- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …+ Manages appropriate cases that require medical necessity review such as home care, elective inpatient and outpatient service requests. + Reviews cases referred ... who could benefit from care management and refers to the appropriate care manager . + Utilizes critical thinking skills to identify process issues and problems and… more
- CenterWell (Jacksonville, FL)
- …of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing the physical, emotional ... center or Triage experience **Preferred Qualifications** + Prior clinical experience in case management a plus + Intermediate knowledge of Microsoft Word, Outlook,… more
- MyFlorida (Key West, FL)
- …Specific Responsibilities: Under the direct supervision of an Environmental Manager , is responsible for conducting environmental health inspections and ... enforcement to seek corrections. Appropriate documentation of the investigations and case work performed is essential. Conducts inspections of institutional food… more
- BayCare Health System (Sarasota, FL)
- …Assistant will work under the direction of the Care Transition Coordinator or RN Case Manager to establish and maintain a positive working relationship with ... network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians. With the… more
- Actalent (Sunrise, FL)
- …utilization. Working under the general supervision of the Director and/or Manager /Supervisor of Medical Management, and in collaboration with an interdisciplinary ... utilization of resources such as durable medical equipment, hospitalizations, and home healthcare. + Provide current and timely documentation reflecting department… more
- Elevance Health (Tampa, FL)
- …caller's situation using established criteria and protocol. + Coordinates with case management and/or staff physicians. + Utilizes established software, written ... preferred. + The internet signal needs to reach your home through a cable wire or fiber optic cabling...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- MyFlorida (Largo, FL)
- …in Long-Term Care facility. + Experience as a Director of Nursing or Nurse Manager in a Skilled Nursing Facility, Assited Living Facility, or other long-term care ... Oversees and supports daily clinical operations of assigned SVNH case load 24/7. + Responsible for developing and implementing...in the absence of the incumbent. + Supports nursing home quality assurance efforts, programs and plans, including mock… more
- Crane Aerospace & Electronics (Fort Walton Beach, FL)
- …with vendors and customers. + Identify and prioritize work with limited input from manager . + Develop ROI or business case and present to management in ... emerald green water, our Crane Aerospace & Electronics Fort Walton Beach location is home to our Defense Power business - a leading supplier of high-power solutions… more
- Molina Healthcare (Tampa, FL)
- …unrestricted Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager + Certified Professional Healthcare Management + Certified ... as needed or equivalent experience (such as specialties in: surgical, Ob/Gyn, home health, pharmacy, etc.). + Experience demonstrating knowledge of ICD-9, CPT coding… more
- TD Bank (Fort Lauderdale, FL)
- …focused staff as required. + Work with BlackBerry and Microsoft vendors on: + Ticket/ case creation and follow up in relation to support issues encountered as needed ... colleagues need to thrive both at work and at home . **Colleague Development** If you're interested in a specific...have regular career, development, and performance conversations with your manager , as well as access to an online learning… more