• Non-Clinical Coding and OASIS Review…

    BAYADA Home Health Care (Orlando, FL)
    …for quality and adherence to policies and procedures. As a member of the Medicare Case Management (MCM) office, individuals in this role are expected to maintain ... is hiring a full time OASIS Review and Coding Manager . The OASIS and Coding Review Manager ...be available Monday-Friday from 8:30am-5:00pm. _Medicare, Coder, OASIS Review, Utilization Review, Quality Assurance, Remote, Home Health Coding_ **As… more
    BAYADA Home Health Care (07/01/25)
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  • Customer Experience Manager

    Brunswick (Edgewater, FL)
    …will help transform vision into reality:** **Position Overview** The Customer Experience Manager role will lead the charge in overseeing customer service as well ... resolution + Deploy strategies to drive customer loyalty, performance, and utilization rates, NPS, and customer advocacy rates, while maintaining an industry-leading… more
    Brunswick (06/12/25)
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  • Regional Caring for Caregivers Manager

    Cleveland Clinic (Port Saint Lucie, FL)
    …In addition to these duties, the role includes crisis intervention, assessment, case management , referral services, and brief solution-focused counseling. While ... problems relative to employee personal problems. + Provides assessment, coordination, case management and monitoring of supervisory and mandatory referrals.… more
    Cleveland Clinic (07/11/25)
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  • Hybrid Clinical Review Nurse

    Actalent (Sunrise, FL)
    …of education and experience. + Valid Florida Driver's License. + Knowledge of case management and utilization review concepts, including InterQual and ... Utilization Management Nurse!Job Description The ...Working under the general supervision of the Director and/or Manager /Supervisor of Medical Management , and in collaboration… more
    Actalent (08/09/25)
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  • Medical Management Specialist I

    Elevance Health (Tampa, FL)
    …clinical information regarding case and determines appropriate area to refer or assign case ( utilization management , case management , QI, Med ... reports and documents all actions. + Responsibilities exclude conducting any utilization management review activities which require interpretation of clinical… more
    Elevance Health (07/29/25)
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  • RN Registered Nurse Care Management

    AdventHealth (Port Charlotte, FL)
    …for each position may vary based on geographical location. **Category:** Case Management **Organization:** AdventHealth Port Charlotte **Schedule:** Full-time ... transitions, patient satisfaction, patient safety, readmission prevention and length of stay management . The RN Care Manager communicates daily with the… more
    AdventHealth (08/07/25)
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  • RN Care Management

    AdventHealth (Riverview, FL)
    …each position may vary based on geographical location. **Category:** Case Management **Organization:** AdventHealth Riverview **Schedule:** Full-time **Shift:** ... transitions, patient satisfaction, patient safety, readmission prevention and length of stay management . The RN Care Manager communicates daily with the… more
    AdventHealth (08/07/25)
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  • Human Services Program Consultant II

    MyFlorida (Orlando, FL)
    …Florida Department of Health in Orange County. The incumbent serves as the Intensive Case Manager for clients accessing services directly at the SCC clinic, and ... Organizations (CBO's). Incumbent reports directly to the Supervisor of Case Management . Staff will establish and maintain...meetings as required by the funding source and Program Manager . Staff shall establish monthly case conferences… more
    MyFlorida (07/08/25)
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  • Quality Management , Nurse Consultant

    CVS Health (Tallahassee, FL)
    …Qualifications** - Emergency/critical care experience - Experience working Grievance cases - Case Management or Utilization Management experience ... the Potential Quality of Care (PQOC) nurse investigator team manager . This position is responsible for the review and...in addition with team based decision rubric to assure case is reviewed by a practitioner with clinical expertise… more
    CVS Health (08/08/25)
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  • Physical Therapist PT Home Health

    AdventHealth (Palm Coast, FL)
    …care patient's services based on individual patient needs. The PT Case manager is responsible for independent management of the Home Health patient ... : **Location:** **The role you'll contribute:** The Home Health Physical Therapist (PT) Case manager is a professional therapist who coordinates and directs the… more
    AdventHealth (08/07/25)
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