- Elevance Health (Lakeland, FL)
- …The **LTSS Service Coordinator - Clinician** works under the direction/supervision of an RN , with overall responsibility for the member's case , as required by ... law) in applicable state(s) required. **Preferred Skills, Capabilities and Experiences:** + Bilingual in Spanish strongly preferred. + Previous case management… more
- CVS Health (Orlando, FL)
- …to promote effective utilization of available resources and optimal, cost-effective outcomes. The Case Manager RN is responsible for driving and supporting ... heart, each and every day. **Position Summary** The Care Manager RN is responsible for driving and...of prior claims to address potential impact on current case management and eligibility. . Creates a holistic approach… more
- Humana (Pinellas Park, FL)
- …support / enabling services. **Use your skills to make an impact** **Required Qualifications** + Registered Nurse ( RN ) in the state of Florida with no ... Healthy Horizons in Florida as a Pediatric Field Care Manager Nurse and make a meaningful impact...care and/or case management experience. + Certified Case Manager (CCM). + Bilingual … more
- Somatus (Jacksonville, FL)
- …multiple settings. + 2+ years healthcare related experience. + Current, unrestricted compact Registered Nurse license + Must be Fluent in English and Spanish ... well-being + Community engagement opportunities + And more! The RN Care Manager is a critical member...Qualifications Required + 1+ years of nursing experience in case management or care management, preferably coordinating care across… more
- ChenMed (North Miami Beach, FL)
- …acute and post-acute facilities, as well as, their home environments. The Nurse Case Manager 1 ( RN ) role also involves establishing relationships with ... of communication. + Introduces self to patient/family and explains Nurse Case Manager 's role and...a related clinical field preferred. + A valid, active Registered Nurse ( RN ) license in… more
- CVS Health (Tallahassee, FL)
- …care. + Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse ( RN ) with at least 1 year of experience ... This position consists of working intensely as a telephonic case manager with patients and their care...in a hospital setting. + A Registered Nurse that holds an active, unrestricted… more
- CVS Health (Tallahassee, FL)
- …status which has resulted in an inpatient admission. The Transition of Care (TOC) RN ensures the member experiences a seamless transition to their next care setting. ... review, conducts comprehensive assessments of member's needs and recommends an approach to case resolution by meeting needs in alignment with their benefit plan and… more
- ChenMed (Largo, FL)
- …people to join our team. The Intensive Community Care Manager (ICCM) is a Registered Nurse ( RN ) who works with our highest complexity patients, their ... a related clinical field preferred + A valid, active Registered Nurse ( RN ) license in... case management experience highly desired + Certified Case Manager certification is preferred. Certification through… more
- CenterWell (Kissimmee, FL)
- …an impact** **Required Qualifications** + Licensed Registered Nurse ( RN ) without restriction in Florida + Bilingual English/Spanish (read, write speak) ... and help us put health first** The Stars Improvement, Clinical Professional ( RN ) is responsible for the development, implementation and management oversight of the… more
- Public Consulting Group (Tallahassee, FL)
- …on a team. + Proven working experience in case management, including as a nurse , medical, mental health care manager or a related job + Excellent knowledge ... case management plans. + Current license, certification or registration as a Registered Nurse or Social Worker **Working Conditions** + Office Setting **The… more
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