- Select Medical (Orlando, FL)
- … within the plan of care. + Demonstrates compliance with facility-wide Utilization Management policies and procedures. + Coordinates UR compliance with ... well by doing what is right. The Case Manager is responsible for utilization reviews and resource management , discharge planning, treatment plan management… more
- AdventHealth (Tampa, FL)
- …stay to ensure timely care coordination and progression of care, making arrangements for post - acute care services and facilities as well as community care for ... Worker is under the general supervision of the Care Management Supervisor or Manager and is responsible for patient...follows standard work and best practices to communicate with post - acute care services and facilities to ensure… more
- AdventHealth (Ocala, FL)
- …rights during hospitalization. Communicates with Payors patients needs for authorization for post - acute care as needed. Collects information from patients and ... the clinical, social, and financial factors into the discharge planning. Arranges for post - acute services and facilities as well as communicate care for social… more
- Polaris Pharmacy Services, LLC (Fort Lauderdale, FL)
- …internal staff and external customers, supporting formulary initiatives, and executing utilization management tools like prior authorization programs and drug ... we're a dedicated partner in care, transforming how patients experience long-term, post - acute , correctional, PACE, and specialty pharmacy services. As industry… more
- ChenMed (Margate, FL)
- …assist and coordinate, in conjunction with the transition of care team; hospital, SNF, post - acute , UM, and home-based services for the market. + Assists with ... cross-functional market leaders, external sub-specialists and providers in hospitals and post - acute care facilities. **KNOWLEDGE, SKILLS AND ABILITIES:** +… more
- AdventHealth (Tampa, FL)
- …for:** AdventHealth Tampa AdventHealth Tampa, a faith-based not-for-profit 626-bed tertiary-level acute care hospital located in the uptown district of Tampa, ... Manager is under the general supervision of the Care Management Supervisor or Manager and is responsible for patient...or Manager and is responsible for patient evaluations of post -hospital needs; development of a transition of care plans… more
- CVS Health (Tallahassee, FL)
- …review, and appeal request. This position is primarily responsible for Utilization Management , including prior authorization and precertification as well ... part of a centralized team that supports the Medical Management staff and may support other health plans as...concurrent review. Cases could focus on inpatient or outpatient, acute and post - acute as well… more
- Teleflex (Tampa, FL)
- …to drive the clinical aspects of product evaluations, implementations, and post -implementation training needs in order to advance and/or maintain stages within ... product portfolio. The CSS is actively involved with the pre- and post -sale activities to foster customer relationships, outline parameters for success and develop… more
- ChenMed (Bradenton, FL)
- …role. + Facilitates patient/family conferences to review treatment goals, optimize resource utilization , provide family education and identify post -SNF needs. + ... of the nursing plan of care, health education, physician referrals, case management referrals, follow-up and clear documentation according to ChenMed standards for… more
- HCA Healthcare (Kissimmee, FL)
- …+ Bachelor's Degree in Nursing preferred + Three years of nursing experience in acute care setting is required + Case Management experience preferred HCA Florida ... stay, managing the length of stay, ensuring appropriate resource management and developing a safe appropriate discharge plan in...supporting a balance of optimal care and appropriate resource utilization . What you will do in this role: +… more