- Elevance Health (FL)
- …an Impact** Primary duties may include, but are not limited to: + Conducts behavioral or clinical assessments to identify individual member knowledge, skills and ... behavioral needs. + Identifies and/or coordinates specific health coaching...coordinates coaching and/or care plans by educating members regarding clinical needs and facilitating referrals to health professionals for… more
- WestCare Foundation (Miami, FL)
- …assigned. Qualifications Essential Qualifications: Certifications/Licensures: + Certification as a certified case manager in good standing and recognized by the ... consumer and family + Conduct monthly Service Plan reviews + Document all clinical services and activities in accord with licensing, Medicaid, and Joint Commission… more
- AdventHealth (Orlando, FL)
- …pre-authorization and provides information to the Utilization Review Specialist, Utilization Review Case Manager and the Clinical Support Specialist to ... facilities across the southeastern US and internationally. Highly effective in critical clinical fact gathering and analysis, to identify appropriate levels of care,… more
- 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 ... oversight from immediate manager . + May be responsible for an entire clinical program and/or independently perform clinical reviews. + The Medical Director… 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
- CenterWell (Jacksonville, FL)
- …help us put health first** The Associate Medical Director (AMD) is an instrumental clinical leader of our primary care team, combining clinical practice with ... to adapt responsibilities as needed and demands a unique blend of clinical management, financial/business acumen, and strategic partnership to optimize patient care… more
- CenterWell (Daytona Beach, FL)
- …first** Job Description Summary The Associate Medical Director (AMD) is an instrumental clinical leader of our primary care team, combining clinical practice ... to adapt responsibilities as needed and demands a unique blend of clinical management, financial/business acumen, and strategic partnership to optimize patient care… more
- HCA Healthcare (Fort Walton Beach, FL)
- …patients with discharge planning or psychosocial needs. + Obtains input from the RN case manager to ensure the discharge plan is appropriate and aligns with ... no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as telemedicine services and free AirMed medical transportation.… more
- CenterWell (Tampa, FL)
- …caring community and help us put health first** The Stars Improvement, Clinical Professional (RN) is responsible for the development, implementation and management ... Stars Program in the North Florida market. The Stars Improvement, Clinical Professional (RN) works assignments involving moderately complex to complex issues… more