Clinical Denials Management Specialist AdventHealthClinical Denials Management SpecialistAltamonte Springs, FL$66,170.74–$123,073.07 / yearReviews various types of denial, appeal, and further action including charge audit/charge capture denials, charge correction, clinical validation, services deemed experimental, services denied according to various payer policies, inpatient level of care, NICU level of care, readmissions, etc. Technical proficiency to independently set up computer system including monitors, docking station, keyboard, and ability to maintain reliable internet service along with backup internet plan for outages, and troubleshoot / resolve problems [Required].
NewLtss Utilization Management RN - Remote In FL UnitedHealth Group Inc.Ltss Utilization Management RN - Remote In FLMaitland, FLRemote$29–$52 / hourWe are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes.
Intensive Community Manager, Complex Care (Onsite) (Registered Nurse) ChenMed LLCIntensive Community Manager, Complex Care (Onsite) (Registered Nurse)Winter Park, FL$36.90–$52.70 / hourGeneral computer knowledge and effective Microsoft Office Products (PowerPoint, Excel, Word and Outlook) skills, plus the ability to use a variety of other word-processing, spreadsheet, database, e-mail and presentation software. ESSENTIAL JOB DUTIES/RESPONSIBILITIES: Coordinates the integration of social services/case management functions into the patient care, discharge and home planning processes with other departments, external service organizations, agencies and healthcare facilities.
Intensive Community Manager, Complex Care (Onsite) (Registered Nurse) ChenMedIntensive Community Manager, Complex Care (Onsite) (Registered Nurse)Winter Park, FloridaGeneral computer knowledge and effective Microsoft Office Products (PowerPoint, Excel, Word and Outlook) skills, plus the ability to use a variety of other word-processing, spreadsheet, database, e-mail and presentation software. Coordinates the integration of social services/case management functions into the patient care, discharge and home planning processes with other departments, external service organizations, agencies and healthcare facilities.
GUARDIAN AD LITEM OFFICE, 18TH CIRCUIT- OPS CHILD ADVOCATE MANAGER- 21818002 Government of FloridaGUARDIAN AD LITEM OFFICE, 18TH CIRCUIT- OPS CHILD ADVOCATE MANAGER- 21818002SANFORD, FLSome examples of a "typical" working day may include the following: Collaborate with the Guardian ad Litem Office multidisciplinary team, management, Department of Children and Families, contracted service providers, Department of Juvenile Justice, Department of Education, Law Enforcement, etc. The Statewide Guardian ad Litem Office is Florida's award-winning, state-funded child advocacy organization that provides independent legal representation to abused, abandoned and neglected children in Florida's dependency court proceedings.
Shelter Housing Services Manager The Coalition for the Homeless of Central FloridaShelter Housing Services ManagerOrlando, FloridaManager establishes consistent case management expectations and workflows across MSC and CWF, monitors staff caseloads and guest progress, ensures HMIS/ClientTrack and grant compliance, conducts routine quality assurance reviews, and holds Housing Specialists accountable for documentation, service delivery, and housing outcomes. STATUS: Salary – Exempt – Full-Time Overview: The Shelter Housing Services Manager provides leadership, supervision, and programmatic oversight of housing-focused services delivered to guests residing within the Men’s Service Center (MSC) and Center for Women and Families (CWF).
Field Service Representative- Florida STRUCTION SOLUTIONSField Service Representative- FloridaOrlando, FL$18–$19 / hourThe Field Service Representative provides complex non-medical case management and extended support to WIIs and family members, with primary focus on TDRL/PDRL and unresolved cases requiring face-to-face coordination. Struction Solutions is a Service-Disabled Veteran-Owned Small Business leading a team supporting the U.S. Marine Corps Sergeant Merlin German Wounded Warrior Call Center Outreach and Resource Support Services.
FACT Mental Health Professional Mental Health Resource CenterFACT Mental Health ProfessionalKissimmee, FloridaOutpatient services include medication management, care coordination, case management, intensive case management team services, counseling, psychosocial rehabilitation, an adult therapeutic family program, state hospital liaison services, mental health court, multidisciplinary forensic teams (MFT), jail-based diversion services, a Co-Responder Program with the Jacksonville Sheriff’s Office, the Link-to-Life suicide prevention program, and services that assist individuals in obtaining benefits such as Social Security Income, Social Security Disability Income, Medicaid, food stamps, and housing. MHRC also operates eight Florida Assertive Community Treatment (FACT) programs for adults with severe and persistent mental illness, located in Clearwater, Gainesville, Jacksonville, Kissimmee, Rockledge, Tampa, and Winter Haven, as well as a FACT Lite program providing Linking, Advocating, Treating, Transitioning, Empowering & Recovery Support (LATTERS) services in Jacksonville.
NewCommunity Outreach for Families Program Manager The Coalition for the Homeless of Central FloridaCommunity Outreach for Families Program ManagerOrlando, FloridaSTATUS: Salary – Exempt – Full-Time OVERVIEW: Program Manager will supervise and work closely with the outreach team towards achieving the program goals of engaging, assessing, enrolling and navigating families experiencing homelessness from the streets to permanent housing with needed support in the Tri-County area of Orange, Osceola and Seminole. REQUIRED SKILLS: Commitment and ability to engage in an empathetic, non-judgmental way with people in stressful situations; to establish rapport in order to help resolve homeless households immediate housing crisis.
