- HCA Healthcare (Ocala, FL)
- **Description** **Introduction** Do you have the career opportunities as a(an) Manager Case Management you want with your current employer? We have an exciting ... of colleagues. Do you want to work as a(an) Manager Case Management where your passion for...Performs admission certification screening for patients in accordance with Utilization Plan using ISD criteria, and performs concurrent stay… more
- Elevance Health (Tampa, FL)
- …current active unrestricted RN license is strongly preferred. + 5+ years of utilization management experience strongly desired. + Exposure to Overpayment Claim ... ** Manager I Medical Management (Prior Authorizations) - Florida Medicare** **Office Locations:** This role is based in Florida at either our Tampa or Miami… more
- HCA Healthcare (Tallahassee, FL)
- **Description** **Introduction** Do you have the career opportunities as a(an) Manager Case Management you want in your current role? We invest in what matters ... Performs admission certification screening for patients in accordance with Utilization Plan using ISD criteria, and performs concurrent stay...career path, we encourage you to apply for our Manager Case Management opening. We review all… more
- AdventHealth (Orlando, FL)
- …documents avoidable days, and facilitates progression of care. Collaborates with Utilization Management staff for collaboration on patient status changes ... is under the general supervision of the Care Management Supervisor or Manager and is responsible...+ Health-related masters degree or MSN + Prior Care Management / Utilization Management experience +… more
- AdventHealth (Winter Garden, FL)
- …documents avoidable days, and facilitates progression of care. Collaborates with Utilization Management staff for collaboration on patient status changes ... satisfaction, patient safety, readmission prevention and length of stay management . The RN Care Manager communicates daily...+ Health-related masters degree or MSN + Prior Care Management / Utilization Management experience +… more
- HCA Healthcare (Tallahassee, FL)
- …and assess observation patients for appropriateness in observation status + Performs utilization management reviews and communicates information to third party ... to make a real impact. As a(an) RN Case Manager you can be a part of change. **Benefits**...position if current and compliant** + **Certification in Case Management , Nursing, or Utilization Review, preferred** +… more
- Ascension Health (Jacksonville, FL)
- …stakeholder and business demands, and assesses and implements appropriate resource utilization . + Participate in labor management projects, providing support ... **Details** + **Department:** Labor Management + **Schedule:** Full-time + **Location:** Jacksonville, FL **Benefits** Paid time off (PTO) Various health insurance… more
- HCA Healthcare (Tallahassee, FL)
- …and assess observation patients for appropriateness in observation status + Performs utilization management reviews and communicates information to third party ... you have the career opportunities as a RN Case Manager you want in your current role? We invest...position if current and compliant** + **Certification in Case Management , Nursing, or Utilization Review, preferred** +… more
- AssistRx (Orlando, FL)
- The Copay Support Program Manager is a critical role within the organization and is primarily responsible for the creation, design, set-up and administration of ... and financial processes related to claim processing activities. In addition, manager will ensure effective day-to-day operations and provide ongoing Copay program… more
- University of Miami (Miami, FL)
- …and utilization of data used by all levels of management within the organization.5. Interacts, communicates, and intervenes with multidisciplinary healthcare ... utilization and prevent loss of reimbursement.UNIVERSITY OF MIAMICore_Sr. Manager , Financial Counseling11. Utilizes financial and decision support systems to… more