- Elevance Health (Miami, FL)
- …office visits with providers and external physicians. + May conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering ... programs to improve quality, cost, and outcomes. May provide clinical consultation and serve as clinical /strategic advisor...manager . + May be responsible for an entire clinical program and/or independently perform clinical reviews.… more
- MyFlorida (Sanford, FL)
- …and training as needed in the field to DOH-Seminole Specialty Care and clinical division staff, community-based organizations, and case managers. Remain current ... data, preparing reports, and providing day-to-day operational assistance to the Program Manager , and other staff as needed. Apply advanced nursing principles and… more
- CenterWell (Jacksonville, FL)
- …for normality, fax a copy of lab to doctor, make a copy for the Case Manager , and route to Medical Records Department. Initiate Employee / Patient Infection ... calls from the field staff and assisting with weekly case conferences. Refers clinical questions to Branch...of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing… more
- AdventHealth (Altamonte Springs, FL)
- …+ Works with medical staff to obtain appropriate documentation and assist case management with clinical interpretation necessary to ensure appropriate payment ... capacity providing support to the assigned facility. Responsible for improving clinical outcomes for internally tracked performance improvement data and publicly… more
- HCA Healthcare (Gainesville, FL)
- …patient care. Performs in accordance with physician's orders and under the supervision of the Clinical Manager . **What you will do in this role** : + Assesses ... and patient/family/caregiver. + Communicates significant findings, problems and changes to Clinical Manager and physician, and documents all findings,… more
- Molina Healthcare (FL)
- …our Medicare/Medicaid population who have recently been admitted into Hospital. The Case Manager will support our members to ensure successful transition ... Association** Active, unrestricted Transitions of Care Sub-Specialty Certification and/or Certified Case Manager (CCM) To all current Molina employees: If… more
- AdventHealth (Deland, FL)
- …needs of the patient when developing the plan of care. + Informs the physician, clinical manager , and other appropriate members of the health care team of ... with groups of complex patients. + Maintains an updated clinical record on each patient, meeting required deadlines for...health agency as a visit nurse + Home Health Case Manager Certification + COS-C This facility… more
- MyFlorida (Daytona Beach, FL)
- …TO WORK IN THE OFFICE. The Behavioral Health Consultant (BHC) provides clinical expertise within the child welfare system, supporting the identification, engagement, ... The BHC works directly with Child Protective Investigators (CPIs) and dependency case managers to enhance recognition of behavioral health concerns, improve family… more
- MyFlorida (Palm Bay, FL)
- …TO WORK IN THE OFFICE. The Behavioral Health Consultant (BHC) provides clinical expertise within the child welfare system, supporting the identification, engagement, ... The BHC works directly with Child Protective Investigators (CPIs) and dependency case managers to enhance recognition of behavioral health concerns, improve family… more
- ChenMed (Pembroke Pines, FL)
- …Licensed/Board Certified professional who plays a key role as part of the clinical operations team, providing direct patient care and assessments, primarily in the ... a plan of care, providing health education, specialty referrals and case management referrals, providing follow-up care and applying clear, in-depth documentation… more