- Veterans Affairs, Veterans Health Administration (West Palm Beach, FL)
- …participates in WH program experiences. Demonstrates creative approaches to the management of program aspects of complex patient care. Demonstrates performance and ... of mental health needs. Assesses the improved quality of clinical care; collects, develops, and analyzes data derived from...(may be extended up to two years on a case -by- case -basis.) NOTE: Grandfathering Provision - All persons… more
- AdventHealth (Deland, FL)
- …for each position may vary based on geographical location. **Category:** Case Management **Organization:** AdventHealth DeLand **Schedule:** Part-time **Shift:** ... Knowledge of state and federal guidelines pertinent to care management + Licensed Clinical Social Worker (LCSW)... Social Worker (LCSW) + ACM/CCM certification + Accredited Case Manager (ACM) + Certified Case Manager… more
- CenterWell (New Smyrna Beach, FL)
- …(RN) represents the scope of provider relationships across the following areas: + Quality/ clinical management and population health + HEDIS and Stars performance ... and help us put health first** The Stars Improvement Clinical Professional (RN): + Collaborates with market leadership, and...years of managed care experience + 3+ years of case management experienceBilingual; English and Spanish preferred,… more
- Envista Holdings Corporation (Orlando, FL)
- …Executives in senior leadership positions, sales management , marketing, product management , customer care and clinical affairs. **PRIMARY DUTIES & ... within the corporate offices and their respective affiliates. Understanding the clinical , economic and business needs and aligning platform-wide resources across the… more
- Humana (Tallahassee, FL)
- …with national guidelines such as NCD/LCD, MCG(R) or InterQual The Medical Director conducts clinical case reviews of requests received by members of the Medicare ... are in agreement with national guidelines, CMS requirements, Humana policies, clinical standards, and (in some cases) contracts. The Medical Director provides… more
- HCA Healthcare (Tallahassee, FL)
- …meet the legal, organizational, medical staff and regulatory agencies guidelines. Provide case management , education, group and individual therapy, and discharge ... want you to apply! **Job Summary and Qualifications** We are seeking a Licensed Clinical Therapist to ensure that we continue to provide all patients with high… more
- Humana (Tampa, FL)
- …Minimum 3 years clinical experience working in the hospital setting with case management and discharge planning + Experience working with Medicaid Population ... Services (HCBS) waiver application for Long Term Care. This role supports case management /utilization manager related to reducing Inpatient admits, readmits and… more
- Communities Connected for Kids (Port Saint Lucie, FL)
- **Description** **_**This is a field-based foster care case management role that will travel and provide coverage to clients throughout Indian River, Martin, ... years related experience. Valid Florida driver's license. Preferred:Prior foster care transition case management experience _._ Certification in Child Welfare is… more
- Wounded Warrior Project (Jacksonville, FL)
- …EXPERIENCE Requirements + Four years of adult focused mental health programming or case management experience working with and providing support to individuals ... (WWP) Mental Health Program Specialist provides telephonic, short-term, goal-focused, non- clinical emotional support to wounded service members dealing with… 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