- Select Medical (Jacksonville, FL)
- …of the discharge planning process. + The primary job functions in Case Management include: + Clinical Interventions/ Discharge Planning + Care ... **Preferred Qualifications** + Previous experience in Case Management and Discharge Planning preferred. + CCM Certification Preferred. **Additional… more
- HCA Healthcare (Port St. Lucie, FL)
- …analysis of managed care issues. Offers clinical support for appeals and denials process, discharge planning , case management , and utilization review/ ... elder and pet care, home and auto repair, event planning and more + Consumer discounts through Abenity and...the denial and appeals process, as requested by the Case Management Department and Patient Accounting Services.… more
- Molina Healthcare (Orlando, FL)
- …and expertise in the performance of prior authorization, inpatient concurrent review, discharge planning , case management and interdisciplinary ... Molina Medical Director + Demonstrated experience in Utilization/Quality Program management + Previous leadership experience + Peer review, medical policy/procedure… more
- CVS Health (North Miami, FL)
- …Computer proficiency in Microsoft Word, Excel, and Outlook required * Case management and discharge planning experience **Education** * Bachelor's degree ... face to face assessing, planning , implementing, and coordinating all case management activities with members to evaluate the medical needs of the member… more
- CVS Health (Miami, FL)
- …Computer proficiency in Microsoft Word, Excel, and Outlook required * Case Management and discharge planning experience **Education** * Bachelor's Degree ... face to face assessing, planning , implementing, and coordinating all case management activities with members to evaluate the medical needs of the member… more
- CVS Health (Apollo Beach, FL)
- …proficiency in Microsoft Word, Excel, and Outlook required. - Case management and discharge planning experience. - Bi-lingual preferred. **Education** ... business hours. We are seeking self-motivated, energetic, detail oriented, highly organized, tech-savvy Case Management Coordinator to join our team. Case … more
- CVS Health (Orlando, FL)
- …+ Bilingual Spanish + Managed care/utilization review experience + Case management and discharge planning experience **Education Requirement** + Master's ... + Applies and interprets applicable criteria and clinical guidelines, standardized case management plans, policies, procedures, and regulatory standards while… more
- CVS Health (Tallahassee, FL)
- …or Maternity/ Obstetrics experience . **Preferred Qualifications** + 1+ years' Case Management experience or discharge planning , nurse navigator or nurse ... Health. Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and...address complex health and social indicators which impact care planning and resolution of member issues. + Assessments utilize… more
- AdventHealth (Winter Park, FL)
- …an RN *Acute care experience *Prior leadership experience *Experience in Case Management , Managed Care, Discharge Planning and Utilization Management ... population. The Expeditor partners with physicians and providers, care management team, nursing teams, and support service teams to...as much as possible into the transition of care planning and communicates these goals and preferences to the… more
- Cleveland Clinic (Port Saint Lucie, FL)
- …employment. + 3 years of experience in utilization management , case management , or discharge planning and 3 years of clinical experience. Preferred ... this role utilizes clinical expertise and understanding of utilization review requirements, discharge planning process, and Medicare regulations to help ensure… more