- 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
- HCA Healthcare (Gainesville, FL)
- …purpose and integrity. We care like family! Jump-start your career as a Behavioral Health Utilization Review RN MSW today with Parallon. **Benefits** ... protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care...by location._** Come join our team as a Behavioral Health Utilization Review RN MSW.… more
- CVS Health (Tallahassee, FL)
- …(RN) - active license. + 3+ Years of clinical experience. + 1+ Year of Utilization Review Management and/or Medical Management experience. + Must have active and ... At CVS Health , we're building a world of health...be required. This position will be remote working from home anywhere in the US. **Position Summary** + Utilizes… 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
- Humana (Tallahassee, FL)
- **Become a part of our caring community and help us put health first** The Staff Utilization Management Pharmacist is a clinical expert responsible for ... Qualifications:** + Experience in managed care pharmacy, particularly in utilization management review **Additional Information:** **Interview Format**… 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