Government of FloridaCOMMUNITY HEALTH NURSING CONSULTANT - 64039449 Government of FloridaCOMMUNITY HEALTH NURSING CONSULTANT - 64039449TALLAHASSEE, FL$51,704.34–$55,000 / yearKnowledge of basic management principles and practices and of the methods of data collection and analysis; ability to collect, evaluate and analyze data; solve problems; document work flow and other activities; organize data in logical format for presentation; conduct fact-finding research; utilize problem solving techniques; plan, organize and coordinate work assignments; understand and apply applicable rules, regulations, policies and procedures; communicate effectively; establish and maintain effective working relationships with others, and to work independently. Qualifications: Licensure as a Registered Nurse in accordance with Florida Statute 464 or eligible to practice nursing in accordance with Florida Administrative Code 210-8.27 or possess a nursing multistate license through the Nurse Licensure Compact, current cardiopulmonary resuscitation (CPR) certification, a valid Florida Driver's License.
Government of FloridaREGISTERED NURSING CONSULTANT - 64068083 Government of FloridaREGISTERED NURSING CONSULTANT - 64068083TALLAHASSEE, FL$50,000–$55,000 / yearThe State's total compensation package for employees features a highly competitive set of employee benefits including: Annual and Sick Leave benefits: Nine paid holidays and one Personal Holiday each year; State Group Insurance coverage options, including health, life, dental, vision, and other supplemental insurance options; Retirement plan options, including employer contributions (For more information, please click www.myfrs.com); Flexible Spending Accounts; Tuition waivers; and more! Your Specific Responsibilities: Provides nursing consultation and technical assistance to CMS staff, contracted providers and other community partners related to the clinical aspects of programmatic matters and contractual requirements, and healthcare quality improvement methods, concepts and requirements.
Government of FloridaGOVERNMENT OPERATIONS CONSULTANT II - 64000111 Government of FloridaGOVERNMENT OPERATIONS CONSULTANT II - 64000111TALLAHASSEE, FL$45,060.11–$47,060.11 / yearRequired Knowledge, Skills, and Abilities: Proficient computer skills to include Word, Excel, PowerPoint and Outlook; knowledge of computer data bases; knowledge and use of the compliance management system and licensing system used by the Agency; knowledge of laws, legal codes, court procedures and government rules & regulations; knowledge of the structure and content of the English language including the meaning and spelling of words, rules of composition, and grammar; understanding written sentences and paragraphs in work related documents; communicating effectively with others in writing; talking to others to effectively convey information; ability to establish and maintain effective working relationships with others; ability to plan, organize and prioritize work assignments; using logic and analysis to identify the strengths and weaknesses of different approaches; investigating and researching; knowing how to find information and identifying essential information; finding ways to structure or classify multiple pieces of information; ability to maintain a high degree of accuracy and close attention to detail; organizational skills; effectively manage time; ability to travel; ability to maintain strict confidentiality. Conduct investigations when appropriate; issue subpoenas, citations, cease and desist agreements and notices of non-compliance; contact and interview witnesses and experts as necessary when conducting investigations; prepare investigative reports and prepares file for legal review; testify at hearings as necessary.
Tallahassee Memorial HealthcareRN/Lactation Consultant Inpatient - Women's Pavilion Tallahassee Memorial HealthcareRN/Lactation Consultant Inpatient - Women's PavilionTallahassee, FloridaAssess/plans/implements/evaluates individualized teaching plans for patients with specific learning needs with consideration of age specific needs and behaviors of the patient population served. WHO WE ARE & WHAT WE DO: Tallahassee Memorial Healthcare (TMH) is a private, nonprofit community-based healthcare system that provides care to a 22-county region in North Florida and South Georgia.
Tallahassee Memorial HealthcareRN/Lactation Consultant Outpatient- Women's Pavilion Tallahassee Memorial HealthcareRN/Lactation Consultant Outpatient- Women's PavilionTallahassee, FloridaAssess/plans/implements/evaluates individualized teaching plans for patients with specific learning needs with consideration of age specific needs and behaviors of the patient population served. WHO WE ARE & WHAT WE DO: Tallahassee Memorial Healthcare (TMH) is a private, nonprofit community-based healthcare system that provides care to a 22-county region in North Florida and South Georgia.
Tallahassee Memorial HealthcareRN/Lactation Consultant Tallahassee Memorial HealthcareRN/Lactation ConsultantTallahassee, FloridaAssess/plans/implements/evaluates individualized teaching plans for patients with specific learning needs with consideration of age specific needs and behaviors of the patient population served. WHO WE ARE & WHAT WE DO: Tallahassee Memorial Healthcare (TMH) is a private, nonprofit community-based healthcare system that provides care to a 22-county region in North Florida and South Georgia.
