- Fujifilm (Tallahassee, FL)
- …on these more complex issues. This role requires a firm grasp of time management and organizational skills. To meet the needs of our customers, working outside ... effectively communicate with our customers, and document the interactions within a case . + Works cross-functionally with other Synapse teams/products as required and… more
- Datavant (Tallahassee, FL)
- …or site-specific productivity benchmarks + Foster professional communication with colleagues, management , and hospital staff, while addressing clinical and ... by a credentialed professional coding manager + Exceptional service-style management and mentorship (we're in this together!) Pay ranges...reviewed by Datavant Human Resources and determined on a case -by- case basis. Depending on the state in… more
- BayCare Health System (Tampa, FL)
- …No **Certifications and Licensures:** + Required RN (Registered Nurse) + Preferred ACM ( Case Management ) + Preferred CCM ( Case Manager) **Education:** + ... on a foundation of trust, dignity, respect, responsibility and clinical excellence. **The Utilization Review Specialist Senior responsibilities include:**...in Utilization Review or + Required 2 years in Case Management or + Required 3 years… more
- HCA Healthcare (Gainesville, FL)
- …or work to deliver clinical excellence behind the scenes in data science, case management or transfer centers. Unlock your potential at HCA Florida North ... vision, mission, and values to ensure an outstanding patient experience and positive clinical outcomes. What you will do in this role: Schedule Monday- Friday Days… more
- AdventHealth (Deland, FL)
- …for each position may vary based on geographical location. **Category:** Case Management **Organization:** AdventHealth DeLand **Schedule:** Per Diem **Shift:** ... ensures efficient and cost-effective care through appropriate resources monitoring, and clinical care escalations. The Social Work Specialist is under the general… more
- Veterans Affairs, Veterans Health Administration (Cape Coral, FL)
- …this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/. Preferred Experience: Case Management experience preferred, 5 years ... responsibility for the coordination of care focused on patient education, self- management , and customer satisfaction throughout the continuum of care. Administers… more
- CVS Health (Tallahassee, FL)
- …TOC team will review prior claims to address potential impact on current case management and eligibility status. Focus assessments and/or questionnaires are ... serving dual eligible populations by utilizing best-in-class operating and clinical models. You can have life-changing impact on our...impact on our members, who are enrolled in Care Management and present with a wide range of complex… more
- Community Based Care of Brevard, Inc. (Orlando, FL)
- …and Care Coordination: serve as a liaison between Sunshine Health and case management , Operations, Adoptions, Post-Adoption and/or Independent Living to ... due, or past due. Provide follow up and outreach as needed. . Quality Management : Review case management reports/data, available within the Sunshine Health… more
- Monte Nido (Miami, FL)
- …+ Communicate emerging trends with insurance companies to Director of Utilization Management . + Maintain database of insurance company clinical care guidelines, ... team approach while integrating state-of-the-art medical, psychiatric, nutritional, and clinical strategies to provide comprehensive care within an intimate home… more
- Veterans Affairs, Veterans Health Administration (Delray Beach, FL)
- …group, and/or family counseling or psychotherapy and advanced level psychosocial and/or case management . Ability to incorporate complex multiple causation in ... at least two years of experience post advanced practice clinical licensure and should be in a specialized area...advanced practice level which included an advanced generalist or clinical examination, unless they are grandfathered by the state… more