- Humana (Miramar, FL)
- …to ensure cohesive and evidence-based care . - Oversee and optimize utilization management processes within the organization. - Ensure resource utilization ... adhere to medical prescriptions and best practices in wound care but also aim at controlling utilization ...Educate home health clinicians and physicians on proper wound management techniques. - Focus on care for… more
- CenterWell (Tampa, FL)
- …for managing populations and coordinating care to reduce acute and post-acute care utilization . The Manager role is hybrid with travel requirements to ... create action plans that will reduce acute and post-acute care utilization . + Solicits/shares feedback with market...with the market leaders who benefit the most from care management programs. + Initiates and maintains… more
- Grifols Shared Services North America, Inc (Gainesville, FL)
- …specified "Account List" of Health Systems designed to increase the adoption and utilization of the Grifols Bleeding Management product portfolio. The KAM's ... services in more than 110 countries and regions. **Role and Responsibilities of a Bleeding Management KAM** **About the Role:** The KAM will play a vital role in the… more
- AdventHealth (Altamonte Springs, FL)
- …and escalates potential denials, documents avoidable days, and facilitates progression of care . Collaborates with Utilization Management staff for ... Manager is under the general supervision of the Care Managment Supervisor or Manager or Director ...Nursing + Health-related masters degree or MSN + Prior Care Management / Utilization Management… more
- Genesis Healthcare (Oxford, FL)
- …department, including oversight related to case management , quality improvement, care planning, clinical utilization , and patient identification is overseen ... department, including oversight related to case management , quality improvement, care planning, clinical utilization , and patient identification is overseen.… more
- Carnival Cruise Line (Miami, FL)
- …expedited return-to-work planning. The Manager also escalates high-risk cases, conducts care coordination and utilization reviews. Operationally, the role ... excellence. + Coordinate and communicate with medical providers, legal, HR, and case management teams to ensure appropriate, timely care delivery. + Communicate… more
- AdventHealth (Palm Coast, FL)
- …RN Care Manager is under the general supervision of the Care Management Supervisor or Manager or Director of Nursing and is responsible for patient ... Bachelor's of Nursing. + Health-related Master's degree or MSN. + Prior Care Management / Utilization Management experience. + ACM/CCM Certification. This… more
- AdventHealth (Deland, FL)
- …Preferred qualifications: + BSN + Health-related Master's degree or MSN + Prior Care Management / Utilization Management experience ACM/CCM Certification ... Manager is under the general supervision of the Care Managment Supervisor or Manager or Director ...satisfaction, patient safety, readmission prevention and length of stay management . The RN Care Manager communicates daily… more
- Carnival Cruise Line (Miami, FL)
- …constraints. + Coordinate and communicate with medical providers, legal, HR, and case management teams to ensure appropriate, timely care delivery. + Communicate ... + Review clinical care plans for appropriateness and support the case management team in decision-making. + Oversee care coordination for referred and… more
- HCA Healthcare (Gainesville, FL)
- …to physicians and payors on a timely basis in accordance with the NFRMC Utilization Review Plan and managed care contractual agreements. 1. Submits clinical ... Want to join a team of daring managers who care without reservations or limits? Our HCA Florida North...Florida Hospital team is looking for a(an) Manager Case Management . HCA Healthcare is an advanced healthcare network that… more