- US Tech Solutions (Miami, FL)
- …healthcare costs and improve healthcare program/operational efficiency involving clinical issues + Determines medical necessity/ appropriateness Facilitates optimal ... order to facilitate appropriate healthcare outcomes for members by providing care coordination , support and education for members through the use of care management… more
- Centene Corporation (West Palm Beach, FL)
- …50% local travel. + Evaluates the needs of the member via phone or in- home visits related to the resources available, and recommends and/or facilitates the care ... behavioral health and social determinant needs + May perform telephonic, digital, home and/or other site visits outreach to assess member needs and collaborate… more
- CenterWell (Leesburg, FL)
- …service agencies to ensure seamless care coordination including facilitation of the coordination in partnership with patients virtually, in home , or on a ... of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing the physical, emotional… more
- HCA Healthcare (Sarasota, 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
- Option Care Health (Orlando, FL)
- …in the home and/or alternate care settings. Effectively provides oversight and coordination of paraprofessionals in the home setting and may act as the ... **Extraordinary Careers. Endless Possibilities.** **With the nation's largest home infusion provider, there is no limit to...and chronic conditions in all 50 states. Through our clinical leadership, expertise and national scale, Option Care Health… more
- AdventHealth (Port Charlotte, FL)
- …Manager ensures efficient and cost-effective care through appropriate resources monitoring, and clinical care escalations. The RN Care Manager is under the ... utilization of resources, medical necessity, CMS CoP for Discharge Planning and care coordination . The RN Care Manager is knowledgeable of post-hospital care and… more
- Fresenius Medical Center (Boynton Beach, FL)
- …programs under the supervision of a nurse. + Collaborates with the Clinical Manager and Education Coordinator in driving organization quality standards ... Continuous Quality Improvement. + Provides developmental support to applicable clinical and facility staff. Education/Communication: + Participates in implementing… more
- AdventHealth (New Smyrna Beach, FL)
- …Social Work Specialist, in collaboration with the patient/family, care manager nurses, nurses, physicians and the interdisciplinary team, ensures patient-centered ... care coordination through the continuum of care. The Social Work...efficient and cost-effective care through appropriate resources monitoring, and clinical care escalations. The Social Work Specialist is under… more
- Prime Therapeutics (Tallahassee, FL)
- …to help offices locate a lower cost alternative treatment site (eg, home infusion) for drug infusion services versus the hospital outpatient facility.Discusses ... financial and clinical considerations with members who are considering care at...+ Actions include supporting member copay-assistance programs, research and coordination to decrease member out of pocket financial responsibility… more
- AdventHealth (Sebring, FL)
- …beautiful Lakes, Golf Courses and Floridas oldest State Park Close knit community with a home town family feel 2 hours to just about any beach on either Coast Local ... and fishing Beautiful agriculture and farmland Sebring is known for motorsports and home to the famous Sebring International Raceway Nature and hiking trails **The… more