- CVS Health (Inverness, FL)
- …that may impact member outcomes and care planning components with appropriate referral to clinical case management or crisis intervention as appropriate. - ... **This position offers a $5,000 New Hire Bonus!** This Clinical Case Manager Behavioral Health position is...decision-making. Monitoring, Evaluation and Documentation of Care: - Utilizes case management and quality management … more
- Molina Healthcare (Tampa, FL)
- …team members as needed. + Screens members using Molina policies and processes, assisting clinical Case Management staff as they identify appropriate medical ... + Provides telephone, clerical, and data entry support for the Case Management team. + Responsible for initial review of assigned case… more
- Highmark Health (Tallahassee, FL)
- …Degree in Nursing **EXPERIENCE** **Required** + 7 years of any combination of clinical , case management and/or disease/condition management experience, ... panel of members that range in health status/severity and clinical needs. The incumbent assesses health management ...of members in his/her panel that are enrolled in case management . The incumbent conducts outreach to… more
- CVS Health (Orlando, FL)
- …appropriate treatment and services. + Applies and interprets applicable criteria and clinical guidelines, standardized case management plans, policies, ... heart, each and every day. **Position Summary** : The Clinical Case Manager, Behavioral Health is a...of care to meet the member's goals. + Utilizes case management and quality management … more
- AdventHealth (Orange City, FL)
- …Social Worker (LSW) + Active American Heart Association BLS + 1 year of direct clinical with case management experience preferable in a health or mental ... **Licensed Clinical Social Worker** **AdventHealth Well 65 Orange City...each position may vary based on geographical location. **Category:** Case Management **Organization:** Well65 **Schedule:** Full-time **Shift:**… more
- Elevance Health (Tampa, FL)
- …oversees include case management , prescription verification, care management , nursing, and clinical program development. **Position Responsibilities** + ... motivate teams towards achieving key organizational objectives. + Understanding of clinical program development, case management , prescription verification,… more
- Carnival Cruise Line (Miami, FL)
- …empathy. + Review clinical care plans for appropriateness and support the case management team in decision-making. + Oversee care coordination for referred ... high risk and escalate to the attention of risk management and the case management (MD), clinical governance, legal, and HR teams. + Review crew claims… more
- Select Medical (Jacksonville, FL)
- …as part of the discharge planning process. + The primary job functions in Case Management include: + Clinical Interventions/Discharge Planning + Care ... or Social Work (SW) preferred) **Preferred Qualifications** + Previous experience in Case Management and Discharge Planning preferred. + CCM Certification… more
- Sedgwick (Orlando, FL)
- …via the claimant's physician and employer. + Refers cases to team lead and clinical case management for additional review when appropriate. + Maintains ... Best-in-State Employer Disability Representative Sr **PRIMARY PURPOSE** : Provides disability case management and complex claim determinations based on medical… more
- Sedgwick (Orlando, FL)
- …physician and employer. + Refers cases as appropriate to team lead and clinical case management . + Maintains professional client relationships. **ADDITIONAL ... Orlando FL 32826 **PRIMARY PURPOSE** : To provide disability case management and claim determinations based on...defined by the disability plan. + Utilizes the appropriate clinical resources in case assessment (ie duration… more
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