- AdventHealth (Tampa, FL)
- …Manager ensures efficient and cost-effective care through appropriate resources monitoring, and clinical care escalations. The RN Care Manager is under ... a well-balanced work life balance The role you'll contribute: The RN Care Manager in collaboration with the patient/family, social workers, nurses, physicians and… more
- AdventHealth (Ocala, FL)
- …Manager ensures efficient and cost-effective care through appropriate resources monitoring, and clinical care escalations. The RN Care Manager is under ... springs throughout the county **The role you'll contribute:** The RN Care Manager in collaboration with the patient/family, social workers, nurses, physicians… more
- AdventHealth (Port Charlotte, FL)
- …Manager ensures efficient and cost-effective care through appropriate resources monitoring, and clinical care escalations. The RN Care Manager is under ... for** **:** AdventHealth Port Charlotte AdventHealth Port Charlotte, we care for the whole you in body, mind and...physicians and the interdisciplinary team on issues related to utilization of resources, medical necessity, CMS CoP for Discharge… more
- CVS Health (Tallahassee, FL)
- …medical director teams focusing on inpatient care management, clinical coverage review , member appeals clinical review , medical claim review , and ... improve health outcomes. * Leverage extensive knowledge of health care delivery system, utilization management, reimbursement methods...Support all Clinical Quality initiatives and peer review processes including Quality of Care and… more
- ChenMed (Tamarac, FL)
- …explain primary care provider role. Facilitate patient/family conferences to review treatment goals, optimize resource utilization , provide family education ... who plays a key role as part of the clinical operations team providing direct patient care ...marketing and policy decisions impact the quality of health care . + Applies skills in peer review … more
- Veterans Affairs, Veterans Health Administration (Palm Bay, FL)
- …providers. Primary care physicians will act as surrogates for absent primary care providers when needed, to include review of CPRS view alerts. Primary ... Clinical reminders should be addressed as medically appropriate. Quality of care should meet professional standards. Utilization of all Virtual Care… more
- HCA Healthcare (Tallahassee, FL)
- …interdisciplinary plan of care with a focus on evaluating the appropriateness of clinical care , medical necessity, admission status, level of care , and ... assigned patients + Develops a case management plan of care to include identified clinical , psychosocial and...and compliant** + **Certification in Case Management, Nursing, or Utilization Review , preferred** + **Three years of… more
- AdventHealth (Riverview, FL)
- …Manager ensures efficient and cost-effective care through appropriate resources monitoring, and clinical care escalations. The RN Care Manager is under ... Medical Office Building that will provide community members convenient access to expert care . AdventHealth Riverview will offer a wide range of health care … more
- Humana (Hallandale Beach, FL)
- …the period of this unpaid internship, you will work with the Medicaid Clinical Services team to ensure interaction between the company and members are optimized. ... The Telephonic Behavioral Health Care Manager Internship provides transitioning service members that are...psycho-social health issues. + Monitor and maintain awareness of utilization and conducts outreach based on acuity to assess… more
- Veterans Affairs, Veterans Health Administration (Deltona, FL)
- …providers. Primary care physicians will act as surrogates for absent primary care providers when needed, to include review of CPRS view alerts. Primary ... Clinical reminders should be addressed as medically appropriate. Quality of care should meet professional standards. Utilization of all Virtual Care… more