- HCA Healthcare (Fort Walton Beach, FL)
- …for high-risk patients with discharge planning or psychosocial needs. + Obtains input from the RN case manager to ensure the discharge plan is appropriate ... maintains a thorough working knowledge of the rules of Medicare , Medicaid, and private payer regulations and processes, and...will do in this role: + Works collaboratively with RN case managers, acute care nurses, physicians,… more
- Humana (Belle Glade, FL)
- …services as ordered on patient plan of care. Report's problems/potential problems to RN / Case Manager .forward and of moderate complexity. The Licensed ... of our caring community and help us put health first** The Licensed Practical Nurse is responsible and accountable for making decisions that are based on the… more
- BayCare Health System (Sarasota, FL)
- …Care Coordination Assistant will work under the direction of the Care Transition Coordinator or RN Case Manager to establish and maintain a positive working ... insurance, and benefit information. + Verifying insurance and benefits for all Medicare , Managed Care and Private Fee for Service Plans. Securing authorization for… more
- Actalent (Sunrise, FL)
- Utilization Management Nurse !Job Description The Utilization Management Nurse (UMN) plays a crucial role in reviewing service authorization requests to ensure ... Working under the general supervision of the Director and/or Manager /Supervisor of Medical Management, and in collaboration with an...Milliman Commercial Guidelines + Medicaid + Medical management + Medicare + Managed care + Patient care + Medical… more
- BayCare Health System (Largo, FL)
- …Care Coordination Assistant will work under the direction of the Care Transition Coordinator or RN Case Manager to establish and maintain a positive working ... insurance, and benefit information. + Verifying insurance and benefits for all Medicare , Managed Care and Private Fee for Service Plans. Securing authorization for… more