- CVS Health (Tallahassee, FL)
- …professionals to influence appropriate member care. . Attends and participates in case rounds, including utilization management rounds for behavioral health and ... assessments of member's needs and recommends an approach to case resolution by meeting needs in alignment with their... hand offs during transitions of care. Reports to: Manager , Clinical Health Services **Required Qualifications:** .… more
- AdventHealth (Wauchula, FL)
- **Registered Nurse Case Manager - AdventHealth Home Health** **All the benefits and perks you need for you and your family:** + Up to $10,000 Sign on Bonus + ... experience in a Medicare-certified home health agency as a case - manager + Home Health Case -...Manager Certification + Certificate for OASIS Specialist - Clinical This facility is an equal opportunity employer and… more
- HCA Healthcare (Tallahassee, FL)
- **Description** **Introduction** Do you have the career opportunities as a(an) Manager Case Management you want in your current role? We invest in what matters ... accountability in ensuring all admissions and continued stays meet clinical criteria for appropriateness and medical necessity. Assesses discharge...career path, we encourage you to apply for our Manager Case Management opening. We review all… more
- Elevance Health (Tampa, FL)
- **Telephonic Nurse Case Manager II** **Location: Virtual: This role enables associates to work virtually full-time, with the exception of required in-person ... assessment within 48 hours of receipt and meet the criteria._** The **Telephonic Nurse Case Manager II** is responsible for care management within the scope of… more
- HCA Healthcare (Fort Lauderdale, FL)
- …at the corporate level. + Lead centralized case management function, including Clinical Case Management, Utilization Review Services, and Clinical ... educational training and development for the more than 3,000 case manager , RNs, and social workers involved...to HCA established policies, practices, efficiencies; and effectiveness of clinical Case Management, Utilization Management,… more
- Elevance Health (Lakeland, FL)
- …under the direction/supervision of an RN, with overall responsibility for the member's case , as required by applicable state law and contract, contributes to the ... in identifying members for high risk complications. + Obtains clinical data as directed by the responsible RN. Assists...health care team, to ensure cost effective and efficient utilization of health benefits. + Decision making skills will… more
- AdventHealth (Tavares, FL)
- **Occupational Therapist Case Manager - AdventHealth Home Health** **All the benefits and perks you need for you and your family:** + Up to $10,000 Sign-on Bonus ... County **The role you'll contribute:** The Home Health Occupational Therapy (OT) Care Manager is a professional therapist who coordinates and directs the home care… more
- CenterWell (Deland, FL)
- …Location: Deland, FL **This position comes with a $10K sign-on bonus.** The ** Clinical Manager ** coordinates and oversees all direct care patient services ... documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates...+ Responsible for review of the appropriate number of Case Managers and clinical staff documentation to… more
- Cleveland Clinic (Vero Beach, FL)
- …one of the most respected healthcare organizations in the world. RN Case Managers work collaboratively with inter-professional teams across the continuum of care ... Heart Association (AHA) + 3-5 years of recent RN clinical experience + Working knowledge of MCG guidelines Preferred...or AHA) + 2 years of recent experience in utilization review, quality or care management + Knowledge of… more
- Humana (Tallahassee, FL)
- …us put health first** We're looking for a strategic and forward-thinking Lead Product Manager to shape and deliver impactful clinical solutions for our members ... vision and strategy to execution and optimization. As a Lead Product Manager , you will work across multidisciplinary teams including design, engineering, clinical… more