- CVS Health (Hialeah, FL)
- …and coordinating all case management activities with members to evaluate the medical needs of the member to facilitate the member's overall wellness. Case ... hours. We are seeking self-motivated, energetic, detail oriented, highly organized, tech-savvy Case Management Coordinator to join our Case Management team. This… more
- WestCare Foundation (Key Largo, FL)
- …treatment, competency restoration training, residential care or housing with supervision, medical and auxiliary services if appropriate, case management and ... 4 Year Degree Category Nonprofit - Social Services Description Position Summary: Provide case management service to clients as outlined in the case management… more
- CVS Health (Tallahassee, FL)
- …in the US with virtual training.** American Health Holding, Inc (AHH) is a medical management company that is a division within Aetna/CVS Health. Founded in 1993, ... AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical management services that support… more
- CVS Health (Sun City Center, FL)
- …Coordinator will effectively manage a caseload that includes supportive and medically complex members. Case Management Coordinator will utilize critical thinking ... hours. We are seeking self-motivated, energetic, detail oriented, highly organized, tech-savvy Case Management Coordinator to join our team. Case Management… more
- HCA Healthcare (Largo, FL)
- …satisfaction. + You will promote cost effectiveness through the integration of case management, utilization review management and discharge planning. **What ... over 156,000 hours volunteering in our communities. As a(an) Case Manager RN with HCA Florida Largo Hospital you...colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no… more
- Elevance Health (Tampa, FL)
- **Nurse Case Manager II** **Location** : This role enables associates to work virtually full-time, with the exception of required in-person training sessions, ... hours of receipt and meet the criteria._** The **Nurse Case Manager II** is responsible for care management within...management within the scope of licensures for members with complex and chronic care needs by assessing, developing, implementing,… more
- Elevance Health (Tampa, FL)
- **Telephonic Nurse Case Manager II** **Location: This role enables associates to work virtually full-time, with the exception of required in-person training ... within 48 hours of receipt and meet the criteria._** The **Telephonic Nurse Case Manager II** is responsible for care management within the scope of licensure… more
- Evolent (Tallahassee, FL)
- …when available, within the regulatory timeframe of the request. + Utilizes medical /clinical review guidelines and parameters to assure consistency in the ... health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek… more
- Veterans Affairs, Veterans Health Administration (Daytona Beach, FL)
- …model and intensive case management to a panel of patients with complex chronic medical conditions managed under PCMM guidelines to reduce recurrent ED ... may be offered to highly qualified candidate(s). The incumbent will serve as a Complex t Patient Aligned Care Team (PACT) Physician located at the Daytona Beach VA… more
- Sedgwick (Jacksonville, FL)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Bill Review Analyst | Professional Liability | Remote **PRIMARY PURPOSE** : The Bill ... Review Analyst plays a critical role in supporting the medical malpractice claims team by ensuring legal invoice accuracy, compliance, and defensibility. This… more