- Elevance Health (FL)
- …community agencies and appropriate provider/network. + Refers member to catastrophic case management . **Minimum Requirements:** Requires AS in nursing and ... **Transitions of Care - RN , 100% Virtual, CareBridge** Location: This role enables...with special needs is preferred. + Home Health, Utilization Management or Case Management experience… more
- AdventHealth (Orange City, FL)
- …is not limited to: administration, quality, risk, patient safety officer, nursing, case management /social services, physicians, home health, long term care, ... in an acute care hospital required. + Current Florida RN license required. Preferred qualifications: + Discharge planning experience...+ Discharge planning experience is strongly preferred. + Prior Case Management experience in an acute care… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …environment. + Minimum 2 years of experience with pre-authorization, utilization review/ management , case management , care coordination, and/or discharge ... + Reviews cases referred by the prior-authorization non-clinical medical management coordinator and pre-certification technician staff according to member benefits,… more
- Humana (Miramar, FL)
- …and help us put health first** The Home Health Wound Ostomy Care RN is a specialized nursing position primarily focused on assessing documentation from field ... outcomes. The expertise of a Home Health Wound Care RN is crucial in effectively addressing everything from acute...Educate home health clinicians and physicians on proper wound management techniques. - Focus on care for patients with… more
- Elevance Health (Tampa, FL)
- ** Nurse Case Manager I** **Schedule:** Monday - Friday, 8am-4:30pm EST **Virtual** **:** This role enables associates to work virtually full-time, with the ... an accommodation is granted as required by law._ The ** Nurse Case Manager I** is responsible for...Case Manager I** is responsible for performing care management within the scope of licensure for members with… more
- Aveanna Healthcare (Jacksonville, FL)
- …the Aveanna Clinical Standard of Excellence. Key components include internal case management , assisting with hospital discharges, coordinating start-of-care ... - $70,000.00 per year Position Details Position: Clinical Supervisor ( RN ) Clinical Case Manager Join a Company...processes, and validating nurse competencies. This position offers the opportunity to mentor… more
- Elevance Health (Tampa, FL)
- …The **Behavioral Health Case Manager I** is responsible for performing case management telephonically within the scope of licensure for members with ... laws) LMFT, LMSW (as allowed by applicable state laws) RN ( **must have experience in behavioral health** )...required. **Preferred Skills, Capabilities and Experiences:** + Experience in case management and telephonic and/or in person… more
- Molina Healthcare (Tampa, FL)
- …federal regulations **REQUIRED LICENSE, CERTIFICATION, ASSOCIATION:** Active, unrestricted State Registered Nursing ( RN ) license in good standing. **PREFERRED ... **JOB DESCRIPTION** Looking for a RN that has a current active unrestricted license...ASSOCIATION:** Certified Clinical Coder, Certified Medical Audit Specialists, Certified Case Manager , Certified Professional Healthcare Management ,… more
- Molina Healthcare (Tampa, FL)
- …outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse ( RN ) performs clinical/medical reviews of previously denied ... these guidelines. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing. **Preferred… more
- Elevance Health (FL)
- …development. The **Behavioral Health Case Manager I** is responsible for performing case management telephonically and/or by home visits within the scope of ... equivalent background. + Current active unrestricted license such as RN LCSW (as applicable by state law and scope...required. **Preferred skills, capabilities, and experiences:** + Experience in case management and telephonic and/or in person… more