- Elevance Health (Tampa, FL)
- …EST *Required to work 2 Evening shifts/mth 11:30AM-8:00PM EST The ** Nurse Case Manager II** is responsible for care management within the scope of licensure ... **Title** : Nurse Case Manager II **Location** :...claims or service issues. + Assists with development of utilization /care management policies and procedures. **Minimum Requirements:**… more
- AdventHealth (Tavares, FL)
- …care escalations. The Social Worker is under the general supervision of the Care Management Supervisor or Manager and is responsible for patient evaluations of ... transitions, patient satisfaction, patient safety, readmission prevention and length of stay management . The Social Work Care Manager communicates daily with the… more
- AdventHealth (Maitland, FL)
- …Bachelor's degree in Nursing Degree (or advanced degree) + Experience in Case Management , Utilization Management , Transitional Care + Experience with ... Manager System Educator Lead (CMEL) is a care management professional who supports the Director of System Care...+ Three (3) years functional healthcare setting + If RN , Current and valid Florida or Multi-State Department of… more
- Elevance Health (Miami, FL)
- …supervision. **Preferred Skills, Capabilities and Experiences:** + Previous experience in case management / utilization management with a broad range of ... law. **Work Shift:** 8AM -5PM CST **Behavioral Health Care Manager l** The **Behavioral Health Care Manager ...an equivalent background. Current active unrestricted license, such as RN LCSW LMSW LMHC LPC LBA (as allowed by… more
- MyFlorida (Orlando, FL)
- …at least 6 months of direct case management experience or a Florida Licensed Registered Nurse ( RN ) with 1-year of direct case management experience ... Orange County. The incumbent serves as the Intensive Case Manager for clients accessing services directly at the SCC...(CBO's). Incumbent reports directly to the Supervisor of Case Management . Staff will establish and maintain a caseload of… more
- Elevance Health (Miami, FL)
- ** Manager I GBD Special Programs - LTSS** **Office Locations:** This role is based in Florida at either our Tampa or Miami PulsePoint offices. + 5411 Sky Center ... an accommodation is granted as required by law._ The ** Manager I GBD Special Programs** is responsible for managing...include, but are not limited to: + Manages resource utilization to ensure appropriate delivery of care to members,… more
- Actalent (Sunrise, FL)
- Utilization Management Nurse !Job Description The Utilization Management Nurse (UMN) plays a crucial role in reviewing service authorization ... Working under the general supervision of the Director and/or Manager /Supervisor of Medical Management , and in collaboration...activities as assigned. Essential Skills + Clinical review + Utilization review + Utilization management … more
- CenterWell (Boca Raton, FL)
- …to the strategic intent Overseeing other clinicians which includes physicians, advanced registered nurse practitioners (ARNP), and physicians assistants (PA) in: ... opportunities for education/coaching Identifying trends and areas of opportunity in pharmacy utilization (pharmacy management ) to impact Part D per Member per… more
- CenterWell (Daytona Beach, FL)
- …the strategic intent + Overseeing other clinicians which includes Physicians, Advanced Registered Nurse Practitioners (ARNP), and Physicians Assistants (PA) + ... + Identifying trends and areas of opportunity in pharmacy utilization (pharmacy management ) to impact Part D...of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing… more
- HCA Healthcare (Gainesville, FL)
- …recognizes physicians as important customers. What qualifications you will need: + State Registered Radiologic Technician, or Registered Nurse + Associate ... HCA Florida North Florida Hospital, you can be a manager in an organization that is devoted to giving!...and administrative activities including fiscal, material and human resource management .? + Maintains and monitors utilization of… more