Registered Nurse (RN) Care Manager is a professional nurse who coordinates and directs the home care patients ... care based on individual patient needs. The RN Care Manager is responsible for independent management of the Home...degree in nursing + Recent, relevant experience in a Medicare -certified home health agency as a visit nurse +… more
- AssistRx (Maitland, FL)
- …and customer data. DUTIES AND RESPONSIBILITIES: + Assists the Compliance Manager with performing internal reviews, research and/or audits to verify compliance ... provide additional quality checks before document finalization. + Assists the Compliance Manager in the review and management of third-party audits. + Verifies… more
- AdventHealth (Davenport, FL)
- …including but not limited to: Coordination of Care, Centers for Medicare & Medicaid Services (CMS) Conditions of Participation, Discharge Planning, Social ... of Stay, Excess days, Avoidable Days, Value Based Care partnerships, Care Manager 's roles in Multidisciplinary Rounds, Care Transitions, team member engagement, team… more
- AdventHealth (Tampa, FL)
- …including but not limited to: Coordination of Care, Centers for Medicare & Medicaid Services (CMS) Conditions of Participation, Discharge Planning, Social ... of Stay, Excess days, Avoidable Days, Value Based Care partnerships, Care Manager 's roles in Multidisciplinary Rounds, Care Transitions, team member engagement, team… more
- AdventHealth (Tampa, FL)
- …Inpatient Coding Quality Auditor, under general supervision of the Inpatient Operations Manager , is responsible for the daily auditing of records. The Inpatient ... Coding Quality Auditor works in collaboration with the Manager to ensure the integrity of coded data, the...applicable to AdventHealth West Florida Division and requirements of Medicare and payor specifications. . Assign DRGs on chart… more
- Molina Healthcare (Tampa, FL)
- …mailings. The Specialist will work closely with the Print Production Manager and cross-functionally with Marketing Operations, Content Development, Compliance, Brand ... **Job Duties** * Work strategically, under the guidance of the Print Production manager , to understand prospect and member mailing initiatives and build mail plans… more
- Molina Healthcare (FL)
- …cases appropriately regarding complexity of medical or psychosocial needs and case manager experience (RN, LSW, other allied fields). + Oversees the staff use ... and/or participates in Interdisciplinary Care Team meetings. + Works with the Manager to ensure adequate staffing and service levels and maintains customer… more
- AdventHealth (Minneola, FL)
- …including but not limited to: Coordination of Care, Centers for Medicare & Medicaid Services (CMS) Conditions of Participation, Discharge Planning, Social ... of Stay, Excess days, Avoidable Days, Value Based Care partnerships, Care Manager 's roles in Multidisciplinary Rounds, Care Transitions, team member engagement, team… more
- ChenMed (Greenacres, FL)
- …quality improvement. + Follows all applicable government regulations including HIPAA, Medicare and Co-pay requirements. + Engages patients by offering assistance, ... and meet/ complete deadlines as assigned by the Pharmacy Manager or Pharmacist on duty. + Processes claims for...Attends training and completes as requested by the Pharmacy Manager and acquires continuing education credits. + Maintains knowledge… more
- Molina Healthcare (FL)
- …we are seeking a (RN) Registered Nurse who must Compact RN Licensure._ _Case Manager RN will work in remote setting supporting our Medicare /Medicaid population ... who have recently been admitted into Hospital. The Case Manager will support our members to ensure successful transition from inpatient to outpatient. Excellent… more