- AdventHealth (Land O' Lakes, FL)
- …of patients.The Case Manager is responsible for utilization reviews and resource management , discharge planning, treatment plan management and financial ... minimal supervision and perform the following seven essential activities of Case Management : Appropriateness of Setting, Assessment, Planning, Implementation,… more
- ChenMed (Pembroke Pines, FL)
- …+ Direct referrals to preferred providers. + Coordinate the integration of social services/ case management functions in the pre-acute, ER, acute and post-acute ... Coordinate the patient care, discharge, and home planning processes with hospital case management departments, and other healthcare facilities. + In conjunction… more
- ChenMed (Oakland Park, FL)
- …+ Directs referrals to preferred providers. + Coordinates the integration of social services/ case management functions in the pre-acute, ER, acute and post-acute ... Coordinates the patient care, discharge and home planning processes with hospital case management departments, and other healthcare facilities. + In conjunction… more
- HCA Healthcare (Port St. Lucie, FL)
- …employed physicians. + Provides clinical support and consultation regarding cost-effective clinical resource management in the facilities by sharing ... provides ongoing in-service programs to facility medical staff regarding clinical resource management , appropriate documents...these functions. + Serves as a clinical resource and consultant to hospital case managers… more
- Elevance Health (Tampa, FL)
- …of caller's situation using established criteria and protocol. + Coordinates with case management and/or staff physicians. + Utilizes established software, ... member of the Elevance Health family of brands, offering clinical programs and primary care options for seniors. We...with the development of policies and procedures. **Nurse Demand Management Sr:** + Serves as a resource … more
- CVS Health (Jacksonville, FL)
- …members and providers. Leads all aspects of utilization review/quality assurance, directing case management Provides clinical expertise and business ... clinical quality and effective use of health care resources . **This is a remote based (work at home)...direction in support of medical management programs through participation in clinical team… more
- AdventHealth (Altamonte Springs, FL)
- …each position may vary based on geographical location. **Category:** Case Management **Organization:** AdventHealth Corporate **Schedule:** Full-time **Shift:** ... Management , the Physician Advisor is responsible for providing clinical review of utilization, claims management , and...patterns and address avoidable delays + Serves as a resource for the Utilization Management (UM) Committee… more
- AdventHealth (Orlando, FL)
- …core areas, and if required, the surgical suites. Support procedural/surgical case picking, periodic inventory management , maintenance of surgeons preference ... **Materials Management Inventory Supervisor** **Location: AdventHealth Orlando-601 East Rollins...Repayment Program - Career Development - Whole Person Wellbeing Resources - Mental Health Resources and Support… more
- University of Miami (Miami, FL)
- …evidenced-based research and national standards. + Consults with and serves as a clinical resource for unit management to ensure quality patient ... + Contribute to the preparation of multimedia learning packages + Use multimedia learning resources + Make appropriate use of clinical simulators + Evaluate and… more
- Elevance Health (Tampa, FL)
- … and determines appropriate area to refer or assign case (utilization management , case management , QI, Med Review). + Provides information regarding ... required by law. **Shift:** Monday-Friday 8a-5p EST The **Medical Management Specialist I** is responsible for providing non- clinical...clinical information regarding case… more