- US Tech Solutions (Hialeah, FL)
- …promote patient advocacy Optimize total costs Implementation and evaluation of policy based on usage and program directives Educate/empower colleagues at all levels ... enable decision making at most appropriate level **Duties:** + Coordinates case management activities for Medicaid Long Term Care/Comprehensive Program enrollees. +… more
- Datavant (Tallahassee, FL)
- …Product Marketing to align messaging and launches, while ensuring campaigns and field initiatives drive traction with commercial teams and prospects. + **Enable ... needs, market dynamics, and sales plays supporting both digital campaigns and field efforts. + **Lead and Grow a High-Performing Marketing Team:** Recruit, mentor,… more
- MyFlorida (Fleming Island, FL)
- …Health in Clay County. The incumbent serves as eligibility worker and ADAP case manager ensuring all clients have access to clinical and support services. Incumbent ... and stakeholders, and other HIV/AIDS Service Organizations including Community based organizations. Responsible for identifying clients for core Ryan...position will serve as a backup to the medical case manager for the Ryan White program at the… more
- Highmark Health (Tallahassee, FL)
- …is being provided. **Preferred** + Certification in utilization management or a related field + Certification in Case Management **SKILLS** + Written and verbal ... :** **JOB SUMMARY** This job implements effective complimentary utilization and case management strategies for an assigned member panel. Provides oversight over… more
- Highmark Health (Tallahassee, FL)
- …may be conducted onsite or offsite. The incumbent is also responsible for the field investigative work necessary to complete a review of a special project, potential ... fraud, waste and abuse case , conducting the initial investigations and coordinating the recovery/savings of money related to fraud, waste and abuse. The incumbent… more
- Veterans Affairs, Veterans Health Administration (Bay Pines, FL)
- Summary Delivers fundamental knowledge- based care to assigned clients while developing technical skills. Assesses, plans, implements, and evaluates care based on ... of self-direction. Ability to formulate a plan of care based on nursing assessments. Seeks guidance in how to...(may be extended up to two years on a case -by- case -basis.) NOTE: Grandfathering Provision - All persons… more
- Veterans Affairs, Veterans Health Administration (Tampa, FL)
- …uses advanced specialized knowledge and judgement for delivery of high quality and evidence- based care to oncology patients and their families. Uses a team approach ... vascular access devices and infusion treatments. Conducts in-service education based on insights gained from oncology professional development activities and… more
- Veterans Affairs, Veterans Health Administration (Bay Pines, FL)
- Summary Demonstrate proficiency in practice based on conscious and deliberate planning. Self-directed in goal setting for managing complex client situations. Assumes ... Staff Registered Nurse (RN) is responsible for providing competent, evidence- based care to patients with oversight of licensed vocational...(may be extended up to two years on a case -by- case -basis.) NOTE: Grandfathering Provision - All persons… more
- Community Based Care of Brevard, Inc. (Orlando, FL)
- …with Pre-Placement Training, Self-Advocacy classes and Internships (Work Based Learning Experiences) and documentation. ESSENTIAL FUNCTIONS: Develop, strengthen, ... community agencies, and worksite partners. Provide guidance and support to case management agencies regarding Youth Services Programs, Requirements, and Services.… more
- Veterans Affairs, Veterans Health Administration (Gainesville, FL)
- …Registered Nurse is responsible for UM reviews and use of InterQual, an evidence- based clinical decision product, for patients who receive hospital care. The UM ... through discharge. Duties included are not limited to: Provides evidence- based recommendations for level of care and evidence- based...(may be extended up to two years on a case -by- case -basis.) NOTE: Grandfathering Provision - All persons… more
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