- AdventHealth (Deland, FL)
- …701 W PLYMOUTH AVE, Deland, 32720 **The role you'll contribute:** The RN Care Manager in collaboration with the patient/family, social workers, nurses, ... care coordination and progression through the continuum of care . The RN Care Manager ...BSN + Health-related Master's degree or MSN + Prior Care Management/ Utilization Management experience ACM/CCM Certification This… more
- AdventHealth (Tampa, FL)
- …support a well-balanced work life balance The role you'll contribute: The RN Care Manager in collaboration with the patient/family, social workers, nurses, ... care coordination and progression through the continuum of care . The RN Care Manager ...physicians and the interdisciplinary team on issues related to utilization of resources, medical necessity, CMS CoP for Discharge… more
- AdventHealth (Ocala, FL)
- …Spectacular springs throughout the county **The role you'll contribute:** The RN Care Manager in collaboration with the patient/family, social workers, nurses, ... care coordination and progression through the continuum of care . The RN Care Manager ...physicians and the interdisciplinary team on issues related to utilization of resources, medical necessity, CMS CoP for Discharge… more
- Humana (Hallandale Beach, FL)
- …between the company and members are optimized. The Telephonic Behavioral Health Care Manager Internship provides transitioning service members that are eligible ... state in a remote telephonic environment. The Behavioral Health Care Manager guides members and/or families towards...psycho-social health issues. + Monitor and maintain awareness of utilization and conducts outreach based on acuity to assess… more
- HCA Healthcare (Tallahassee, FL)
- …position if current and compliant** + **Certification in Case Management, Nursing, or Utilization Review , preferred** + **Three years of nursing experience in ... and patient throughput while supporting a balance of optimal care and appropriate resource utilization . The RN...we encourage you to apply for our RN Case Manager Part Time opening. We promptly review … more
- CenterWell (Deland, FL)
- …review of clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates and ... position comes with a $10K sign-on bonus.** The **Clinical Manager ** coordinates and oversees all direct care ...requirements. + Responsible for the QA/PI activities. Works with Utilization Review staff relative to data tracking… more
- Healthfirst (FL)
- The Case Manager , Utilization Management coordinates the care plan for assigned members and conducts pre-certification, concurrent review , discharge ... planning, and case management as assigned. The Case Manager , Utilization Management is also responsible for...care options, and discharge planning + Certified Case Manager + Interqual and/or Milliman knowledge + Knowledge of… more
- HCA Healthcare (Gainesville, FL)
- …is preferred + BSN is preferred + Certification in Case Management, Nursing or Utilization Review is preferred HCA Florida North Florida Hospital is a 523-bed, ... and patient throughput while supporting a balance of optimal care and appropriate resource utilization . You would...we encourage you to apply for our RN Case Manager PRN opening. We promptly review all… more
- CVS Health (Tallahassee, FL)
- …to ensure the team is producing at a successful level. The Associate Manager is also responsible for oversight of utilization management nurses including ... with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we...some rotational on-call holiday coverage as needed. The Associate Manager is accountable to support the day to day… more
- HCA Healthcare (Aventura, FL)
- …and personal growth, we encourage you to apply for our Innovation Operations Manager opening. We promptly review all applications. Highly qualified candidates ... **Introduction** Do you have the career opportunities as a(an) Innovation Operations Manager you want with your current employer? We have an exciting opportunity… more