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Description Healthcare isn't just about health anymore. ... of our patients, and the healthcare industry as a whole. As ... a whole. As a senior-focused healthcare provider, and subsidiary of..
Description o Our search is focused on identifying an individual contributor who will take ownership of Medicare risk adjustment programs that fit best with our providers by implementing operational and clinical ..
Description Responsibilities This role within the Autism Care Demonstration (ACD) Team, will work closely with Care Management leaders and Subject Matter Experts in the areas of Case Management, Utilization Management and ..
Job Information Humana Senior Provider Contracting Professional - TRICARE Behavioral Health in Tampa Florida Description Responsibilities The position will provide corporate support to the Director of Provider Contracting and is responsible ..
Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home health episodic and per diem requests. The Medical Director provides medical interpretation and determinations whether ..
Job Information Humana Medicare Appeals and Grievance Medical Director in Tampa Florida Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part ..
Description The Risk Management Lead - Home Health works as a partner with Home Solutions teams to evaluate and analyze business processes, potential issues, and strategic opportunities to minimize risk, ensure ..
... Information Humana RN Sr. Stars Improvement - Medical Record Review Focus ... Florida Description The Senior Stars Improvement, Clinical Professional responsible for the ... Medicaid Program. The Senior Stars..
Description The Lead Behavioral Health Medical Director oversees the work of 2 Medical Directors who conduct clinical case reviews of the care received by members in an assigned market, member population, ..
Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part C Line of Business. The Medical Director provides medical interpretation and determinations ..
Operating Room Liaison SPD Tech AdventHealth Tampa Location Address: 3100 East Fletcher Avenue Tampa, Florida 33613 Top Reasons to Work at AdventHealth Tampa Possible Sign-On Bonus up to $5,000. Florida Hospital ..
Description The Behavioral Health Medical Director responsible for behavioral health care strategy and/or operations. The Behavioral Health Medical Director work assignments involve moderately complex to complex issues where the analysis of ..
Job Information Kindred at Home Area Director Nursing & Rehab in Tampa Florida The Director, Area Nursing/Rehab Specialty Focus will direct management of multiple Specialty locations across a geographic area(s). Oversee/guide ..
... Certified Diabetes Care and Education Specialist-Remote-US in Tampa Florida Description The ... Certified Diabetic Care and Education Specialist (CDCES) delivers comprehensive and seamless ... Certified Diabetes Care and Education..
... 40 market leader in integrated healthcare whose dream is to help ... Designs, coordinates, and completes operational improvement projects across various functional areas ... performance opportunities including those to..
Description The Supervisor, Care Management Support contributes to administration of care management. Provides non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or maintain optimal wellness ..
Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..
... in the implementation of Quality Improvement Programs. • Participates in patient ... to the community, physicians, other healthcare providers as well as community ... required credentials, corrective actions, and..
Description The Health Services Director leads teams of nurses and behavior health professionals responsible for care management. The Director, Care Management requires an in-depth understanding of how organization capabilities interrelate across ..
Job Information Humana FP&A Lead, Medicaid Market in Tampa Florida Description The Financial Planning & Analysis Lead is acritical leadership role with full market financial oversight over the South Carolina Medicaid ..
Clinical Doc Specialist AdventHealth Tampa Location Address: 3100 ... WebEx’s. Recognizes opportunities for documentation improvement using strong critical-thinking skills. Uses ... nursing, and collaboration with the healthcare team. This includes..
