- Evolent (Tallahassee, FL)
- …training classes as needed for new hires to educate and train on Utilization management system and Field Medical Director process, standards and resources. ... requested basis, reviews appeal cases and/or attends hearings for discussion of utilization management decisions. + Strong partnership with Physician Business… more
- AdventHealth (Maitland, FL)
- …Life Support) certification **LICENSURE, CERTIFICATION, OR REGISTRATION PREFERRED:** + Case Management certification - Accredited Case Manager (ACM) + ... high risk for readmission or for high emergency room utilization . Follows up with patients at location of post...hospital discharge planning + One year of Experience Nursing, Case Management , and/or Social work **EDUCATION AND… more
- AdventHealth (Longwood, FL)
- **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 ... care based on individual patient needs. The RN Care Manager is responsible for independent management of...each position may vary based on geographical location. **Category:** Case Management **Organization:** AdventHealth Home Health and… more
- AdventHealth (Palm Coast, FL)
- **RN Case Manager | AdventHealth Home Health** **All the benefits and perks you need for you and your family:** . Up to $10,000 Sign on Bonus . Benefits from Day ... care based on individual patient needs. The RN Care Manager is responsible for independent management of...experience in a Medicare-certified home health agency as a case - manager o Bachelors degree in nursing o… more
- Veterans Affairs, Veterans Health Administration (Winter Park, FL)
- …knowledge of the internal referral care process, clinical review criteria, utilization management standards, clinical documentation requirements, community care ... care to the Veteran receiving community services. The CC Case Manager will work collaboratively within the...Preferred Preference: BSN Preferred Experience in VA Community Care Case management experience including PACT or specialty… more
- Molina Healthcare (Tampa, FL)
- …Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager + Certified Professional Healthcare Management + Certified Professional in ... Chief Medical Officer on denial decisions. + Resolves escalated complaints regarding Utilization Management and Long-Term Services & Supports issues. +… more
- AdventHealth (Orlando, FL)
- …ACM - Certified Case Management Preferred or + CCM - Certified Case Manager Preferred This facility is an equal opportunity employer and complies with ... for each position may vary based on geographical location. **Category:** Case Management **Organization:** AdventHealth East Orlando **Schedule:** Part-time… more
- Edwards Lifesciences (Tampa, FL)
- …**How you will make an impact:** + Working independently in the areas of valve crimping, case management , pre- case planning, post- case management , 3 ... Mensio management , Therapy Awareness program management and clinical education programs. + Implementing sales and...educational material during training sessions in order to drive utilization of the Edwards's THV product portfolio. + Utilizing… more
- MyFlorida (Tampa, FL)
- …Support Worker Group Home Worker Teacher's Assistant/Aide Family Intervention Specialist EMT Case Manager Other welfare, education or medical professional jobs ... plan and direct workloads, work flows, deadlines, work objectives and time utilization of subordinate staff in the delivery of protecting children, working with… more
- CenterWell (Jacksonville, FL)
- …our primary care team, combining clinical practice with leadership and operational management to ensure high-quality patient care and alignment with Value-Based Care ... adapt responsibilities as needed and demands a unique blend of clinical management , financial/business acumen, and strategic partnership to optimize patient care and… more