- ChenMed (Jacksonville, FL)
- …Checklist. + Communicates alternative/approvals to Referral Coordinator. + Follows up with MMD/ Specialist /MND if no response after 24hours. + Calls and follows up ... meeting. Gather info from Medical Director /Network Director /Referral Manager . + Prepares Referral Team Meeting Minutes and send...entered into HITS prospectively. + Works with tier2/tier 3 specialist to make sure our patients are seen working… more
- Molina Healthcare (Tampa, FL)
- …Ownership** + Assists and executes tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and State regulatory requirements are met for Pre-pay ... years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) or health...or health plan setting, including experience in Medicaid and/or Medicare , or equivalent combination of relevant education and experience… more
- ChenMed (Miami, FL)
- …the center referral staff (care coordinators) at the request of the Center Manager and provides feedback to Center Managers when needed. + Ensures Preferred Provider ... is used accurately and effectively. Collaborates with referral management to ensure specialist network is adequate for the geography and escalates accordingly when… 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
- AdventHealth (Palm Coast, FL)
- …current car insurance **Preferred qualifications:** . Recent, relevant experience in a Medicare -certified home health agency as a case- manager . Certified Case ... **Home Health Occupational Therapy Care Manager - AdventHealth Home Health** **All the benefits... Manager . Certificate for OASIS Specialist - Clinical This facility is an equal opportunity… more
- AdventHealth (Sebring, FL)
- …+ Recent, relevant experience in a Medicare -certified home health agency as a case- manager + Certificate for OASIS Specialist - Clinical + Home Health Case- ... Physical Therapist Care Manager Home Health - AdventHealth Home Health All...you'll contribute: The Home Health Physical Therapist (PT) Care Manager is a professional therapist who coordinates and directs… more
- AdventHealth (Sebring, FL)
- …+ Recent, relevant experience in a Medicare -certified home health agency as a case- manager + Certificate for OASIS Specialist - Clinical + Home Health Case- ... **Home Health Occupational Therapy Care Manager - AdventHealth Home Health** **All the benefits...you'll contribute:** The Home Health Occupational Therapy (OT) Care Manager is a professional therapist who coordinates and directs… more
- AdventHealth (Sebring, FL)
- …Recent, relevant experience in a Medicare -certified home health agency as a care- manager + Cert for Oasis Specialist -Clinical (COSC) + Home Health Care- ... **Physical Therapist Care Manager Home Health** **- AdventHealth Home Health** **All...you'll contribute:** The Home Health Physical Therapist (PT) Care Manager is a professional therapist who coordinates and directs… more
- AdventHealth (Altamonte Springs, FL)
- …will contribute:** Under general supervision of the Clinical Documentation Integrity (CDI) Manager , and in some situations the supervision of the Director of ... nursing, care management and quality abstracters. The Quality Auditor Manager adheres to strict departmental and organizational goals, objectives, standards… more
- AdventHealth (Orlando, FL)
- …nursing + Recent, relevant in a Medicare -certified home health agency as a case- manager + COS-C - Certificate for OASIS Specialist - Clinical + Home Health ... **Registered Nurse Case Manager AdventHealth Home Health** **All the benefits and...you'll contribute:** The Home Health Registered Nurse (RN) Care Manager is a professional nurse who coordinates and directs… more