• Clinical Case Manager Behavioral…

    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
    CVS Health (07/22/25)
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  • Case Management Processor

    Molina Healthcare (Orlando, 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
    Molina Healthcare (08/30/25)
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  • Complex Case Manager RN - GI Nurse (Remote)

    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
    Highmark Health (08/27/25)
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  • Clinical Case Manager, Behavioral…

    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
    CVS Health (08/20/25)
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  • Mgr Of Case Mgmt

    HCA Healthcare (Aventura, FL)
    case management team. This role will functions as an expert clinical practitioner, case management subject-matter expert, resource, advisor and leader ... to apply! **Job Summary and Qualifications** **The Manager for Case Management services reports to the ...with current state licensure Required + Three years of clinical , hospital nursing experience Required + Three to five… more
    HCA Healthcare (08/28/25)
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  • Staff VP Specialty Pharmacy Clinical

    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
    Elevance Health (08/27/25)
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  • Manager, Case Management , RN

    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
    Carnival Cruise Line (08/29/25)
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  • Care Management Support Prof

    Humana (Tallahassee, FL)
    …+ Experience advocating for managed care members at all levels of care. + Non- clinical Case Management experience + Call Center Experience + Experience ... so they can achieve and/or maintain an optimal wellness state. The Care Management Support Professional contributes to administration of care management in… more
    Humana (08/29/25)
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  • Case Manager/Discharge Planner - Per Diem

    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
    Select Medical (08/02/25)
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  • SR Disability Representative

    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
    Sedgwick (08/27/25)
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