- HCA Healthcare (Fort Lauderdale, FL)
- …content that meets the accreditation standards of the Joint Commission, Medicare , Medicaid, and similar organizations from an educational perspective. + Establishes ... Certifications, Training: + If applicable, currently licensed as a registered professional nurse in the state(s) of practice and/or has an active compact license,… more
- BrightSpring Health Services (Gainesville, FL)
- …with Company policies and procedures, state licensure and regulations, Medicaid, and Medicare standards, as well as state reimbursement regulations + Leads case ... of Nursing is unavailable + Participates on the safety, infection control, incident review and human rights committees + Facilitates communication and serves as a… more
- Elevance Health (Tampa, FL)
- …life through home-care and community based services. **Clinical Quality Consultant Nurse Practitioner** Location: **Virtual** - This role enables associates to work ... full accurate and appropriate diagnosis, documentation, coding and care. will review all provider visit medical encounters and apply most appropriate diagnosis… more
- Gentiva (Winter Garden, FL)
- …Group (IDG), as assigned, including presiding over IDG, presentation of patients for review , coordination of minutes, review of patient charts to note and ... school of nursing; bachelor's degree in nursing preferred + Current Registered Nurse licensure in state of residence and requested employment + Demonstrates… more
- Novo Nordisk (Jupiter, FL)
- …the DCS I maintain relationships with physicians, physician assistants, nurse practitioners, medical assistants, pharmacists, nurses and other paramedical customers ... impact + Demonstrates understanding of the local payer market including Medicare , Commercial and Medicaid benefit designs, Payer Coverage, Prescription Coverage… more
- HCA Healthcare (Melbourne, FL)
- …you will need:** + Bachelor's Degree with a major in Marketing, and/or Licensed Nurse preferred + Minimum of two (2) years of experience in sales or public ... to providing patients with quality care during their recovery at home. We are Medicare certified. Our patients are under the supervision of a physician and our team… more
- Elevance Health (Tampa, FL)
- …organization with health plans for people enrolled in Medicaid and/or Medicare programs in Florida. **Medical Management Clinician Associate** **Location:** The ... not require the training or skill of a registered nurse . **How you will make an impact** Primary duties...minimum of 2 years of clinical experience and/or utilization review experience. + Current active, valid and unrestricted LPN/LVN… more
- Zelis (St. Petersburg, FL)
- …you are. Position Overview The Manager, DRG Validation of the Expert Claims Review (ECR) department is responsible for daily operations and team management of the ... to Zelis standards regarding privacy What you'll bring to Zelis: + Registered Nurse licensure required + Inpatient Coding Certification required (ie, CCS, CIC, RHIA,… more
- HCA Healthcare (Coral Springs, FL)
- …the Plan of Care under the direction and supervision of a Registered Nurse and/or Director, Professional Services. Performs all functions in a professional and ... quality care during their recovery at home. We are Medicare certified. Our patients are under the supervision of...to apply for our LPN Home Health opening. We review all applications. Qualified candidates will be contacted by… more
- Humana (Hallandale Beach, FL)
- …degree in social work or behavioral health-related field + Active licensed Registered Nurse , RN in the state of Florida without disciplinary Must meet **all** of ... Humana values personal identity protection. Please be aware that applicants selected for leader review may be asked to provide their social security number, if it is… more