- Raymond James Financial, Inc. (St. Petersburg, FL)
- …to mitigate operational and compliance risks. **Skill in** + Applying QA/QC tools, case management systems, and data analytics platforms to work processes. + ... of Quality Assurance & Control covering Anti-Money Laundering (AML) & Financial Crimes Management (FCM) is responsible for leading a team of managers who oversee… more
- AdventHealth (Tampa, FL)
- …for each position may vary based on geographical location. **Category:** Case Management **Organization:** AdventHealth Tampa **Schedule:** Full-time **Shift:** ... and other diseases. **The role you'll contribute:** The role of the Utilization Management (UM) Registered Nurse (RN) is to use clinical expertise by analyzing… more
- AdventHealth (Port Charlotte, FL)
- …for each position may vary based on geographical location. **Category:** Case Management **Organization:** AdventHealth Port Charlotte **Schedule:** Full-time ... patient satisfaction, patient safety, readmission prevention and length of stay management . The RN Care Manager communicates daily with the interdisciplinary team… more
- Molina Healthcare (FL)
- …for Registered Nurses who have experience working with manage care population and/or case management role. Excellent computer skills and diligence are especially ... of members per regulated timelines and determines who may qualify for case management based on clinical judgment, changes in member's health or psychosocial… more
- Molina Healthcare (Miami, FL)
- …supporting our Washington State Medicare plan. We are seeking a candidate with previous Case Management experience and a WA RN licensure. The candidate should ... of members per regulated timelines and determines who may qualify for case management based on clinical judgment, changes in member's health or psychosocial… more
- Wounded Warrior Project (Jacksonville, FL)
- …warrior levels. + Ensure compliance with privacy, legal, and ethical standards in case management documentation and communications. + Represent WWP at national ... to work with. EXPERIENCE Requirements + Seven years of experience in case management , behavioral health, or healthcare coordination, with at least five years in… more
- Florida Health Care Plans, Inc. (Daytona Beach, FL)
- …and maintain collaborative working relationships with FHCP colleagues and external vendors in providing case management services is essential to the role. ... the community to various locations. POSITION SUMMARY: As part of the Utilization Management division, the social worker will intervene with members who have complex… more
- CVS Health (Coral Gables, FL)
- …companies, and healthcare personnel as appropriate. + Implements and coordinates all case management activities relating to catastrophic cases and chronically ... worksites, acute/post-acute inpatient facilities or physician's office to provide ongoing case management services. + Assesses and analyzes injured, acute,… more
- ChenMed (Tampa, FL)
- …care physicians, and other members of the care team that provides hyperfocus case management and field nursing interventions to prevent unnecessary hospital ... education patient may need and to oversee appropriate patient discharge from case management . + Performs clinical, fall prevention, and social determination… more
- MyFlorida (Lake City, FL)
- …essential functions of this position within the Third Circuit include supervising the Civil Case Management Unit; performing case management duties; ... Reporting (UCR) Project for the circuit; managing and overseeing the main case management system (Integrated Case Management System); serving as the… more