- HCA Healthcare (Tamarac, FL)
- …+ You will maintain a thorough working knowledge of the rules of Medicare , Medicaid, and private payer regulations and processes. You will possess a thorough ... we encourage you to apply for our MSW PRN opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews. **Unlock the… more
- Prime Therapeutics (Tallahassee, FL)
- …or equivalent training and/or experience + Experience within the PBM industry, Medicaid, Medicare , and health plans + Pharmacist / Pharm D + Experience with contract ... ranges from $164,000.00 - $279,000.00 based on experience and skills. To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page… more
- BayCare Health System (Clearwater, FL)
- …Within the Team:** + Analyze government reimbursement data and develop strategies for Medicare /Medicaid Cost Reports + Prepare and review annual cost reports and ... ensure regulatory compliance + Monitor federal and state reimbursement changes and assess financial impact + Support net revenue analysis, forecasting, and reserve methodology + Collaborate with cross-functional teams in Finance, Revenue Cycle, and Accounting… more
- Healthfirst (FL)
- …the care plan for assigned members and conducts pre-certification, concurrent review , discharge planning, and case management as assigned. The Case Manager, ... Certified Case Manager + Interqual and/or Milliman knowledge + Knowledge of Centers for Medicare & Medicaid Services (CMS) or New York State + Department of Health… more
- HCA Healthcare (Atlantis, FL)
- …+ You will maintain a thorough working knowledge of the rules of Medicare , Medicaid, and private payer regulations and processes. You will possess a thorough ... we encourage you to apply for our Social Worker opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews. **Unlock… more
- Humana (Miramar, FL)
- …while on duty, uses computerized punch time system correctly. * Attends annual review and department in services, as scheduled. * Attends staff meetings, reads and ... efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. … more
- HCA Healthcare (Kissimmee, FL)
- …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 ... path, we encourage you to apply for our PRN LPN Home Health opening. We review all applications. Qualified candidates will be contacted by a member of our team.… more
- AccentCare, Inc. (Spring Hill, FL)
- …of permit to practice in state(s) of agency operation if required Medicare /Medicaid/Insurance specialty preferred Unless otherwise dictated by the state, at least ... Participate as a member of the interdisciplinary team and in the development and review of the plan of care for all patients. Assess the social, spiritual, and… more
- HCA Healthcare (Fort Walton Beach, FL)
- …The MSW maintains a thorough working knowledge of the rules of Medicare , Medicaid, and private payer regulations and processes, and possesses a thorough ... encourage you to apply for our Social Worker MSW PRN opening. We review all applications. Qualified candidates will be contacted for interviews. **Unlock the… more
- AdventHealth (Altamonte Springs, FL)
- …of mortality (ROM) and quality. . Completes accurate and timely record review to ensure the integrity of documentation compliance. Completes accurate and concise ... healthcare team. This includes quarterly and annual compliance updates from Medicare . . Effectively and appropriately communicates with physicians and other… more