- AdventHealth (Ormond Beach, FL)
- …of supervisory or administrative experience in Medicare Certified Home care + Registered Nurse State Licensure and/or Compact State Licensure In Florida + ... of clinical protocols, activities, programs, policies and standards to assure compliance with regulatory, licensing and certification requirements for the home… more
- Fresenius Medical Center (Trenton, FL)
- …vision core values and customer service philosophy. Adheres to the FMCNA Compliance Program including following all regulatory and FMS policy requirements. Functions ... for patients under the direct supervision of a licensed nurse in accordance with FMCNA policies procedures and training...accordance with FMCNA policies procedures and training and in compliance with regulations set forth by the corporation state… more
- HCA Healthcare (Kissimmee, FL)
- …The case management assistant (CMA) will work under the direction of the RN case manager or social worker to assist with facilitating patient discharges requiring ... will provide administrative support in Case Management functions. + Coordinates with RN case manager and social worker for support needed. Communicates updates on… more
- HCA Healthcare (Fort Walton Beach, FL)
- …The case management assistant (CMA) will work under the direction of the RN case manager or social worker to assist with facilitating patient discharges requiring ... you will do in this role: + Coordinates with RN case manager and social worker for support needed....including having the Patient Choice letter signed. + Monitors Medicare patient's planned discharge dates and delivers the Important… more
- Molina Healthcare (FL)
- …quality member intervention initiatives including all lines of business ( Medicare , Marketplace, Medicaid). Executes health plan's member and community quality ... skills. **PREFERRED QUALIFICATIONS:** + 1 year of experience in Medicare and in Medicaid managed care + Experience with...Certified Professional in Health Quality (CPHQ) + Nursing License ( RN may be preferred for specific roles) + Certified… more
- Molina Healthcare (Miami, FL)
- …and implementation of NCQA accreditation surveys and federal/state QI compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Program Director is a key Quality ... and monitors the success of QI activities; and QI Compliance , which provides the strategic direction and implementation of...programs. + 2 years Medicaid experience + 2 years Medicare experience + 3 years management experience + Operational… more
- CVS Health (Tallahassee, FL)
- …visit, inpatient, skilled nursing, or rehabilitative stay. Under the direction of a Registered /Licensed RN , the TOC Coach ensures the member experiences a ... level for alerts or changes in condition to be transitioned back to RN + Complete post discharge call and required assessments (RAP), medication reconciliation (if… more
- DOCTORS HEALTHCARE PLANS, INC. (Miami, FL)
- …promotes quality healthcare delivery, manages healthcare costs, and ensures compliance with regulatory and accreditation requirements. This position is responsible ... Oversee Utilization Management to ensure alignment with organizational goals and compliance with regulations. + Develop, implement, and monitor strategies to manage… more
- HCA Healthcare (Gainesville, FL)
- …of Healthcare Organizations (JCAHO), Clinical Laboratory Improvements Act (CLIA) as well as compliance with standards of the Centers for Medicare & Medicaid ... coordinate regulatory and accreditation survey activities and follow-up to insure compliance with assistance from other departments as necessary. Manage regulatory… more
- Aveanna Healthcare (West Palm Beach, FL)
- …each visit o Observe and report significant changes in patient's condition to the ( RN ) Nursing Supervisor Requirements * High school graduate or GED * Current BLS ... to a patient. * Demonstrated proficiency in clinical assessments, documentation and compliance with aide care and policies and procedures Additional state specific… more