- Molina Healthcare (Tampa, FL)
- …outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse (RN) performs clinical/medical reviews of previously denied cases ... MCG, InterQual or other medically appropriate clinical guidelines, Medicaid, Medicare , CHIP and Marketplace, applicable State regulatory requirements, including the… more
- Aveanna Healthcare (Melbourne, FL)
- Pediatric Clinical Manager (RN) - Registered Nurse ApplyRefer a FriendBack Job Details Requisition #: 207150 Location: Melbourne, FL 32934 Category: Nursing Salary: ... leaves of absence, compensation, and training. As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements… more
- AccentCare, Inc. (Plantation, FL)
- …market with a strong knowledge of governmental home health regulations, Medicare requirements, and care plan development techniques Previous medical sales experience ... preferred Required Certifications and Licensures: Licensed RN currently licensed as a registered nurse in the state of agency operation Must be a licensed driver… more
- AccentCare, Inc. (Ormond Beach, FL)
- …experience, preferred. Knowledge of accepted professional standards and practice, Medicare Conditions of Participation, and federal, state, and local regulatory ... requirements Required Certifications and Licensures: Registered nurse with current licensure to practice nursing in the practicing state. Come As You Are At… more
- Aveanna Healthcare (Titusville, FL)
- Home Health Registered Nurse 7500 sign-on bonus ApplyRefer a FriendBack Job Details Requisition #: 205678 Location: Titusville, FL 32780 Category: Nursing Salary: ... nursing experience + Basic understanding of OASIS As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in… more
- CenterWell (Tallahassee, FL)
- …+ Previous experience in utilization management within Insurance industry + Previous Medicare Advantage/ Medicare + Current nursing experience in Hospital, SNF, ... LTAC, DME or Home Health. + Bilingual **Use your skills to make an impact** **Alert** Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required,… more
- CenterWell (Tallahassee, FL)
- …Previous experience in utilization management within Insurance industry + Previous Medicare Advantage/ Medicare /Medicaid Experience a plus + Current nursing ... experience in Hospital, SNF, LTAC, DME or Home Health. + Bilingual We offer tangible and intangible benefits such as medical, dental and vision benefits, 401k with company matching, tuition reimbursement, 3 weeks paid vacation time, paid holidays, work-life… more
- AdventHealth (Ormond Beach, FL)
- …healthcare related field. + 1 year of supervisory or administrative experience in Medicare Certified Home care + Registered Nurse State Licensure and/or Compact ... State Licensure In Florida + Valid in state Drivers License with current car insurance + Active American Heart Association BLS **Preferred qualifications:** + Home health experience within the past 3 years and current knowledge of homecare requirements and… more
- Humana (Tallahassee, FL)
- …caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and ... medical services and/or benefit administration determinations. The Utilization Management Nurse 2 + Clinical knowledge, communication skills, and independent… more
- Humana (Tallahassee, FL)
- …help us put health first** The Behavioral Health Care Manager, Telephonic Nurse , in a telephonic environment, assesses and evaluates members' needs and requirements ... for the care and wellbeing of members. The Care Manager, Telephonic Nurse work assignments are varied and frequently require interpretation and independent… more