- CVS Health (Tallahassee, FL)
- …members. **Key Responsibilities** + This position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or ... within Aetna/CVS Health. Founded in 1993, AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical… more
- Epilepsy Foundation (Lakeland, FL)
- Summary Under the direct supervision of a Senior Case Manager , the Case Manager provides services to individuals with epilepsy and their families, ... changes to virtual office practices or procedures. Essential Duties and Responsibilities Case Management - 70% + Complete Application Forms for new or reopened… more
- CenterWell (Middleburg, FL)
- …a part of our caring community and help us put health first** The RN Care/ Case Manager employs a variety of strategies, approaches, and techniques to manage a ... Summary** Working within an interdisciplinary care integration team (CIT), the Care Manager - Registered Nurse is responsible for proactively engaging patients and… more
- CVS Health (Tallahassee, FL)
- …review, conducts comprehensive assessments of member's needs and recommends an approach to case resolution by meeting needs in alignment with their benefit plan and ... to influence appropriate member care. . Attends and participates in case rounds, including utilization management rounds for behavioral health and physical… more
- US Tech Solutions (Miami, FL)
- …decision making at most appropriate level **Responsibilities:** + Coordinates case management activities for Medicaid Long Term Care/Comprehensive Program enrollees. ... + Utilizes critical thinking and judgment to collaborate and inform the case management process, in order to facilitate appropriate healthcare outcomes for members… more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- The Patient Nurse Case Manager (PNCM) is a dynamic, field-based role that serves as a crucial educator for patients. This position helps to execute against a ... a related field + Background in advocacy, counseling, nursing, or social work + Case management experience in the specific therapy area + Bilingual skills,… more
- CenterWell (Port Saint Lucie, FL)
- …and navigating community-based resources **Preferred Qualifications** . Strongly prefer Bilingual Spanish/English or Creole/English . Familiarity with state Medicaid ... largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing the physical,… more
- Humana (Tallahassee, FL)
- …plan experience + MCG experience + Bilingual is a plus + Certified Case Manager (CCM) + Ability to work independently under general instructions and with ... a team **Additional Information** Hours for this position are Mon-Fri, 8am-5pm EST As part of our hiring process, we will be using an exciting interviewing technology provided by HireVue, a third-party vendor. This technology provides our team of recruiters… more
- University of Miami (Miami, FL)
- …The Department of Family Medicine and Community Health is currently seeking a full time Case Worker to work in our Miami campus. Case Worker coordinates services ... counseling to improve client's social and psychological conditions. Moreover, the Case Worker provides assistance to those experiencing difficult situations by… more
- ChenMed (Opa Locka, FL)
- …We're rapidly expanding and we need great people to join our team. The Nurse Case Manager 1 (RN) is responsible for achieving positive patient outcomes and ... facilities, as well as, their home environments. The Nurse Case Manager 1 (RN) role also involves...time. + Spoken and written fluency in English. + Bilingual preferred. We're ChenMed and we're transforming healthcare for… more