- Molina Healthcare (FL)
- …related case management experience. **Required Experience** 3 or more years in case management, disease management, managed care or medical or behavioral ... and assigns cases appropriately regarding complexity of medical or psychosocial needs and case manager experience (RN, LSW, other allied fields). + Oversees the… more
- Veterans Affairs, Veterans Health Administration (Orlando, FL)
- …family therapy. Collaborate with an interdisciplinary treatment team to ensure holistic care . Provide consultation and education to BHIP staff and other healthcare ... analysis. Supervises and works closely with the BHIP Deputy Manager , had direct line of authority and is accountable...line of authority and is accountable for the clinical care and support services provided to Veterans in the… more
- Molina Healthcare (FL)
- …a fast-paced position and productivity is important. Preferred candidates will have previous case management, managed care , hospital, and/or home health ... unrestricted Transitions of Care Sub-Specialty Certification and/or Certified Case Manager (CCM) To all current Molina employees: If you are interested… more
- CDM Smith (Miami, FL)
- …Ensuring all aspects of construction work scopes are being effectively managed and performed by the construction contractors. **Job Title:** Construction ... Representative 4 (Contract Compliance Manager ) **Group:** CEI **Employment Type:** Regular **Minimum Qualifications:** High...Where it's a priority that the company takes good care of you and your family. Our employees are… more
- BayCare Health System (Sarasota, FL)
- …will work under the direction of the Care Transition Coordinator or RN Case Manager to establish and maintain a positive working relationship with patients, ... and benefit information. + Verifying insurance and benefits for all Medicare, Managed Care and Private Fee for Service Plans. Securing authorization for services… more
- BayCare Health System (Largo, FL)
- …will work under the direction of the Care Transition Coordinator or RN Case Manager to establish and maintain a positive working relationship with patients, ... and benefit information. + Verifying insurance and benefits for all Medicare, Managed Care and Private Fee for Service Plans. Securing authorization for services… more
- Molina Healthcare (Jacksonville, FL)
- …may be initiated by the member, member's medical provider, dental provider, Case Manager , Call Center, or healthcare care professional and are based on a ... is required + Previous dental, case management, pediatric, and/or Medicaid managed care experience is preferred **Required Competencies / Knowledge /… more
- Prime Therapeutics (Tallahassee, FL)
- …Registered Nurse (RN). + 5 years of post-degree clinical experience. + Experience in managed care , specialty drugs, care management and utilization review. + ... financial and clinical considerations with members who are considering care at a higher cost treatment site, researches available...for drug services. + Will actively maintain a required case load and the activities to reach overall goals… more
- Elevance Health (Miami, FL)
- …experience and requires a minimum of 2 years clinical, utilization review, or managed care experience; or any combination of education and experience, which ... not be receiving appropriate type, level, or quality of care , eg, if services are not in line with...skills and nursing judgment and experience. + Collaborates with case management nurses on discharge planning, ensuring patient has… more
- HCA Healthcare (Fort Walton Beach, FL)
- …patients with discharge planning or psychosocial needs. + Obtains input from the RN case manager to ensure the discharge plan is appropriate and aligns with ... regulations and processes, and possesses a thorough understanding of managed - care concepts and length-of-stay management relating to...do in this role: + Works collaboratively with RN case managers, acute care nurses, physicians, insurance… more