- Molina Healthcare (FL)
- …+ PMP, Certified Business Analysis Professional (CBAP), or Certified Coding Specialist (CCS) certification . + Project Management Experience. + Familiarity ... and experience. + At least 3 years of Experience with Medicaid and/or Medicare . + Proven experience owning operational projects from concept to execution, especially… more
- CenterWell (Jacksonville, FL)
- …indicators (KPIs), such patient experience via Net Promoter Score (NPS) and Medicare clinical quality via HEDIS, meeting local and organizational goals + Personally ... primary care including health promotion & prevention, disease management, effective specialist & hospital co-management, and complex care management + Spend 20-30%… more
- Veterans Affairs, Veterans Health Administration (Tampa, FL)
- …Certification : Candidates must currently possess the Cytotechnologist (CT) (ASCP) or Specialist in Cytotechnology (SCT) (ASCP) certification given by the ASCP ... develop & recommend regulations, criteria, and standards for laboratory certification ; provide technical assistance to other laboratories, professional organizations,… more
- Molina Healthcare (Tampa, FL)
- …MCG, InterQual or other medically appropriate clinical guidelines, Medicaid, Medicare , CHIP and Marketplace, applicable State regulatory requirements, including the ... to easily access and interpret these guidelines. **Required License, Certification , Association** Active, unrestricted State Registered Nursing (RN) license in… more
- MyFlorida (Orlando, FL)
- …Experience conducting program assessments and home visits. + Current HIV 500/501 certification . + Current Medical Case Management AETC Southeast AIDS Education ... certification . JOB DUTIES AND RESPONSIBILITIES: This is a highly...in Orange County. The incumbent serves as a Referral Specialist for the Ryan White HIV/AIDS Program (RWHAP) ensuring… more
- ChenMed (Hallandale Beach, FL)
- …the assigned centers. + Participates in recruiting and interviewing PCP and specialist candidates. + Partners with Clinical COE and Talent Acquisition to support ... one (1) years' previous experience as Medical Director or equivalent with a Medicare or Medicaid patient population + Board eligibility is required. + Board… more
- AdventHealth (Orlando, FL)
- …-certified home health agency as a case-manager + COS-C - Certificate for OASIS Specialist - Clinical + Home Health Case-Manager Certification This facility is ... an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances. The salary range reflects the anticipated base pay range for this position. Individual compensation is determined based on skills,… more
- AdventHealth (Oviedo, FL)
- …Medicare -certified home health agency as a care-manager + Cert for Oasis Specialist -Clinical (COSC) + Home Health Care-Manager Certification This facility is ... an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances. The salary range reflects the anticipated base pay range for this position. Individual compensation is determined based on skills,… more
- Highmark Health (Tallahassee, FL)
- …system entities in response to external coding audits conducted by the Medicare Administrative Contractor, the RAC, MIC, ZPIC, etc. Determine appeal action, prepare ... as assigned. **QUALIFICATIONS:** Minimum + High school diploma / GED + Certification from American Academy of Professional Coders (AAPC) or American Health… more
- AdventHealth (Sebring, FL)
- …Medicare -certified home health agency as a case-manager + Certificate for OASIS Specialist - Clinical + Home Health Case-Manager Certification This facility ... is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances. The salary range reflects the anticipated base pay range for this position. Individual compensation is determined based on skills,… more