- Sedgwick (Orlando, FL)
- …of said goods or service. + Communicates with vendor partners, claims adjusters and nurse case managers providing updates on new referrals as well as referrals ... already in process. + Procures vendor partners for each referral as it relates to the goods or services requested. + Responsible for making or taking phone calls on existing referrals, new referrals, or other team members referrals. + Provides quotes back to… more
- Select Medical (Gainesville, FL)
- …the best care decisions for their loved one. + Partner with hospital case managers and physicians to create a smooth pre-admissions and transfer processes through ... we're looking for in a Clinical Liaison** **Required Skills:** + Registered Nurse (RN) or Respiratory Therapist (RT) License. + Will consider other designations… more
- HCA Healthcare (Fort Walton Beach, FL)
- …related to the quality of care provided. + Develop quality filters, audits, and case reviews to identify trends and events. + Design the trauma registry to ... must be obtained within 30 days of employment start date + (RN) Registered Nurse + Associate Degree HCA Florida Fort Walton-Destin Hospital is a 267-bed hospital. We… more
- Valor Health (Fort Pierce, FL)
- …Interviews individual members to assess social and emotional capabilities. + Provides case management to Veterans and families as needed throughout the continuum of ... + Support patient enrollment and retention in appointments, follow-up visits or nurse visits. + Embrace and support new initiatives, whether clinical or operational.… more
- AccentCare, Inc. (Tampa, FL)
- …meet you! Bachelor's degree 4+ years previous hospice, home health or case management experience, or equivalent Demonstrated ability to effectively direct a variety ... motivational skills Required Certifications and Licensures: Licensed to practice as a registered nurse in the state of agency operation Must be a licensed driver who… more
- Bluestone Physician Services (Orlando, FL)
- …: Education/Certification/Experience + Degree in Social Work, Licensed Social Worker or Registered Nurse + 3-5 years of experience in case /care management or ... care coordination + Experience working directly with the Dementia population required + Formal training in Dementia from a credible organization (ie Certification as a Dementia Practitioner) is highly sought + Valid driver's license required… more
- ICW Group (Orlando, FL)
- …and receives support from dedicated in-house counsel for litigation strategy and nurse case managers for medical management. **ESSENTIAL DUTIES AND ... RESPONSIBILITIES** **Strategic Claims Management** + Manages all aspects of high exposure claims including coverage determinations, investigations, and resolution strategies which may include pursuit of risk transfer, extensive negotiations and complex… more
- Select Medical (Orlando, FL)
- …assume a leadership role, developing and nurturing professional relationships with case managers, physicians and clinicians in acute care hospitals; educating staff, ... and valid state licensure or eligibility for state licensure as a Registered Nurse **Preferred Experience** + Two years related experience working in a clinical… more
- Sedgwick (Tallahassee, FL)
- …for evaluating the following: + Conducting reviews on cases where the nurse is seeking treatment plan clarification, claim denial, disability certification or ... telephonically or virtually + Provides MRO expertise in special cases where a case is escalated. + Provides assistance where occupational health expertise is needed.… more
- HCA Healthcare (Tampa, FL)
- …or work to deliver clinical excellence behind the scenes in data science, case management or transfer centers. Unlock your potential at HCA Florida South Tampa ... days of employment start date + ADA Registered Dietitian, or (RN) Registered Nurse , or Bachelors Degree + Two to four years scrubbing/circulating experience in with… more