Skills and Requirements Include: Physically attend meetings/trainings in Tampa Florida. Have an ASN/BSN. Willing to apply for any state licensure the organization requests. 1 year of experience in a Managed care organization (MCO) or Third party administrator (TPA)
Required Skills: Demonstrated adaptability in ambiguous situations. Bachelor of Science required. At least 4 years of direct patient care experience and comfort with peer-to-peer clinical discussions. Familiarity with different types of patient adherence tools and approaches.
Create and publish Care Program roadmaps. Identify specific market / membership needs. Manage select vendors (Care Partners) in development states. Required Skills: Ability to travel to headquarters as needed. Bachelor’s degree or equivalent work experience.
A staffing agency has a current position open for a Remote Bilingual Spanish Long Term Care Coordinator in Hillsborough County. Candidates will be responsible for the following: Completing assessments with members, caregivers, or providers.
Must meet the following requirements for consideration: Current unrestricted Florida medical license as an MD or DO or ability to obtain. Board Certification by American Board of Medical Specialties. 3+ years of clinical experience. Experience working in a dynamic, fast-paced environment.
Prior clinical experience in an acute care, skilled or rehabilitation clinical setting. Experience with quality improvement processes pertaining to Medicare guidelines. Excellent computer skills and ability to easily navigate multiple applications.
A healthcare nonprofit is searching for a person to fill their position for a Telecommute Clinical Document Integrity Specialist III in Jacksonville. Core Responsibilities of this position include: Validating that coding reflects medical necessity of services.
Authorize and coordinate referral for services. Skills and Requirements Include: Must have valid Florida drivers license. Must live in Alachua County. Bachelor’s or RN or LPN and 2+ years of care management experience or Diploma AND 6+ years of experience.
A software company has a current position open for a Virtual Health Information Exchange Data Analyst in Orlando. Core Responsibilities of this position include: Performing extensive profiling and advanced data mining techniques.
A software company has an open position for a Remote Health Information Exchange Business Analyst in Orlando. Individual must be able to fulfill the following responsibilities: Gather requirements of agile projects. Manage implementation of agile projects. Drive delivery of agile projects.