- HCA Healthcare (Fort Walton Beach, FL)
- …of start + 3 years of RN experience in an acute care setting is required + Prior experience in Case Management is preferred + BSN is preferred + Certification in ... an organization that invests in you as a(an) RN Case Manager Evenings? At HCA Florida Fort Walton-Destin Hospital,...a difference. We are looking for a dedicated RN Case Manager Evenings like you to be a part… more
- Community Based Care of Brevard, Inc. (Rockledge, FL)
- …members, providers, DCF and attorneys as needed. Court Appearance and Preparation - Review case information prior to every hearing in order to be prepared to ... field practice under close supervision and the associated field case assessment process. Technical/Functional Expectations: Complete required certification - Attend… more
- University of Miami (Miami, FL)
- …faxed to MMF/UPAC and sent to OR front desk. + Confirm with Faculty surgical case order prior surgery date. + Ensures that essential medical records for surgery ... manner. + Schedule PAT appointment 3 to 4 days prior to surgery if pre-testing at JMH/UPAC. + Give...University. Advise patient if their insurance requires authorization. Single case negotiation on all non-contracted insurance, if applicable. +… more
- Humana (Blountstown, FL)
- …experience + Case Worker with a minimum of 6 years of Health Services/ Case Management Experience + Prior experience with Medicare & Medicaid recipients + ... moderate complexity. **We are looking for motivated and dynamic case managers that reside in the following areas:** **Gadsden,...Prior nursing home diversion or long term care case management experience + Experience with electronic case… more
- MyFlorida (Clearwater, FL)
- …milestones are achieved by the youth and family, factors need to be considered prior to case recommendations/ management ie when youth is still securely detained ... evaluating employees, planning and directing employees' work. DUTIES AND RESPONSIBILITIES: Case Management/ Reviews Screening & Intake Process Assign tasks to staff… more
- MyFlorida (Tallahassee, FL)
- …gathered data to identify and determine underlying facts and reasons in a potential fraud case prior to escalating the case for criminal investigation. The ... position independently performs complex, difficult assignments and investigations requiring the ability to analyze complex motor vehicle, driver license, and parking permit fraud cases and escalated immigration problems to provide an accurate and efficient… more
- AdventHealth (Orange City, FL)
- …required. Preferred qualifications: + Discharge planning experience is strongly preferred. + Prior Case Management experience in an acute care setting, or ... not limited to: administration, quality, risk, patient safety officer, nursing, case management/social services, physicians, home health, long term care, hospice,… more
- Sharecare (Tallahassee, FL)
- …years' experience in Care/ Case Management + NCQA experience preferred + Certified Case Manager preferred + Prior management and supervision of a clinical ... in a variety of areas such as integration activities, audits, and case management in collaboration with the Director. + Provide clinical/coaching oversight to… more
- BluePearl (Sarasota, FL)
- …specialty ensuring DVM(s) have record of new appointments. + You resolve any case -related concerns prior to appointment. + You maintain assigned specialty ... referred clients managing their referral from originating appointment through close of case . **As a BluePearl Veterinary Referral Coordinator:** + You schedule new… more
- CVS Health (Tallahassee, FL)
- …- Reviews prior claims to address potential impact on current case management and eligibility. - Assessments include the member's level of work capacity ... with heart, each and every day. **Position Summary:** This Case Manager RN position is with Aetna's National Medical...states. This role is a blended role doing both Case Management and Utilization Management. The RN Case… more