- Insmed Incorporated (Miami, FL)
- …strong related experience.Other Pharmaceutical experience - Medical Information, Medical Strategy, Clinical management /trial experience and 2 years clinical ... Insmed personnel to ensure adequate training, access to educational resources and alignment between Insmed's medical affairs plans and...competitor data. Serve as a local medical and scientific resource to Insmed for product planning, clinical … more
- 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. - ... **This position offers a $5,000 New Hire Bonus!** 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
- CVS Health (Orlando, FL)
- …appropriate treatment and services. + Applies and interprets applicable criteria and clinical guidelines, standardized case management plans, policies, ... heart, each and every day. **Position Summary** : The Clinical Case Manager, Behavioral Health is a...of care to meet the member's goals. + Utilizes case management and quality management … more
- Highmark Health (Tallahassee, FL)
- …Degree in Nursing **EXPERIENCE** **Required** + 7 years of any combination of clinical , case management and/or disease/condition management experience, ... clinical judgment to refer members to appropriate multi-disciplinary resources . In addition to identifying the appropriate clinical...of members in his/her panel that are enrolled in case management . The incumbent conducts outreach to… more
- HCA Healthcare (Aventura, FL)
- … team. This role will functions as an expert clinical practitioner, case management subject-matter expert, resource , advisor and leader for the ... pet insurance and more. + Free counseling services and resources for emotional, physical and financial wellbeing + 401(k)...to apply! **Job Summary and Qualifications** **The Manager for Case Management services reports to the … more
- Elevance Health (Tampa, FL)
- …oversees include case management , prescription verification, care management , nursing, and clinical program development. **Position Responsibilities** + ... motivate teams towards achieving key organizational objectives. + Understanding of clinical program development, case management , prescription verification,… more
- Carnival Cruise Line (Miami, FL)
- …empathy. + Review clinical care plans for appropriateness and support the case management team in decision-making. + Oversee care coordination for referred ... the attention of risk management and the case management (MD), clinical governance,...with the Health Operations Center to serve as a resource and for medical emergencies, medevacs, public health concerns,… more
- Humana (Tallahassee, FL)
- …+ Experience advocating for managed care members at all levels of care. + Non- clinical Case Management experience + Call Center Experience + Experience ... so they can achieve and/or maintain an optimal wellness state. The Care Management Support Professional contributes to administration of care management in… 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
- Sedgwick (Orlando, FL)
- …physician and employer. + Refers cases as appropriate to team lead and clinical case management . + Maintains professional client relationships. **ADDITIONAL ... Orlando FL 32826 **PRIMARY PURPOSE** : To provide disability case management and claim determinations based on...defined by the disability plan. + Utilizes the appropriate clinical resources in case assessment… more
