- Verint Systems, Inc. (Tallahassee, FL)
- …enrollment processes, including obtaining and analyzing benchmark data and utilization data, identifying trends, preparing recommendations with impact assessments ... a culture of health with an emphasis on preventive care . + Monitor benefits programs to ensure compliance with...four pillars. + Responsible for all aspects of leave management , tuition reimbursement, paid time off, annual holiday schedules… more
- Kyndryl (Tallahassee, FL)
- …industry experience is a strong plus, especially in payer/provider operations and care management workflows. **Preferred Qualifications: ** + 15+ years' ... experience in leading healthcare-focused journey redesign from eligibility verification to care management . + Align contact center transformation with healthcare… more
- MTC (Quincy, FL)
- …and performing the duties of the position. 11. Practice advanced cost containment and utilization management for inmate care and facility operations. 12. ... and military leave + Opportunities for job advancement Impact lives with Management & Training Corporation (MTC)! At the **Gadsden Correctional Facility** **in… more
- Travelers Insurance Company (Tallahassee, FL)
- …skills **What is a Must Have?** + Licensed MD + 5 years clinical and utilization management experience + Certified by the American Board of Medical Specialties ... **Who Are We?** Taking care of our customers, our communities and each...the leading edge of the P&C industry. Develop medical management strategies that help injured employees return to work… more
- ChenMed (Pembroke Pines, FL)
- …and other healthcare facilities. + In conjunction with the PCP, hospitalist, Medical Director of Transitional Care , insurance case manager and the hospital case ... identified by CM Plan) to the ER or hospital, to patients with active care planning requirements, to disease management patients per the Disease Management… more
- AdventHealth (Sebring, FL)
- …The Care Management Manager is under the general leadership of the Care Management Facility Director and has the responsibility of the departmental ... BSN or Social Worker: BSW Masters in related field. . 3 years in direct Care Management / Utilization Management experience in an acute care setting. .… more
- AdventHealth (Daytona Beach, FL)
- …The Care Management Manager is under the general leadership of the Care Management Facility Director and has responsibility of the departmental daily ... + or Social Worker: BSW Masters in related field + 3 years in direct Care Management / Utilization Management experience in an acute care setting. +… more
- AdventHealth (Orlando, FL)
- …**The Care Management Manager is under the general leadership of the Care Management Facility Director and has the responsibility of the departmental ... BSN or Social Worker: BSW Masters in related field 3 years in direct Care Management / Utilization Management experience in an acute care setting… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …of clinical nursing experience, including behavioral/mental health + Experience in a managed care , case management , or utilization review setting + Strong ... practices. + Maintain accurate and timely documentation in electronic health records and care management platforms. + Identify and intervene in high-risk cases… more
- AdventHealth (Port Charlotte, FL)
- …expertise and experiences you'll need to succeed: . 1 years of experience in RN Care Management . Associate's degree Nursing or RN Diploma degree . Registered ... 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