- Elevance Health (Tampa, FL)
- …a State agency. **Preferred Qualifications:** + Bilingual- Spanish speaking preferred. + Utilization Management case review experience strongly preferred. + ... and Optimum Healthcare Plans and will be responsible for utilization review case management for...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Molina Healthcare (FL)
- …(CPHM), Certified Professional in Health Care Quality (CPHQ), Commission for Case Manager Certification (CCMC), Case Management Society of America (CMSA) ... oversight and clinical leadership for health plan and/or market specific utilization management and care management behavioral health programs and chemical… more
- AdventHealth (Ormond Beach, 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
- Elevance Health (Miami, FL)
- **Clinical Operations Medical Director** **Medical Oncology** **Carelon Medical Benefit Management ** **Virtual** : This role enables associates to work virtually ... proud member of the Elevance Health family of companies, Carelon Medical Benefits Management , formerly AIM Specialty Health, is a benefit- management leader in… more
- AdventHealth (New Smyrna Beach, FL)
- …and residency programs. The CMO serves as physician advisor to the Case Management staff, clinical documentation integrity, and serves as physician ... as a clinical leader to the hospitals medical staff providing guidance in case management , appropriate levels of care for patients, efficient utilization… more
- AdventHealth (Maitland, FL)
- …Support) certification **LICENSURE, CERTIFICATION, OR REGISTRATION PREFERRED:** + Case Management certification Accredited Case Manager (ACM) + Certified ... 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 (Orlando, FL)
- **Registered Nurse Case Manager AdventHealth Home Health** **All the benefits and perks you need for you and your family:** + Up to $5,000 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
- HCA Healthcare (Gainesville, FL)
- …for education, accountability, elevation of professionalism in partnership with Director and Manager of Case Management . + Communicates potential/actual need ... Worker is to ensure that primary operations of the Case Management Department function efficiently. This position...for Social Workers based on appropriate level of care, utilization of services and plan of care. Ensures equitable… more
- ChenMed (St. Petersburg, FL)
- …Work (MSW) preferred + A minimum of 2 years' work experience in social work, case management , and/or discharge planning experience required + A minimum of 2 ... The incumbent in this role is responsible for providing psychosocial assessment, social case work and linkage to community resources for patients who have chronic,… more
- CenterWell (Tallahassee, FL)
- …prior experienceparticipatingin teams focusing on transitions of care, quality management ,utilizationmanagement, case management , discharge planning and/or ... of business metrics. + Experience working with Casemanagersor Caremanagerson complex case management , including familiarity with social determinants of health.… more
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