- Elevance Health (Hialeah, FL)
- …field preferred. + Bilingual in English/ Spanish strongly preferred. + LTSS, case management , social work or hospital discharge planning experience preferred. ... **LTSS Service Coordinator ** **Schedule:** Monday-Friday 8am-5pm **Location** _:_ This is...may be involved in process improvement initiatives. + Submits utilization/ authorization requests to utilization management with documentation… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …and outpatient service requests. + Reviews cases referred by the prior- authorization non-clinical medical management coordinator and pre-certification ... + Minimum 2 years of experience with pre- authorization , utilization review/ management , case management , care coordination, and/or discharge planning.… more
- Community Based Care of Brevard, Inc. (Seminole County, FL)
- Starting Salary: $45,000/year Position Summary: This position provides Care Coordination/ Case Management in the Parenting with Love and Limits Program and assist ... to effectively partner with collaterals and service providers. 2 years of Case Management /Service Coordination Experience: This position will be authorizing… more
- Centers Plan for Healthy Living (Margate, FL)
- …guidance and plans they need for healthy living. JOB SUMMARY: The Utilization Management Care Coordinator works within a multidisciplinary care team to assist ... members enrolled in our Managed Long Term Care program and facilitate authorization requests for eligible members. PRIMARY RESPONSIBILITIES: + Assists in the prior… more
- Actalent (Weston, FL)
- …behavioral, and substance use needs, including crisis intervention, discharge planning, and complex case management . + Engage with Medical Directors and care ... is hiring Behavioral Health Care Coordinators! Job Description The Behavioral Health Care Coordinator plays a pivotal role as a core member of the collaborative care… more
- Trinity Health (Fort Lauderdale, FL)
- …full criteria and require team input. * Actively and positively communicates with Case Management and consulting physician regarding any patient that was denied ... Type:** Full time **Shift:** Day Shift **Description:** IRU Pre-Admissions Coordinator Responsibilities include but not limited to: *Visiting hospitals, physician… more
- Ascension Health (Pensacola, FL)
- …history. + Document insurance coverage of services to be provided. + Notify case management about interactions with insurance companies regarding services. + ... **Responsibilities** Coordinate with physicians offices and insurance companies in obtaining authorization for all hospital admissions. + Obtain authorization on… more
- University of Miami (Miami, FL)
- …with other DFA, DMC, TC, AOC, and HD roles for information exchange regarding case activity and management . + Interacts with After Care Coordinators to provide ... Donor Family Advocate interfaces with hospital staff to assess and influence case progression. This position supports and educates the potential donor's legal… more