- 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 ... doing well by doing what is right. As the Director of Case Management **,**...resource management . + Demonstrating compliance with facility-wide Utilization Management policies and procedures. + Coordinating… more
- HCA Healthcare (Kissimmee, FL)
- …with purpose and integrity. We care like family! Jump-start your career as a Director Case Management today with HCA Florida Osceola Hospital. **Benefits** ... vary by location._** Come join our team as a(an) Director Case Management . We care...to ensure continuity of care and optimal clinical resource utilization . The Director has oversight for all… more
- Actalent (Sunrise, FL)
- …of education and experience. + Valid Florida Driver's License. + Knowledge of case management and utilization review concepts, including InterQual and ... Actalent is hiring a Utilization Management Nurse! Job Description The...Managed care + Patient care + Medical record + Case management + Concurrent review + Discharge… more
- Monte Nido (Miami, FL)
- …while providing the opportunity for people to realize their healthy selves. ** Utilization Review Clinician** **Monte Nido** **Remote - EST or CST hours** **Monte ... to provide comprehensive care within an intimate home setting. The Utilization Review **Clinician** is responsible for conducting daily administrative and… more
- AdventHealth (Altamonte Springs, FL)
- …FL **The role you will contribute:** The Physician Advisor provides primary support for Utilization Management (UM) and secondary support for Care Management ... Physician Advisor is responsible for educating, informing and advising members of the Utilization Management , Care Management , Managed Care and Revenue Cycle… more
- ChenMed (North Miami Beach, FL)
- …of 2 years' clinical work experience required. + A minimum of 1 year of utilization review and/or case management , home health, hospital discharge planning ... to preferred providers. + Coordinates the integration of social services/ case management functions in the pre-acute, ER,...facilities. + In conjunction with the PCP, Hospitalist, Medical Director , insurance case manager and the hospital… more
- Humana (Tallahassee, FL)
- …and interpretation skills, with prior experience participating in teams focusing on quality management , utilization management , case management , ... Case managers or Care managers on complex case management , including familiarity with social determinants...size of region or line of business. The Medical Director conducts Utilization Management of… more
- HCA Healthcare (Gainesville, FL)
- …limits? Our HCA Florida North Florida Hospital team is looking for a(an) Manager Case Management . HCA Healthcare is an advanced healthcare network that has ... lives across the country? Apply today to our Manager Case Management and be a part of...psycho-social, financial). 1. Participates in IDT rounds, 1. Conducts utilization review, evaluates clinical information, and communicates findings to… more
- Humana (Tallahassee, FL)
- …and interpretation skills, with prior experience participating in teams focusing on quality management , utilization management , case management , ... Case managers or Care managers on complex case management , including familiarity with social determinants...size of region or line of business. The Medical Director conducts Utilization Management of… more
- Humana (Tallahassee, FL)
- …and interpretation skills, with prior experience participating in teams focusing on quality management , utilization management , case management , ... Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management + Utilization management experience in a… more