- Molina Healthcare (Miami, FL)
- …Nursing preferred. **Required Experience** 1-3 years in case management, disease management, managed care or medical or behavioral health settings. **Required ... in Nursing **Preferred Experience** 3-5 years in case management, disease management, managed care or medical or behavioral health settings. Preferred License,… more
- ChenMed (St. Petersburg, FL)
- …Commission for Case Manager Certification (CCMC) or the American Association of Managed Care Nurses (CMCN) desired + This position requires possession and ... expanding and we need great people to join our team. The Intensive Community Care Manager (ICCM) is a Registered Nurse (RN) who works with our highest complexity… more
- Option Care Health (Kissimmee, FL)
- …Option Care . Description of available services is accurate. Meets with managed care organizations and other accounts to facilitate education regarding ... no limit to the growth of your career.** Option Care Health, Inc. is the largest independent home and...brightest talent in healthcare. **Job Description Summary:** The Pharmacy Manager is a licensed professional who is responsible for… more
- Humana (Tallahassee, FL)
- …+ BSN or MSN degree + Knowledge of Milliman or Interqual + Managed care experience + Certified Case Manager (CCM) + Bilingual in English and Spanish (see ... part of our caring community and help us put health first** The Care Manager , Telephonic Nurse 2, in a telephonic environment, assesses and evaluates members'… more
- CenterWell (Tampa, FL)
- **Become a part of our caring community and help us put health first** The Manager Care /Case Management in **Tampa area (** **_this is not a remote position_** ... coordinating care to reduce acute and post-acute care utilization. The Manager role is hybrid...business health field + Previous experience working in a managed care field + 5 or more… more
- CenterWell (Tallahassee, FL)
- …Nurse with a Bachelor of Science in Nursing (BSN) to join our team as a Care Manager , Telephonic Nurse 2. In this pivotal role, you will play a crucial ... infectious diseases, cancer(s), and other rare ailments. As a Care Manager , Telephonic Nurse your primary responsibility...Microsoft Office applications including Word, Excel, and Outlook + Managed care experience + Must be passionate… more
- Cleveland Clinic (Port Saint Lucie, FL)
- …and procedures for utilization review and discharge planning, ensuring compliance with managed care contracts and Medicare regulations. + Analyze productivity ... and find where you belong, here at Tradition Hospital. As a Manager of Care Management, you will supervise care managers, clinical referral coordinators,… more
- Elevance Health (FL)
- **JR169828 Behavioral Health Care Manager II** Responsible for managing psychiatric and substance abuse or substance abuse disorder facility-based and outpatient ... professional treatment health benefits through telephonic or written review. The BH Care Manager (UM) job progression is primarily a provider-facing role… more
- Amgen (Jacksonville, FL)
- …2 years of public or private third-party access arena or pharmaceutical industry in sales, managed care , or clinical support OR Master's degree AND 4 years of ... lives of patients while transforming your career. **Field Reimbursement Manager , Senior Manager - Midwest** **What you...private third-party access arena or pharmaceutical industry in sales, managed care , or clinical support OR Bachelor's… more
- AdventHealth (Maitland, FL)
- …leadership within Patient Financial Services (PFS), Physician Practice leadership and Managed Care staff regarding contract interpretation and the implementation ... leaders to keep them informed of any concerns related to managed care reimbursement and operational contract issues. Ensures key stakeholders are aware… more
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