- BAYADA Home Health Care (Orlando, FL)
- …Monday-Friday from 8:30am-5:00pm. _Medicare, Coder, OASIS Review , Utilization Review , Quality Assurance, Remote, Home Health Coding_ **As an ... considered, there is no flexibility around this requirement.** BAYADA Home Health Care is hiring a full... Review Manager provides support to all BAYADA Home Health Care Medicare service offices by… more
- BAYADA Home Health Care (Orlando, FL)
- …leader. Apply now for immediate consideration. OASIS Review , Utilization Review , Quality Assurance, Remote, Home Health Coding, Coder, Medicare **As ... considered, there is no flexibility around this requirement.** BAYADA Home Health Care has an immediate opening...immediate opening for a **Full Time,** OASIS and Coding Review Manager with OASIS and Coding certification to work… more
- ChenMed (North Miami Beach, FL)
- …work experience required. + A minimum of 1 year of utilization review and/or case management, home health , hospital discharge planning experience ... other case managers and nurses, acute and post-acute facilities, home health care companies, and health...patients' progress and adjust and plan accordingly. + Understanding utilization review and how to leverage with… more
- Monte Nido (Miami, FL)
- …nutritional, and clinical strategies to provide comprehensive care within an intimate home setting. The Utilization Review **Clinician** is responsible ... the opportunity for people to realize their healthy selves. ** Utilization Review Clinician** **Monte Nido** **Remote -...Assistance Program (EAP) + Flexible Spending Account (FSA) + Health Savings Account (HSA) + Paid time off +… more
- Actalent (Orlando, FL)
- …to validate the necessity and setting of care. Essential Skills + Proficiency in utilization management and utilization review + Experience with Interqual ... you will perform concurrent reviews to assess members' overall health , review the type of care being...Saturday. The role offers the flexibility of working from home , and you will be part of a dynamic… more
- CVS Health (Tallahassee, FL)
- …authorization. + 5 years of a variety clinical experience required including acute care, home health , or long-term care. + 5 years demonstrated ability to make ... At CVS Health , we're building a world of health...call center environment. + 1 year of varied UM ( utilization management) experience within an inpatient, concurrent review… more
- CenterWell (Tallahassee, FL)
- …Previous Medicare Advantage/Medicare + Current nursing experience in Hospital, SNF, LTAC, DME or Home Health . + Bilingual **Use your skills to make an impact** ... medical care and services against established CMS Coverage Guidelines/NCQA review criteria and who is interested in being part...senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy… more
- AdventHealth (Tampa, FL)
- …reviews within 24 hours of admission; and when warranted by length of stay, utilization review plan, and/or best practice guidelines, on a continuing basis. ... Loan Repayment Program Career Development Whole Person Wellbeing Resources Mental Health Resources and Support **Our promise to you:** Joining AdventHealth is… more
- AdventHealth (Tampa, FL)
- …for escalation to the Physician Advisor or designated leader for additional review as determined by department standards. The Utilization Management Nurse ... Loan Repayment Program Career Development Whole Person Wellbeing Resources Mental Health Resources and Support **Our promise to you:** Joining AdventHealth is… more
- AdventHealth (Tampa, FL)
- …for escalation to the Physician Advisor or designated leader for additional review as determined by department standards. The Utilization Management Nurse ... Repayment Program + Career Development + Whole Person Wellbeing Resources + Mental Health Resources and Support **Our promise to you:** Joining AdventHealth is about… more