- Healthfirst (FL)
- …area of the healthcare industry working in a Call Center environment or Care/ Case Management Department + Experience navigating multiple technologies including a ... + Manage requests from members, providers, call centers and care management teams regarding initial authorizations, authorization updates and/or corrections +… more
- Ascension Health (Pensacola, FL)
- …history. + Document insurance coverage of services to be provided. + Notify case management about interactions with insurance companies regarding services. + ... Manage denials or potential denials as described by insurer. + Monitor and review applicable schedule to ensure that authorization and initial length of stay is obtained and on file. **Requirements** Education: + High School diploma equivalency OR 1 year of… more
- Cardinal Health (Tallahassee, FL)
- …Adverse Events submitted by staff before submission to client safety unit. + Conduct case audits to ensure correct process steps have been followed for the "patient ... in Microsoft Office (Excel, Word, PowerPoint, etc.) + Multi-tasking, time management and prioritization skills considered an asset. + Bilingual Spanish would… more
- HCA Healthcare (Tallahassee, FL)
- …assessment of psychosocial and medical needs of assigned patients + Develops a case management plan of care to include identified clinical, psychosocial and ... medical necessity, admission status, level of care, and resource management . The RN CM Care Coordinator will...quality initiatives as it relates to the provision of Case Management Services + Makes appropriate referrals… more
- Chewy (Plantation, FL)
- …data visualization tools is strongly preferred. **What You'll Do:** ** Case Management Support** + Serve as primary coordinator for ongoing investigations, ... team based in Plantation, Florida, with a primary focus on ethics hotline case management and data analytics. This role offers an exciting opportunity to be part… more
- MyFlorida (Daytona Beach, FL)
- …Hourly Position Summary This is a professional OPS position responsible for medical case management and consultation throughout the Region. The incumbent works ... service requests. Responsibilities may include but are not limited medical case management reports, Special Medical Home Care recommendation, Significant… more
- HCA Healthcare (Fort Pierce, FL)
- …outcomes, or work to deliver clinical excellence behind the scenes in data science, case management or transfer centers. Unlock your potential at HCA Florida ... patient. The CM collaborates with the Rehab Program Director and Facility Case Management Director regarding departmental functions. The CM coordinates efforts… more
- HCA Healthcare (Fort Pierce, FL)
- …patient. The CM collaborates with the Rehab Program Director and Facility Case Management Director regarding departmental functions. The CM coordinates efforts ... PCU, ICU, CVICU etc.) hospital nursing experience required + Certification in case management or utilization review preferred InterQual experience preferred HCA… more
- HCA Healthcare (Aventura, FL)
- …patient. The CM collaborates with the Rehab Program Director and Facility Case Management Director regarding departmental functions. The CM coordinates efforts ... PCU, ICU, CVICU etc.) hospital nursing experience required + Certification in case management or utilization review preferred + InterQual experience preferred… more
- HCA Healthcare (Ocala, FL)
- …patient. The CM collaborates with the Rehab Program Director and Facility Case Management Director regarding departmental functions. The CM coordinates efforts ... + Three years of nursing experience in acute care setting is required + Case Management experience preferred HCA Florida Ocala Hospital is a 323-bed facility.… more