- Cleveland Clinic (Stuart, FL)
- …in patient care , safety, and continuous improvement. Duties will include both inpatient management and virtual patient care . **Key Responsibilities:** + ... our Hospital Medicine team. The APP will provide high-quality, evidence-based inpatient care in collaboration with hospitalists, anesthesiologists, surgeons,… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …appropriate cases that require medical necessity review such as home care , elective inpatient and outpatient service requests. + Reviews cases referred ... by the prior-authorization non-clinical medical management coordinator and pre-certification technician staff...escalated inquiries. + Identifies members who could benefit from care management and refers to the appropriate… more
- AdventHealth (Altamonte Springs, FL)
- …members of the Utilization Management , Care Management , Managed Care and Revenue Cycle departments and applicable medical staff, as well as ... claims management , and quality assurance related to inpatient care , outpatient care /observation stays... Medical Staff colleagues regarding best practices, Utilization Management and Care Management structures,… more
- ChenMed (Miami, FL)
- …staff in discharge planning activities as needed in conjunction with the assigned care manager. + Documents inpatient /obs capture rate >95% + Inpt/obs accuracy ... your kindness and joy? We're different than most primary care providers. We're rapidly expanding and we need great...ability to manage timely completion of daily census, and management of post acute patients until they return to… more
- CVS Health (Tallahassee, FL)
- …clinical models. You can have life-changing impact on our members, who are enrolled in Care Management and present with a wide range of complex health and social ... this exciting opportunity as we grow and expand our Care Management Programs to change lives in...inpatient confinement calls and monitoring for discharge + Management of warm transfers form concierge and engagement hub… more
- CVS Health (Tallahassee, FL)
- …clinical models. You can have life-changing impact on our members, who are enrolled in Care Management and present with a wide range of complex health and social ... this exciting opportunity as we grow and expand our Care Management Programs to change lives in...inpatient confinement calls and monitoring for discharge - Management of warm transfers form concierge and engagement hub… more
- Humana (Tallahassee, FL)
- …of decisions to internal associates, and possible participation in care management . The clinical scenarios predominantly arise from inpatient or post-acute ... based care , population health, or disease or care management . **Responsibilities** The Medical ...or fellowship, which preferably includes some experience in an inpatient environment and/or related to care of… more
- ChenMed (North Lauderdale, FL)
- …as needed in conjunction with the assigned care manager. + Works with care management staff to secure required release of information to allow for ... of patients after they return to their homes, remote medical record retrieval, review and documentation, post discharge telephone...specialty providers for members transitioning into our out of inpatient levels of care . + Identifies community… more
- Veterans Affairs, Veterans Health Administration (Tampa, FL)
- …[or an equivalent administrative patient support role in a non-VA medical inpatient or outpatient setting. Experience satisfying this requirement ... The Lead MSA works collaboratively in an interdisciplinary coordinated care delivery model. The Lead MSA coordinates with the...or equivalent administrative clinical support role in a non-VA medical inpatient or outpatient setting at the… more
- Bluestone Physician Services (Orlando, FL)
- …and tailored to their unique needs. Using an evidence-based approach focused on quality care management and data-driven medical decisions, Bluestone care ... social determinants of health, manage transitions to and from inpatient settings, provide behavioral health support and more. Under...coordination of care and resources, and transitional care management are foundational to the position.… more