• Physical Therapist PT Home Health

    AdventHealth (Palm Coast, FL)
    …: **Location:** **The role you'll contribute:** The Home Health Physical Therapist (PT) Case manager is a professional therapist who coordinates and directs the ... home care patient's services based on individual patient needs. The PT Case manager is responsible for independent management of the Home Health patient… more
    AdventHealth (08/07/25)
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  • Human Services Program Consultant II

    MyFlorida (Orlando, FL)
    …Florida Department of Health in Orange County. The incumbent serves as the Intensive Case Manager for clients accessing services directly at the SCC clinic, and ... meetings as required by the funding source and Program Manager . Staff shall establish monthly case conferences...job duties as needed. KNOWLEDGE, SKILLS AND ABILITIES, INCLUDING UTILIZATION OF EQUIPMENT, REQUIRED FOR THE POSITION : +… more
    MyFlorida (07/08/25)
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  • Medical Director, MSK Surgery

    Evolent (Tallahassee, FL)
    …Responsible for coordinating education and findings with matrixed Physician Business Manager . + Provides medical direction to the support services review process. ... Responsible for the quality of utilization review determinations, including appeals. + Provides input into...as needed for new hires and completes new hire case assessment working on any defined areas of opportunity.… more
    Evolent (05/20/25)
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  • Registered Nurse RN Transition Specialist Division…

    AdventHealth (Maitland, FL)
    …CERTIFICATION, OR REGISTRATION PREFERRED:** + Case Management certification - Accredited Case Manager (ACM) + Certified Case Manager (CCM) ... high risk for readmission or for high emergency room utilization . Follows up with patients at location of post...record after each significant contact and at closure of case . + Evaluates practice upon completion of case more
    AdventHealth (08/07/25)
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  • Registered Nurse RN Home Health

    AdventHealth (Orlando, FL)
    Registered Nurse Case Manager - AdventHealth Home Health All the benefits and perks you need for you and your family: + Up to $10,000 Sign on Bonus + Benefits ... Degree in nursing + Recent, relevant in a Medicare-certified home health agency as a case - manager + COS-C - Certificate for OASIS Specialist - Clinical + Home… more
    AdventHealth (08/07/25)
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  • Registered Nurse RN Home Health

    AdventHealth (Palm Coast, FL)
    **RN Case Manager | AdventHealth Home Health** **All the benefits and perks you need for you and your family:** . Up to $10,000 Sign on Bonus . Benefits from Day ... qualifications:** o Recent, relevant experience in a Medicare-certified home health agency as a case - manager o Bachelors degree in nursing o Home Health Case more
    AdventHealth (08/08/25)
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  • Medical Management Specialist I

    Elevance Health (Tampa, FL)
    …information regarding case and determines appropriate area to refer or assign case ( utilization management, case management, QI, Med Review). + Provides ... and documents all actions. + Responsibilities exclude conducting any utilization management review activities which require interpretation of clinical information.… more
    Elevance Health (07/29/25)
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  • Nurse - Community Care Community Health

    Veterans Affairs, Veterans Health Administration (Winter Park, FL)
    …of high quality, timely care to the Veteran receiving community services. The CC Case Manager will work collaboratively within the Office of Integrated Veteran ... of the internal referral care process, clinical review criteria, utilization management standards, clinical documentation requirements, community care regulations,… more
    Veterans Affairs, Veterans Health Administration (08/08/25)
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  • Clinical Appeals Nurse (RN)

    Molina Healthcare (Tampa, FL)
    …unrestricted Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager + Certified Professional Healthcare Management + Certified ... Medical Officer on denial decisions. + Resolves escalated complaints regarding Utilization Management and Long-Term Services & Supports issues. + Identifies and… more
    Molina Healthcare (08/02/25)
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  • Occupational Therapist OT Home Health

    AdventHealth (Deland, FL)
    …. Recent, relevant experience in a Medicare-certified home health agency as a case - manager . Certified Case Manager . Certificate for OASIS Specialist - ... **Home Health Occupational Therapy Care Manager - AdventHealth Home Health** **All the benefits and perks you need for you and your family:** . Up to $10,000 Sign-On… more
    AdventHealth (08/08/25)
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