- AdventHealth (Orange City, FL)
- …Manager ensures efficient and cost-effective care through appropriate resources monitoring, and clinical care escalations. The RN Care Manager is under the ... general supervision of the Care Management Supervisor or Manager or Director of...discharge planning, transitions of care planning and understanding of medical necessity are core competencies of this role. The… more
- Evolent (Tallahassee, FL)
- …Risk Adjustment Coding Manager plays a crucial role in ensuring accurate medical coding and compliance with risk adjustment models. **What You will Be Doing:** + ... Evolent for the mission. Stay for the culture. **What You'll Be Doing:** ** Manager , Coding Support Specialist** Evolent Care Partners is seeking a Risk Adjustment… more
- AdventHealth (Deland, FL)
- …Manager ensures efficient and cost-effective care through appropriate resources monitoring, and clinical care escalations. The RN Care Manager is under the ... transitions, patient satisfaction, patient safety, readmission prevention and length of stay management . The RN Care Manager communicates daily with the… more
- AdventHealth (Orange City, FL)
- …care escalations. The Social Worker is under the general supervision of the Care Management Supervisor or Manager and is responsible for patient evaluations of ... transitions, patient satisfaction, patient safety, readmission prevention and length of stay management . The Social Work Care Manager communicates daily with the… more
- AdventHealth (Orlando, FL)
- …care escalations. The Social Worker is under the general supervision of the Care Management Supervisor or Manager and is responsible for patient evaluations of ... transitions, patient satisfaction, patient safety, readmission prevention and length of stay management . The Social Work Care Manager communicates daily with the… more
- Sharecare (Tallahassee, FL)
- … + NCQA experience preferred + Certified Case Manager preferred + Prior management and supervision of a clinical team is preferred. + Health Plan experience ... Manager will report to the Director of Clinical Care Operations, consistently directing and overseeing the objectives...and aid in their personal development as a Care Manager . + Provide performance management for the… more
- CVS Health (Tallahassee, FL)
- …we do it all with heart, each and every day. **Position Summary:** This Case Manager RN position is with Aetna's National Medical Excellence (NME) team and is ... role doing both Case Management and Utilization Management . The RN Case Manager is responsible...to face assessing, planning, implementing, and coordinating all case management activities with members to evaluate the medical… more
- CVS Health (Coral Gables, FL)
- …Services and strategies, policies and programs are comprised of network management , clinical coverage, and policies. **Position Summary/Mission** Community Care ... status; develops a plan of care to facilitate the member/client's appropriate condition management to optimize wellness and medical outcomes, aid timely return… more
- AdventHealth (Oviedo, FL)
- …the home care patient's services based on individual patient needs. The PT Care manager is responsible for independent management of the Home Health patient ... Degree + Recent, relevant experience in a Medicare-certified home health agency as a care- manager + Cert for Oasis Specialist- Clinical (COSC) + Home Health Care-… more
- AdventHealth (Ocala, FL)
- …Manager ensures efficient and cost-effective care through appropriate resources monitoring, and clinical care escalations. The RN Care Manager is under the ... transitions, patient satisfaction, patient safety, readmission prevention and length of stay management . The RN Care Manager communicates daily with the… more