- Molina Healthcare (St. Petersburg, FL)
- …UM, Case Management, Claims, and other departments within Molina Medicare and Medicaid regarding A&G operations and dependencies. * Responsible for the ... appeals and grievance processing/resolution, including 3 years in a manager role. * Experience with Medicare Regulations,...in a manager role. * Experience with Medicare Regulations, Medicare Duals, Appeals & Grievances,… more
- HCA Healthcare (Ocala, FL)
- …purpose and integrity. We care like family! Jump-start your career as a(an) Lead Case Manager today with HCA Florida Ocala Hospital. **Benefits** HCA Florida ... by location._** Come join our team as a Lead Case Manager . We care for our community!...continued stay and discharge criteria. Orientation will also include Medicare and insurance benefits, grievance procedures, treatment plan process,… more
- CVS Health (Tallahassee, FL)
- …it all with heart, each and every day. **Position Summary** Community Care Case Manager (CM) use a collaborative process of assessment, planning, facilitation, ... navigating multiple systems and keyboarding - Compact RN licensure - Certified Case Manager - Additional national professional certification (CRC, CDMS, CRRN,… more
- Sevita (Sarasota, FL)
- …and specialized services for infants, children, adolescents, Military Service Members and Veterans. ** Case Manager - TBI - Residential Group Homes** The Case ... and implement services to meet an individual's needs. + Provide case management services including intake, assessment, crisis intervention, advocacy, referral, and… 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...Interqual and/or Milliman knowledge + Knowledge of Centers for Medicare & Medicaid Services (CMS) or New York State… more
- WestCare Foundation (Key West, FL)
- Child Case Manager Job Details Job Location Key West - 1205 4th - Key West, FL Position Type Full Time Education Level 4 Year Degree Salary Range $21.22 - $21.22 ... Hourly Job Category Nonprofit - Social Services Description Position Summary: Provide case management service to clients as outlined in the case management… more
- CVS Health (Tallahassee, FL)
- …organizational, and interpersonal skills + Ability to work independently + Certified Case Manager + National professional certification (CRC, CDMS, CRRN, COHN, ... post-acute care, hospice, palliative care, cardiac, home health with Medicare members + 2+ years case management,...health with Medicare members + 2+ years case management, discharge planning and/or home health care coordination… more
- AdventHealth (Wauchula, FL)
- …+ Recent, relevant experience in a Medicare -certified home health agency as a case - manager + Home Health Case - Manager Certification + Certificate for ... **Registered Nurse Case Manager - AdventHealth Home Health** **All the benefits and perks you need for you and your family:** + Up to $10,000 Sign on Bonus +… more
- Cleveland Clinic (Stuart, FL)
- …* Current state FL licensure as Registered Nurse (RN). * Professional certification as a Case Manager (CCM) * 3 years or more of acute care nursing experience ... patients stay on track with their health goals. As an Assistant Nurse Manager in Care Management, you will assist with day-to-day operations, utilize clinical… more
- HCA Healthcare (Fort Walton Beach, FL)
- …case management assistant (CMA) will work under the direction of the RN case manager or social worker to assist with facilitating patient discharges requiring ... will do in this role: + Coordinates with RN case manager and social worker for support...including having the Patient Choice letter signed. + Monitors Medicare patient's planned discharge dates and delivers the Important… more