- Elevance Health (Tampa, FL)
- …48 hours of receipt and meet the criteria._** The **Telephonic Nurse Case Manager II** is responsible for care management within the scope of licensure for ... claims or service issues. + Assists with development of utilization /care management policies and procedures. **Minimum Requirements:**... Management experience. + Certification as a Case Manager . + Minimum 2 years' experience… more
- Elevance Health (Jacksonville, FL)
- …associates, and may be involved in process improvement initiatives. + Submits utilization /authorization requests to utilization management with documentation ... field preferred. + Bilingual in English/ Spanish strongly preferred. + LTSS, case management , social work or hospital discharge planning experience preferred.… more
- Elevance Health (Miami, FL)
- …therefore, Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager Senior** . is responsible for care management within the scope ... **Telephonic Nurse Case Manager Senior** **Sign on Bonus:...claims or service issues. + Assists with development of utilization /care management policies and procedures, chairs and… more
- AdventHealth (Land O' Lakes, FL)
- …group of patients.The Case Manager is responsible for utilization reviews and resource management , discharge planning, treatment plan management ... and financial management , while also completing medical record documentation. The Case Manager reports to the CEO and Lead Case Manager . In… more
- AdventHealth (Wauchula, 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...experience in a Medicare-certified home health agency as a case - manager + Home Health Case -… more
- Elevance Health (Pinellas Park, FL)
- …Capabilities and Experiences:** + Bilingual in Spanish strongly preferred. + Previous case management or oncology experience strongly preferred. + Experience ... under the direction/supervision of an RN, with overall responsibility for the member's case , as required by applicable state law and contract, contributes to the… more
- Cleveland Clinic (Stuart, FL)
- …of eligibility (CTM, ACM, CCM or AHA) + Two years of recent experience in utilization review, quality or care management + Knowledge of acute care and ... one of the most respected healthcare organizations in the world. RN Case Managers work collaboratively with inter-professional teams across the continuum of care… more
- Cleveland Clinic (Vero Beach, FL)
- …of eligibility (CTM, ACM, CCM or AHA) + 2 years of recent experience in utilization review, quality or care management + Knowledge of acute care and ... one of the most respected healthcare organizations in the world. RN Case Managers work collaboratively with inter-professional teams across the continuum of care… more
- HCA Healthcare (Fort Pierce, FL)
- …PACU, PCU, ICU, CVICU etc.) hospital nursing experience required + Certification in case management or utilization review preferred InterQual experience ... to charitable organizations. Apply Today! **Job Summary and Qualifications** The Case Manager (CM) ensures high-quality, patient-centered care by managing… more
- HCA Healthcare (Aventura, FL)
- …PACU, PCU, ICU, CVICU etc.) hospital nursing experience required + Certification in case management or utilization review preferred + InterQual experience ... Mgr opening and continue to learn! **Job Summary and Qualifications** The Case Manager (CM) ensures high-quality, patient-centered care by managing… more
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