- Molina Healthcare (St. Petersburg, FL)
- …RN or Clinical Social Worker/Counseling License. + Certified Case Manager (CCM), Utilization Management Certification (CPHM), Certified Professional ... or state board licensing mandate. + At least 2 years in case , disease or utilization management ; managed care; or medical/behavioral health settings. + One… more
- Select Medical (Tallahassee, FL)
- …doing what is right. The Case Manager is responsible for utilization reviews and resource management , discharge planning, treatment plan management ... **Overview** **Critical Illness Recovery Hospital** ** Case Manager (PRN)** _Requires a current...the plan of care. + Demonstrates compliance with facility-wide Utilization Management policies and procedures. + Coordinates… more
- Select Medical (Fort Myers, FL)
- …doing what is right. The Case Manager is responsible for utilization reviews and resource management , discharge planning, treatment plan management ... **Overview** **Critical Illness Recovery Hospital** ** Case Manager ** _Requires a current licensure...the plan of care. + Demonstrates compliance with facility-wide Utilization Management policies and procedures. + Coordinates… more
- Molina Healthcare (Orlando, FL)
- …the pharmacy benefit changes for the upcoming year. + Works with the Case Management department as part of a member-centered interdisciplinary care team. ... (such as, reviewing prior authorization requirements, reviewing drug/provider utilization patterns and pharmacy costs management ), clinical pharmacy… more
- Mayo Clinic (Jacksonville, FL)
- …The RN Case Manager provides leadership through education on case management / utilization management concepts, committee work, research, and ... utilization management , care coordination, resource utilization , and clinical documentation. The RN Case ...resource utilization , and clinical documentation. The RN Case Manager will function within the Mayo… more
- Carnival Cruise Line (Miami, FL)
- This role reports to the Senior Manager of Case Management and oversees the daily operations of crew case management . The Manager leads a team of ... Participate in the 24/7 duty schedule for crew medical support. + Support the Senior Manager of Case Management in developing and maintaining policies and… more
- Carnival Cruise Line (Miami, FL)
- This role reports to the Senior Manager of Case Management and oversees the daily operations of crew case management . The Manager leads a team of ... also escalates high-risk cases, conducts care coordination and utilization reviews. Operationally, the role supports shipboard medical teams,...schedule for crew medical support. + Support the Senior Manager of Case Management in… more
- HCA Healthcare (Brandon, FL)
- …knowledge and expertise! **Job Summary and Qualifications** We are currently looking for an ambitious Case Management Manager to help us reach our goals. As ... **Introduction** Do you have the career opportunities as a(an) Manager of Case Management you...supporting a balance of optimal care and appropriate resource utilization . **What qualifications you will need:** + Bachelor's Degree… more
- HCA Healthcare (Inverness, FL)
- …knowledge and expertise! **Job Summary and Qualifications** We are currently looking for an ambitious Case Management Manager to help us reach our goals. As ... **Introduction** Do you have the career opportunities as a(an) Manager of Case Management you...supporting a balance of optimal care and appropriate resource utilization . What qualifications you will need: + Bachelor's Degree… more
- HCA Healthcare (Tallahassee, FL)
- …license is acceptable for position if current and compliant** + **Certification in Case Management , Nursing, or Utilization Review, preferred** + **Three ... an organization that invests in you as a(an) RN Case Manager PRN? At HCA Florida Capital...observation patients for appropriateness in observation status + Performs utilization management reviews and communicates information to… more
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