• Transplant Care Nurse RN - Stem Cell, Bone Marrow…

    Highmark Health (Tallahassee, FL)
    …Highmark Inc. **Job Description :** **JOB SUMMARY** This job implements effective complimentary utilization and case management strategies for an assigned ... and federal law standards and are within the care manager 's professional discipline. + For assigned case ...**Required** + 7 years in any combination of clinical, case / utilization management and/or disease/condition … more
    Highmark Health (04/25/25)
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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 (04/08/25)
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  • Director, Energy Management & Controls

    University of Miami (Miami, FL)
    …tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . Director, Energy Management Systems The University of Miami/UHealth ... department of Facilities has an exciting opportunity for a Full Time Director, Energy Management Systems to work at the UHealth Medical Campus. The Director, Energy … more
    University of Miami (04/06/25)
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  • Social Worker (Field - Must reside in Miami Dade…

    CVS Health (Homestead, FL)
    …comprehensive management of members with acute or chronic conditions, including case management activities that focus on quality of care, compliance, ... limited supervision to determine course of treatment + Applies in-depth knowledge of case management concepts, principles, and strategies in the development of… more
    CVS Health (05/16/25)
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  • Physical Therapist PT Home Health

    AdventHealth (Deland, 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 (05/19/25)
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  • Medical Director, MSK Surgery

    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
    Evolent (05/20/25)
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  • Medical Oncology Medical Director

    Elevance Health (Tampa, 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
    Elevance Health (05/21/25)
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  • Community Care Nurse, HCT (Registered Nurse)

    ChenMed (Tampa, FL)
    …of 5 years' clinical work experience preferred + Proven working experience in Case Management : + A minimum of 2 years' utilization review and/or case ... Comfortable in giving group presentations + Excellent knowledge of case management principles, healthcare management ... Management Certification through the Commission for Case Manager Certification (CCMC) or the American… more
    ChenMed (05/28/25)
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  • Social Worker BSW

    HCA Healthcare (Panama City, FL)
    …compliance to such regulations and quality initiatives as it relates to the provision of Case Management Services. + Collaborates with RN Case Managers in ... and along the healthcare continuum. + Assists the RN Case Manager with updates from insurance providers...Identifies and transmits system issues impacting patient care to Case Management Director. + Acts as a… more
    HCA Healthcare (03/19/25)
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  • Behavioral Health Nurse

    Actalent (Sunrise, FL)
    …behavioral, and substance use needs, including crisis intervention, discharge planning, and complex case management . + Engage with Medical Directors and care ... care, health plan, or insurance setting. + Experience with Utilization Management and Care Coordination. + Knowledge...in Social Work or related field (Preferred). + Certified Case Manager (Preferred). + License Clinical Social… more
    Actalent (05/29/25)
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