Medical Social Worker Revitalize Home HealthcareMedical Social WorkerOrlando, FloridaConducts medically necessary skilled medical social work visits in accordance with the physician-ordered plan of care and documents findings and interventions in the clinical record. Provides medical social work services addressing psychosocial, emotional, environmental, and financial factors that impact the patient’s ability to achieve optimal health outcomes.
FACT Registered Nurse Mental Health Resource CenterFACT Registered NurseKissimmee, FloridaOutpatient services include medication management, care coordination, case management, intensive case management team services, counseling, psychosocial rehabilitation, an adult therapeutic family program, state hospital liaison services, mental health court, multidisciplinary forensic teams (MFT), jail-based diversion services, a Co-Responder Program with the Jacksonville Sheriff’s Office, the Link-to-Life suicide prevention program, and services that assist individuals in obtaining benefits such as Social Security Income, Social Security Disability Income, Medicaid, food stamps, and housing. MHRC also operates eight Florida Assertive Community Treatment (FACT) programs for adults with severe and persistent mental illness, located in Clearwater, Gainesville, Jacksonville, Kissimmee, Rockledge, Tampa, and Winter Haven, as well as a FACT Lite program providing Linking, Advocating, Treating, Transitioning, Empowering & Recovery Support (LATTERS) services in Jacksonville.
Integrated Care Coach Humana IncIntegrated Care CoachClermont, FL$53,700–$72,600 / yearAbout CenterWell Senior Primary Care: CenterWell Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. As the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients.
Integrated Care Coach CenterWellIntegrated Care CoachClermont, FloridaAbout CenterWell Senior Primary Care: CenterWell Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. As the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients.
NewEligibility Specialist Tryfacta, IncEligibility SpecialistOrlando, FL$24.55 / hourRequires a 4-year Bachelor's degree; 3 to 4 years of previous experience and/or training involving general office, customer service, leasing, social services, caseload work experience, or personal computer operations, or any equivalent combination of education, training, and experience which provides the requisite knowledge, skills, and abilities for this job. Conducts appropriate re-certification/screening of rent increases; conducts existing tenants' re-certification to determine interviews; continues downloading eligibility from the mainframe computer; requests unit inspections and compares the rent reasonableness of proposed rent to comparable units in the community information, previous.
RN Care Manager Independent Living Systems LLCRN Care ManagerOrlando, FLCore responsibilities include assessing individual needs, developing person-centered care and discharge plans, coordinating services and supports, facilitating seamless transitions between care settings, and monitoring progress to adjust care plans as needed. Acting as an advocate and liaison between members, their families, and the care delivery system, the RN Care Manager helps ensure care aligns with clinical guidelines, individual preferences, and program requirements while supporting optimal outcomes throughout the member's care journey.
Care Manager Independent Living Systems LLCCare ManagerOrlando, FLCore responsibilities include assessing individual needs, developing person-centered care and discharge plans, coordinating services and supports, facilitating seamless transitions between care settings, and monitoring progress to adjust care plans as needed. Acting as an advocate and liaison between members, their families, and the care delivery system, the Care Manager helps ensure care aligns with clinical guidelines, individual preferences, and program requirements while supporting optimal outcomes throughout the member's care journey.
NewRN Hospital Care Manager Healthcare Recruitment PartnersRN Hospital Care ManagerAltamonte Springs, FLResponsibilities: Assesses patients and families in the inpatient, observation, and emergency departments for discharge planning needs, including prior functioning, support systems, and psychosocial factors, early enough to prevent delays. The RN Hospital Care Manager carries a caseload with steadiness and judgment, builds trust with patients and families at a hard moment, and earns the confidence of physicians and the interdisciplinary team.
Field Care Coordinator HumanaField Care CoordinatorOrlando, Florida$60,000–$65,000 / yearThe Care Coach 1 role involves meeting members in their location, spending quality time assessing their needs and barriers and then connecting our members with quality services to promote their ultimate well-being and drive health outcomes. The Field Care Coordinator assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources appropriate for the care and wellbeing of members.
NewHome Health Clinical Manager CenterWellHome Health Clinical ManagerKissimmee, FloridaOur care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers – all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives. As the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients.
Social Security Disability Attorney Morgan & Morgan, P.A.Social Security Disability AttorneyOrlando, FLThis employer participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S. If E-Verify cannot confirm that you are authorized to work, this employer is required to give you written instructions and an opportunity to contact Department of Homeland Security (DHS) or Social Security Administration (SSA) so you can begin to resolve the issue before the employer can take any action against you, including terminating your employment. As one of the fastest-growing Social Security Disability practices in the country, we're looking for attorneys who thrive in a fast-paced environment, enjoy managing an active caseload, and take pride in moving cases toward successful outcomes.