• Registered Nurse Care Manager PRN

    AdventHealth (Ocala, FL)
    …springs throughout the county **The role you'll contribute:** The RN Care Manager in collaboration with the patient/family, social workers, nurses, physicians and ... and progression through the continuum of care. The RN Care Manager ensures efficient and cost-effective care through appropriate resources monitoring, and… more
    AdventHealth (09/05/25)
    - Related Jobs

  • Behavioral Health Care Manager II

    Elevance Health (FL)
    …services only, and there is licensed staff supervision. + Previous experience in case management/ utilization management with a broad range of experience with ... **Behavioral Health Care Manager II** A proud member of the Elevance...outpatient professional treatment health benefits through telephonic or written review . **How you will make an impact:** + Uses… more
    Elevance Health (09/30/25)
    - Related Jobs

  • Managed Care Contract Manager

    AdventHealth (Maitland, FL)
    …FL **The role you will contribute:** This position is responsible for contract review and interpretation; as well as, the building and maintenance of rates and ... revenue for the Florida division. This position assists the Sr. Contract Manager with ensuring that preferred contract language provides for ease of interpretation… more
    AdventHealth (09/12/25)
    - Related Jobs

  • Manager , Patient Scheduling

    University of Miami (Miami, FL)
    …closely with surgeons, clinical staff, and hospital partners to ensure accurate case coordination, maximize operating room utilization , and maintain timely ... 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
    University of Miami (09/30/25)
    - Related Jobs

  • Project Manager

    MyFlorida (Tallahassee, FL)
    PROJECT MANAGER - 72004182 Date: Sep 25, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... . Requisition No: 861738 Agency: Management Services Working Title: PROJECT MANAGER - 72004182 Pay Plan: Career Service Position Number: 72004182 Salary:… more
    MyFlorida (09/25/25)
    - Related Jobs

  • District Sales Manager

    Sysco (Riviera Beach, FL)
    **JOB SUMMARY** The District Sales Manager (DSM) role requires exceptional management of sale performance among Sales Consultants (SCs). This position is responsible ... developing the talent of their sales consultants to achieve profitable planned case and GP growth **RESPONSIBILITIES** + Manages the performance and development of… more
    Sysco (09/24/25)
    - Related Jobs

  • National Accounts Medical Director

    Elevance Health (Miami, FL)
    …to clients/ members. The medical director provides clinical expertise in all aspects of utilization review and case management. Provides input on the ... means that the medical director is directly involved in Utilization Management and Case Management. + Daily...state or territory of the United States when conducting utilization review or an appeals consideration and… more
    Elevance Health (09/23/25)
    - Related Jobs

  • RN - Care Management PRN

    AdventHealth (Land O' Lakes, FL)
    …patient care outcomes within effective time frames on a specific group of patients.The Case Manager is responsible for utilization reviews and resource ... Awards, TWCE as Nice **The role you'll contribute:** The Case Manager is accountable for the organization,...another and respect for each persons unique contributions, provides utilization review care that is non-judgmental and… more
    AdventHealth (08/07/25)
    - Related Jobs

  • Behavioral Health Nurse - Managed Care

    DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
    …Participate in interdisciplinary case rounds, quality improvement initiatives, and utilization review processes. + Support members during transitions of ... including behavioral/mental health + Experience in a managed care, case management, or utilization review ...Bachelor's or master's degree in nursing (BSN/MSN) + Certified Case Manager (CCM) or similar certification +… more
    DOCTORS HEALTHCARE PLANS, INC. (09/14/25)
    - Related Jobs

  • Cost Containment Analyst

    ICW Group (Orlando, FL)
    … management and utilization review . + Works closely with Case Management Manager and Director to perform quarterly reporting on program impact/results. ... AND SKILLS** Understanding of Workers' Compensation, Workers' Compensation Managed Care processes, Utilization Review , Telephonic Nurse Case Management, and… more
    ICW Group (09/22/25)
    - Related Jobs