- CVS Health (Apollo Beach, FL)
- … Coordinator will effectively manage a caseload that includes supportive and medically complex members. Case Management Coordinator will utilize critical ... business hours. We are seeking self-motivated, energetic, detail oriented, highly organized, tech-savvy Case Management Coordinator to join our team. Case … more
- Humana (Tallahassee, FL)
- …metrics + Experience working with Case managers or Care managers on complex case management , including familiarity with social determinants of health ... The Behavioral Health Medical Director work assignments involve moderately complex to complex issues where the analysis...in teams focusing on quality management , utilization management , case management , discharge planning… more
- Humana (Tallahassee, FL)
- …metrics. + Experience working with Case managers or Care managers on complex case management , including familiarity with social determinants of health. ... health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis...in teams focusing on quality management , utilization management , case management , discharge planning… more
- Humana (Tallahassee, FL)
- …metrics. + Experience working with Case managers or Care managers on complex case management , including familiarity with social determinants of health. ... health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis...in teams focusing on quality management , utilization management , case management , discharge planning… more
- Sharecare (Tallahassee, FL)
- …behalf of their members to ensure successful completion of member goals, while providing Complex Case Management and/or care management support through ... via self-directed learning. **Specific Skills/ Attributes:** + Strong motivational interviewing and case management skills. + Ability to be self-directed, highly… more
- MyFlorida (Tampa, FL)
- …in Microsoft Word, Outlook, and Adobe Acrobat + Ability to learn and navigate a complex case management system + Familiarity with legal terminology and court ... opportunity for someone who is comfortable working at all levels - from appellate case processing to scanning or preparing mail when needed. We are a small,… more
- Highmark Health (Tallahassee, FL)
- …manage an active case load of members in his/her panel that are enrolled in case management . The incumbent conducts outreach to members enrolled in case ... local, and regulatory agency requirements and applicable standards of practice for case management including those published by CMSA and/or ACMA, as required by… more
- Elevance Health (Miami, FL)
- …of all medical policies used for operational reviews. + Leading multidisciplinary rounds for case management / complex clinical management . + Peer-to-peer ... provides clinical expertise in all aspects of utilization review and case management . Provides input on the clinical relevance to account reporting regarding… more
- Carnival Cruise Line (Miami, FL)
- This role reports to the Senior Manager of Case Management and oversees the daily operations of crew case management . The Manager leads a team of ... guests annually and employing over 160,000 crew members. **Essential Functions:** + Case Management Oversight + Manage high-complexity cases involving clinical… more
- Select Medical (Gainesville, FL)
- **Overview** **Critical Illness Recovery Hospital** **Director of Case Management ** **$10,000 Sign On Bonus** **_Clinical license as a registered nurse or ... social work and minimum three (3) years of medical case management or similar experience._** **Previous ... mangement ( discharge planning ) experience with medically complex patients in a hospital critical care setting and… more