- AdventHealth (Maitland, FL)
- …to accounts receivable, utilization management , quality assurance, billing, pre-access, care management , and other related issues through application of ... tier payer contracts. Duties as assigned include leading strategic managed care contracting initiatives as directed by AdventHealth leadership; managed care… more
- AdventHealth (Orlando, FL)
- …The Hospitalist RN partners with the contracted Hospitalist MD/Provider and the Care Management Team to manage escalated issues and complex cases ... **The value you'll bring to the team:** + Liaises between Care Management and Hospitalist providers, working collaboratively to solve patient challenges which… more
- Elevance Health (Tampa, FL)
- …and ensuring regulatory compliance. Functions that this role oversees include case management , prescription verification, care management , nursing, and ... verification, and patient care processes. + Experience in care management within a pharmacy setting. + Thorough understanding of industry regulations… more
- ChenMed (Hallandale Beach, FL)
- …processes. + Experience of population risk management or complex chronic disease care management . + History of being a natural teacher to fellow Physicians. ... with population risk management or complex chronic disease care management . + Experience working with interdisciplinary teams in quality improvement and/or… more
- CVS Health (Tallahassee, FL)
- …health care , and plan benefit resources. Candidates with experience in care management , healthcare, social work, aging network, or similar backgrounds are ... - Assist the member in actively participating with their health care providers and Aetna Care Management teams regarding decisions that impact their health… more
- Molina Healthcare (St. Petersburg, FL)
- …enterprise delegation oversight team, supports the implementation of newly identified delegates for care management . * Serves as subject matter expert for local ... to vendors as needed. * Assists in preparation of documents for utilization management , care management , state, CMS, NCQA and other regulatory audits as… more
- AdventHealth (Orlando, FL)
- …expectations. Works as part of various other teams, including but not limited to Care Management nurses and social workers, nursing, home care liaisons, ... to the team:** + Adheres to the nursing care Scope of Practice and Care Management Scope of Service in achieving the goals of the Care Transitions Team.… more
- AdventHealth (Ocala, FL)
- …The Advanced Registered Nurse Practitioner functions as a member of the medical care management team for physician practice patients (surgical). The ARNP may ... the patient and department records. . Provides continuity of care by developing and implementing patient management ...of care by developing and implementing patient management plans. . Focus on patient wellness and disease… more
- Sharecare (Tallahassee, FL)
- …consistently directing and overseeing the objectives and goals of the Value Based Care Management Program. The responsibilities of this role include directly ... the greater team and aid in their personal development as a Care Manager. + Provide performance management for the team of Care Managers to include formal… more
- University of Miami (Miami, FL)
- …practice through patient education and counseling. Assists patients and families in self- care management through the provision of information, tools and ... and physical assessment findings. + Sets priorities for appropriate and efficient management of patient care that reflects evidence-based practice and… more