Tallahassee Memorial HealthCare IncRN/Lactation Consultant Outpatient Women''s Pavilion Tallahassee Memorial HealthCare IncRN/Lactation Consultant Outpatient Women''s PavilionTallahassee, FLTMH is the regions healthcare leader and top provider of advanced care with a 772-bed acute care hospital and the regions only: • Level II Trauma Center • Primary Stroke Center • Level III Neonatal Intensive Care • Pediatric Intensive Care • The most advanced cancer, heart and vascular, orthopedic & surgery programs in the Panhandle. Assess/plans/implements/evaluates individualized teaching plans for patients with specific learning needs with consideration of age specific needs and behaviors of the patient population served.
Tallahassee Memorial HealthCare IncRN/Lactation Consultant Inpatient Women''s Pavilion Tallahassee Memorial HealthCare IncRN/Lactation Consultant Inpatient Women''s PavilionTallahassee, FLTMH is the regions healthcare leader and top provider of advanced care with a 772-bed acute care hospital and the regions only: • Level II Trauma Center • Primary Stroke Center • Level III Neonatal Intensive Care • Pediatric Intensive Care • The most advanced cancer, heart and vascular, orthopedic & surgery programs in the Panhandle. Assess/plans/implements/evaluates individualized teaching plans for patients with specific learning needs with consideration of age specific needs and behaviors of the patient population served.
LanceSoft IncCase Manager - Healthcare Consultant I - (West Hialeah), FL LanceSoft IncCase Manager - Healthcare Consultant I - (West Hialeah), FLTallahassee, FL$30–$34.13 / hourFull timeCase Management Coordinators will determine appropriate services and supports due to member’s health needs; including but not limited to: Prior Authorizations, Coordination with PCP and skilled providers, Condition management information, Medication review, Community resources and supports. Utilizes critical thinking and judgment to collaborate and inform the case management process, in order to facilitate appropriate healthcare outcomes for members by providing care coordination, support and education for members through the use of care management tools and resources.
Government of FloridaHUMAN SERVICES PROGRAM CONSULTANT I (PENDING RECLASSIFICATION) Government of FloridaHUMAN SERVICES PROGRAM CONSULTANT I (PENDING RECLASSIFICATION)TALLAHASSEE, FLThe State's total compensation package for employees features a highly competitive set of employee benefits including: Annual and Sick Leave benefits: Nine paid holidays and one Personal Holiday each year; State Group Insurance coverage options, including health, life, dental, vision, and other supplemental insurance options; Retirement plan options, including employer contributions (For more information, please click www.myfrs.com); Flexible Spending Accounts; Tuition waivers; And more! This position provides quality customer services on behalf of DCMS by conducting eligibility screenings to determine current and/or continued eligibility for enrolled or potentially enrolled children for the State's health plan for children and youth with special health care needs through the DCMS Clinical eligibility Unit Toll-Free Line-Free Line.
Integrated Resources, IncHealthcare Consultant I Integrated Resources, IncHealthcare Consultant ITallahassee, FLCase Management Coordinators will determine appropriate services and supports due to member s health needs; including but not limited to: Prior Authorizations, Coordination with PCP and skilled providers, Condition management information, Medication review, Community resources and supports. -Utilizes critical thinking and judgment to collaborate and inform the case management process, in order to facilitate appropriate healthcare outcomes for members by providing care coordination, support and education for members through the use of care management tools and resources.
LanceSoft IncHealthcare Consultant I - MID MIAMI LanceSoft IncHealthcare Consultant I - MID MIAMITallahassee, FL$34.13–$37 / hourFull timeConducts comprehensive evaluation of Members using care management tools and information/data review Coordinates and implements assigned care plan activities and monitors care plan progress Conducts multidisciplinary review to achieve optimal outcomes Identifies and escalates quality of care issues through established channels Utilizes negotiation skills to secure appropriate options and services necessary to meet the member’s benefits and/or healthcare needs Utilizes influencing/ motivational interviewing skills to ensure maximum member engagement and promote lifestyle/behavior changes to achieve optimum level of health Provides coaching, information and support to empower the member to make ongoing independent medical and/or healthy lifestyle choices Helps member actively and knowledgeably participate with their provider in healthcare decision-making Utilizes case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures. Case Management Coordinators will determine appropriate services and supports due to member’s health needs; including but not limited to: Prior Authorizations, Coordination with PCP and skilled providers, Condition management information, Medication review, Community resources and supports.
