- HCA Healthcare (Gainesville, FL)
- …care issues. Offers clinical support for appeals and denials process, discharge planning, case management , and utilization review/ management . + Consults ... with facility-level staff regarding delegated utilization management and disease management operations under managed...the denial and appeals process, as requested by the Case Management Department and Patient Accounting Services.… more
- CenterWell (Deland, FL)
- …performance review and outcomes of care analysis to determine efficiency, the efficacy of case management system as well as any other systems and process. ... the delivery of care to all patients served by the location. Receives case referrals. Reviews available patient information related to the case , including… more
- AdventHealth (Orlando, FL)
- …or Social Worker: BSW Masters in related field 3 years in direct Care Management / Utilization Management experience in an acute care setting **Preferred ... each position may vary based on geographical location. **Category:** Case Management **Organization:** AdventHealth Orlando **Schedule:** Full-time **Shift:**… more
- AdventHealth (Port Charlotte, FL)
- …for each position may vary based on geographical location. **Category:** Case Management **Organization:** AdventHealth Port Charlotte **Schedule:** Full-time ... under the general supervision of the Care Managment Supervisor or Manager or Director of Nursing and is responsible for patient evaluations of post-hospital needs;… more
- AdventHealth (Riverview, FL)
- …each position may vary based on geographical location. **Category:** Case Management **Organization:** AdventHealth Riverview **Schedule:** Full-time **Shift:** ... under the general supervision of the Care Managment Supervisor or Manager or Director of Nursing and is responsible for patient evaluations of post-hospital needs;… more
- Abbott (Miami, FL)
- …This includes influencing stakeholders within the hospital, driving product utilization , support on contracting, relationship development, relationship management ... Account Manager will work with, and report to, the Regional Sales Director to identify/evaluate market opportunities, business potential, and to achieve annual sales… more
- Deloitte (Jacksonville, FL)
- …PMs, Project Coordinators, etc. + 3+ years of project / program financial management (eg, Planning, Forecasting, Budgeting, Business Case Development, etc.) in ... and Managing Director leaders + Experience with strategy / business case development, then developing the implementation plan to support the business case… more
- Humana (Miramar, FL)
- …providers to ensure cohesive and evidence-based care. - Oversee and optimize utilization management processes within the organization. - Ensure resource ... practices in wound care but also aim at controlling utilization to improve patient outcomes. The expertise of a...and quality of life. - Work closely with the Director of Nursing, Case Managers, and interdisciplinary… more
- MyFlorida (Bradenton, FL)
- …+ Monitor, evaluate and improve the overall performance of the STD Field Operations case management activities. + Responsible for overseeing the management ... complete timesheets The incumbent serves as the Clinical Services Division Deputy Director , responsible for supporting and reporting on the daily operations of the… more
- Community Health Systems (Naples, FL)
- …responsible for coordinating and overseeing discharge planning, transitions of care, and case management activities to ensure optimal patient outcomes. This role ... collaborative care planning. + Maintains accurate and timely documentation of case management activities, including records of referrals, patient interactions,… more