- AdventHealth (Deland, FL)
- …to nurses, physicians and the interdisciplinary team on issues related to utilization of resources, medical necessity, CMS CoP for Discharge Planning and care ... the patient including, but not limited to the following: Home Health, Infusion Services, Durable Medical Equipment, Palliative Care,...(as permitted by the patient) as well as a review of the current and past inpatient and outpatient… more
- TD Bank (Miami, FL)
- …in the tax calendar; ensuring return workpapers accurately reflect tax credit utilization and carry forwards; ensuring return workpapers accurately reflect NOL ... utilization and carry forwards; and aggregate other state return...returns, etc.) + Assists with and co-manage the preparation, review , and finalization of state income and franchise tax… more
- CVS Health (Tallahassee, FL)
- …advocates for members who cannot advocate for themselves. The TOC team will review prior claims to address potential impact on current case management and ... functioning in the community + Utilizes weekly and daily reporting to identify utilization for the purpose of reducing Emergency Department Utilization and… more
- HCA Healthcare (Ocala, FL)
- …protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, ... and adoption assistance. + Referral services for child, elder and pet care, home and auto repair, event planning and more + Consumer discounts through Abenity… more
- HCA Healthcare (Miami, FL)
- …etc.) hospital nursing experience required + Certification in case management or utilization review preferred + InterQual experience preferred HCA Florida Mercy ... what matters most to nurses like you - at home , at work, and at every stage in your...to apply for our Case Mgr RN opening. We review all applications. Qualified candidates will be contacted by… more
- HCA Healthcare (Fort Pierce, FL)
- …etc.) hospital nursing experience required + Certification in case management or utilization review preferred InterQual experience preferred HCA Florida Lawnwood ... protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage,… more
- Humana (Miramar, FL)
- …referral source and provider interactions and communications. Work with Pre-Authorization, Utilization Management, Billing, Pharmacy, Home Care and DME regarding ... in the Health Plan contractual agreements. The Pre-Service Coordinator will review inbound referrals and correspondence for processing, fulfilment or resolution… more
- MyFlorida (St. Augustine, FL)
- …SUPERVISOR FLORIDA DEPARTMENT OF VETERANS' AFFAIRS NH Name State Veterans' Nursing Home City, County, Florida Annual Salary: $72,113.08 Paid Bi-Weekly. May be ... experience providing nursing services in a long-term health care environment (nursing home ; skilled nursing; or assisted living facility). + Must have at least… more
- HCA Healthcare (Davie, FL)
- …protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, ... + Referral services for child, elder and pet care, home and auto repair, event planning and more +...of equipment in the facilities and reporting of facility utilization /need. **In this role you will be responsible for:**… more
- MyFlorida (Orlando, FL)
- …coordinate health care services for identified high risk participants via telephone calls, home visits, office visits, or a mutually agreed upon location to assist ... with continuity of care. Provides case management services through home visitations to pregnant women; parents of at-risk infants and women between pregnancies… more