- HCA Healthcare (Miami, FL)
- …PACU, PCU, ICU, CVICU etc.) hospital nursing experience required + Certification in case management or utilization review preferred + InterQual experience ... HCA Florida Mercy Hospital! **Job Summary and Qualifications** The Case Manager (CM) ensures high-quality, patient-centered care...career path, we encourage you to apply for our Case Mgr RN opening. We review all… more
- AdventHealth (Orlando, FL)
- …Obtains pre-authorization and provides information to the Utilization Review Specialist, Utilization Review Case Manager and the Clinical Support ... to the transfer and placement of all patients. Proactively initiates steps, including utilization of the hospital and physician chain of command, to prevent EMTALA… more
- HCA Healthcare (Aventura, FL)
- …management experience + or 2 years of critical care experience + Certification in case management or utilization review preferred + InterQual experience ... to be a part of our team. **Job Summary and Qualifications** The Case Manager (CM) ensures high-quality, patient-centered care by managing Rehabilitative care… more
- HCA Healthcare (Davie, FL)
- …management experience + or 2 years of critical care experience + Certification in case management or utilization review preferred + InterQual experience ... reach our goals. Unlock your potential! **Job Summary and Qualifications** The Case Manager (CM) ensures high-quality, patient-centered care by managing… more
- HCA Healthcare (Aventura, FL)
- … management experience or 2 years of critical care experience + Certification in case management or utilization review preferred + InterQual experience ... reach our goals. Unlock your potential! **Job Summary and Qualifications** The Case Manager (CM) ensures high-quality, patient-centered care by managing… more
- HCA Healthcare (Miami, FL)
- …management + Experience or 2 years of critical care experience + Certification in case management or utilization review preferred + InterQual experience ... We want your knowledge and expertise! **Job Summary and Qualifications** The Case Manager (CM) ensures high-quality, patient-centered care by managing… more
- CenterWell (Land O' Lakes, FL)
- …action through the utilization of Performance Improvement principles. + Responsible for review of the appropriate number of Case Managers and clinical staff ... review of clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates and… more
- Molina Healthcare (Tampa, FL)
- …SKILLS & ABILITIES:** + Minimum 3 years clinical nursing experience. + Minimum one year Utilization Review and/or Medical Claims Review . + Minimum two years ... ASSOCIATION:** Certified Clinical Coder, Certified Medical Audit Specialists, Certified Case Manager , Certified Professional Healthcare Management, Certified… more
- Molina Healthcare (St. Petersburg, FL)
- …experience. **Preferred License, Certification, Association** Any of the following: Certified Case Manager (CCM), Certified Professional in Healthcare Management ... performing one or more of the following activities: care review / utilization management (prior authorizations, inpatient/outpatient medical necessity, etc.),… more
- University of Miami (Miami, FL)
- … utilization and prevent loss of reimbursement.UNIVERSITY OF MIAMICore_Sr. Manager , Financial Counseling11. Utilizes financial and decision support systems to ... faculty or staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The Department of… more
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