- Lundbeck (Naples, FL)
- …to stay informed on reimbursement dynamics, anticipate and effectively address payer access issues (IDNs, Medicare, Medicaid, Commercial) using Lundbeck resources. ... **Pharmaceutical Environment/Compliance** - Apply knowledge of pharmaceutical and regulatory environment, including accountability and adherence to Lundbeck policies and procedures and FDA regulations regarding the promotion of pharmaceutical and medical… more
- BayCare Health System (Sarasota, FL)
- …clear concise referral provided to homecare division meeting all regulatory, payer , and safety requirements. + Completion of preadmission assessment and education ... to patient and caregiver of homecare services. + Coordination of Homecare and Pharmacy as well as communication with referral sources and physicians. + Responsible for knowledge of Medicare and Managed Care regulations and requirements. + Timely response to… more
- Datavant (Tallahassee, FL)
- …to ensure appropriate reimbursement and clinical severity for DRG-based payer patients. + Demonstrate understanding of complications, co-morbidities, severity of ... illness, risk of mortality, case mix index, secondary diagnoses, and procedure impact on DRG. + Improve coding specificity by educating physicians and caregivers on the importance of clear documentation throughout a patient's stay. + Follow AHA guidelines and… more
- HCA Healthcare (Gainesville, FL)
- …as an educational resource to patients, families, interdisciplinary team members, payer representatives, and other parties as appropriate about behavioral services. ... + Reviews, coaches, and helps with the training of new staff/interns as assigned within approved practice and program guidelines. Participates in developing department goals and clinical programming. + Performs utilization review as assigned. + Helps with… more
- HCA Healthcare (Fort Walton Beach, FL)
- …as an educational resource to patients, families, interdisciplinary team members, payer representatives, and other parties as appropriate about behavioral services. ... + Reviews, coaches, and helps with the training of new staff/interns as assigned within approved practice and program guidelines. Participates in developing department goals and clinical programming. + Performs utilization review as assigned. + Helps with… more
- HCA Healthcare (Tallahassee, FL)
- …thorough working knowledge of the rules of Medicare, Medicaid, and private payer regulations and processes. You will possess a thorough understanding of managed-care ... concepts and length-of-stay management relating to patient and organizational fiscal responsibility. + You will perform thorough assessments and develop appropriate discharge plans for high-risk patients with discharge planning or psychosocial needs. + You… more
- HCA Healthcare (Tallahassee, FL)
- …of Case Management Services + Makes appropriate referrals to third party payer disease and case management programs for recurring patients and patients with ... chronic disease states + Documents professional recommendations, care coordination interventions, and case management activities to effectively communicate to all members of the health care team + Facilitates patient throughput with an ongoing focus on quality… more
- HCA Healthcare (Tallahassee, FL)
- …of Case Management Services + Makes appropriate referrals to third party payer disease and case management programs for recurring patients and patients with ... chronic disease states + Documents professional recommendations, care coordination interventions, and case management activities to effectively communicate to all members of the health care team + Facilitates patient throughput with an ongoing focus on quality… more
- HCA Healthcare (Gainesville, FL)
- …as an educational resource to patients, families, interdisciplinary team members, payer representatives, and other parties as appropriate about behavioral services. ... + Reviews, coaches, and helps with the training of new staff/interns as assigned within approved practice and program guidelines. Participates in developing department goals and clinical programming. + Performs utilization review as assigned. + Helps with… more
- HCA Healthcare (Tallahassee, FL)
- …of Case Management Services + Makes appropriate referrals to third party payer disease and case management programs for recurring patients and patients with ... chronic disease states + Documents professional recommendations, care coordination interventions, and case management activities to effectively communicate to all members of the health care team + Facilitates patient throughput with an ongoing focus on quality… more
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