- CVS Health (Tallahassee, FL)
- …advocates for members who cannot advocate for themselves. The TOC team will review prior claims to address potential impact on current case management and ... (CKD), post-acute care, hospice, palliative care, cardiac, home health with Medicare members **Preferred Qualifications** + 4+ years of Licensed Practical Nurse… more
- Centene Corporation (Tallahassee, FL)
- …to inquiries from state and federal regulatory agencies timely. + Quality Review all external audit deliverables for completeness and accuracy prior to submission ... landscape preferred + Risk Adjustment regulatory audit experience preferred + Medicare experience preferred Pay Range: $68,700 -123,700 annual Centene offers a… more
- HCA Healthcare (Coral Springs, 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 ... career path, we encourage you to apply for our LPN Home Health opening. We review all applications. Qualified candidates will be contacted by a member of our team.… more
- University of Miami (Medley, FL)
- …staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The ... Data Set (UHDDS), and other regulatory requirements to assure proper Medicare Severity Diagnostic Related Groups (MS-DRG) assignment. + Reviews medical record… more
- Highmark Health (Tallahassee, FL)
- …skills, as well as conceptual and analytic skills in order to review and articulate corporate objectives and regulations across all relevant audiences. + ... and cross-functional strategy development. + Experience with managed care, Medicare and federal and/or state regulations, quality improvement and compliance… more
- Molina Healthcare (Miami, FL)
- …and procedures to ensure accuracy, completeness, and compliance with Centers for Medicare and Medicaid Services (CMS) regulations and guidelines of risk adjustment ... degree. **Required Experience** 3 Years in coding and medical record chart review and experience with risk adjustment data validation Required Li **Required License,… more
- University of Miami (Miami, FL)
- …staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The ... monitored and published by external regulatory agencies, ie, Centers for Medicare and Medicaid Services, Hospital Compare and Physician Compare. Collaborates closely… more
- WestCare Foundation (Key West, FL)
- …cases of individuals and ensure effective linkage to service continuum. + Ensure review of required monthly monitoring reports in order to intervene in problematic ... sources; + Ability to maintain an active and up-to-date knowledge of Medicaid/ Medicare and Social Security disability application procedures. + Ability to organize,… more
- Cardinal Health (Tallahassee, FL)
- …preferred + Pharmacy Technician experience a plus, not required + Familiarity with Medicare and Medicaid + Proficient in Microsoft Office (Excel VLOOKUPS) + Strong ... other status protected by federal, state or local law._ _To read and review this privacy notice click_ here… more
- Aveanna Healthcare (Gainesville, FL)
- …Documents effectively resulting in no technical or clinical denials subsequent to review of documentation by payers + Maintain effective communication between staff, ... Health Therapy and completion of OASIS documentation As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements… more