- CVS Health (Inverness, FL)
- …that may impact member outcomes and care planning components with appropriate referral to clinical case management or crisis intervention as appropriate. - ... with heart, each and every day. **Position Summary** This Clinical Case Manager Behavioral Health position is...and education for members through the use of care management tools and resources . Evaluation of Members:… more
- HCA Healthcare (Fort Lauderdale, FL)
- …the corporate level. + Lead centralized case management function, including Clinical Case Management , Utilization Review Services, and Clinical ... to HCA established policies, practices, efficiencies; and effectiveness of clinical Case Management , Utilization ...and facility level. + Works collaboratively with corporate human resources and hospital/ case management leadership… more
- CVS Health (Miami, FL)
- …and adult populations. The Clinical Case Manger BH coordinates all case management activities with members to evaluate behavioral health needs and to ... integration. Instructs programs and procedures in compliance with network management and clinical coverage policies. The Clinical Case Manager BH will… more
- Marriott (Kissimmee, FL)
- …in hotels. Contributes to all areas of professional Occupational Health nursing including: clinical care, case management , workplace safety, health promotion ... and recent experience in the following areas: Worker's compensation state regulations and case management , primary clinical care, state and federal health… more
- Sedgwick (Orlando, FL)
- …via the claimant's physician and employer. + Refers cases to team lead and clinical case management for additional review when appropriate. + Maintains ... Dr Orlando FL 32826 **PRIMARY PURPOSE** : Provides disability case management and complex claim determinations based...claims outside of typical guidelines. + Utilizes the appropriate clinical resources in case assessment… more
- Sedgwick (Orlando, FL)
- …via the claimant's physician and employer. + Refers cases to team lead and clinical case management for additional review when appropriate. + Maintains ... ADA accommodations, and claims outside of typical guidelines. + Utilizes the appropriate clinical resources in case assessment (ie duration guidelines,… more
- CVS Health (Orlando, FL)
- …issues. . Handles reviews of prior claims to address potential impact on current case management and eligibility. . Creates a holistic approach to assess the ... need for referrals to clinical resources and to assist in determining... and to assist in determining functionality. . Ensures case management processes follow organization and regulatory… more
- Aveanna Healthcare (Fort Myers, FL)
- …annual employee evaluations for all clinical staff. + Responsible for overseeing case management to ensure services that are financially sound. + Manage ... Home Health Clinical Manager RN ApplyRefer a FriendBack Job Details...ensure competence as a Preceptor and or ensure RN Case Manager/Preceptor resources are in place. Ensures… more
- Sedgwick (Tallahassee, FL)
- …combination of education and experience required to include three (3) years of recent clinical practice or Field Case Management experience in Worker's ... Knowledge of the insurance industry and claims processing + Knowledge of field case management + Excellent oral and written communication skills, including… more
- HCA Healthcare (Kissimmee, FL)
- …and integrity. We care like family! Jump-start your career as a Director Case Management today with HCA Florida Osceola Hospital. **Benefits** HCA Florida ... by location._** Come join our team as a(an) Director Case Management . We care for our community!...external agencies to ensure continuity of care and optimal clinical resource utilization. The Director has oversight… more
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