LanceSoft IncHealthcare Consultant I - FLA - (Homestead) LanceSoft IncHealthcare Consultant I - FLA - (Homestead)Tallahassee, FL$33–$35 / hourFull timeConducts comprehensive evaluation of Members using care management tools and information/data review Coordinates and implements assigned care plan activities and monitors care plan progress Conducts multidisciplinary review to achieve optimal outcomes Identifies and escalates quality of care issues through established channels Utilizes negotiation skills to secure appropriate options and services necessary to meet the member's benefits and/or healthcare needs Utilizes influencing/ motivational interviewing skills to ensure maximum member engagement and promote lifestyle/behavior changes to achieve optimum level of health Provides coaching, information and support to empower the member to make ongoing independent medical and/or healthy lifestyle choices Helps member actively and knowledgeably participate with their provider in healthcare decision-making Monitoring, Evaluation and Documentation of Care: Utilizes case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures. Case Management Coordinators will determine appropriate services and supports due to member’s health needs; including but not limited to: Prior Authorizations, Coordination with PCP and skilled providers, Condition management information, Medication review, Community resources and supports.
Government of FloridaNew68900354 - OPS REGISTERED NURSING CONSULTANT Government of Florida68900354 - OPS REGISTERED NURSING CONSULTANTTALLAHASSEE, FLThe State's total compensation package for Other Personal Services (OPS) employees features a highly competitive set of employee benefits including: No state income tax for residents of Florida; State Group Insurance coverage options (must meet eligibility requirements), including health, life, dental, vision, and other supplemental insurance options; Savings & Spending Accounts; 401 (a) FICA Alternative Plan administered through VALIC (tax deferred Retirement Savings Plan); Participation in the Florida Deferred Compensation Plan (457b). The selected candidate may be responsible for conducting investigations/audits to identify aberrant billing patterns, improper utilization, and potential fraud or abuse within DME claims, writing summary reports, and making referrals to other entities involving Medicaid providers or issuing audit reports in accordance with state and federal rules, laws, and statutes.
Apidel TechnologiesHealthcare Consultant I - Miami Dade Apidel TechnologiesHealthcare Consultant I - Miami DadeTallahassee, FLContractorCase Management Coordinators will determine appropriate services and supports due to members health needs; including but not limited to: Prior Authorizations, Coordination with PCP and skilled providers, Condition management information, Medication review, Community resources and supports. Utilizes critical thinking and judgment to collaborate and inform the case management process, in order to facilitate appropriate healthcare outcomes for members by providing care coordination, support and education for members through the use of care management tools and resources.
Apidel TechnologiesHealthcare Consultant I Miami Dade County, FL Apidel TechnologiesHealthcare Consultant I Miami Dade County, FLTallahassee, FLContractorCase Management Coordinators will determine appropriate services and supports due to member's health needs; including but not limited to: Prior Authorizations, Coordination with PCP and skilled providers, Condition management information, Medication review, Community resources and supports. Utilizes critical thinking and judgment to collaborate and inform the case management process, in order to facilitate appropriate healthcare outcomes for members by providing care coordination, support and education for members through the use of care management tools and resources.
Apidel TechnologiesHealthcare Consultant I -Mid Miami Apidel TechnologiesHealthcare Consultant I -Mid MiamiTallahassee, FLContractorCase Management Coordinators will determine appropriate services and supports due to members health needs; including but not limited to: Prior Authorizations, Coordination with PCP and skilled providers, Condition management information, Medication review, Community resources and supports. Utilizes critical thinking and judgment to collaborate and inform the case management process, in order to facilitate appropriate healthcare outcomes for members by providing care coordination, support and education for members through the use of care management tools and resources.
Apidel TechnologiesHealthcare Consultant I - Coral Gables Apidel TechnologiesHealthcare Consultant I - Coral GablesTallahassee, FLContractorCase Management Coordinators will determine appropriate services and supports due to members health needs; including but not limited to: Prior Authorizations, Coordination with PCP and skilled providers, Condition management information, Medication review, Community resources and supports. Utilizes critical thinking and judgment to collaborate and inform the case management process, in order to facilitate appropriate healthcare outcomes for members by providing care coordination, support and education for members through the use of care management tools and resources.
Apidel TechnologiesHealthcare Consultant I - FLA - (Hialeah) Apidel TechnologiesHealthcare Consultant I - FLA - (Hialeah)Tallahassee, FLContractorCase Management Coordinators will determine appropriate services and supports due to members health needs; including but not limited to: Prior Authorizations, Coordination with PCP and skilled providers, Condition management information, Medication review, Community resources and supports. Case Management Coordinator is responsible for telephonically and/or face to face assessing, planning, implementing, and coordinating all case management activities with members to evaluate the medical needs of the member to facilitate the members overall wellness.