- AdventHealth (Winter Park, FL)
- …experience *Experience in Case Management , Managed Care, Discharge Planning and Utilization Management *Case Management training *Specific knowledge and ... our patient population. The Expeditor partners with physicians and providers, care management team, nursing teams, and support service teams to facilitate patient… more
- Prime Therapeutics (Tallahassee, FL)
- …and timely fashion. + Demonstrates the value of pharmacy solutions (unit cost, utilization management & patient care enhancement). + Identifies opportunities for ... cost solutions that meet the desired outcomes of the customer; general management of the account, including P&L responsibility; and accountability for contract… more
- ERP International (Macdill AFB, FL)
- …algorithms, CM software, and databases for community resources. * Integrate CM and utilization management (UM) and integrating nursing case management with ... International is seeking **Registered** **Nurse (RN)** for Full-Time positions in **Case Management ** at MacDill AFB, FL. Apply online today and discover more about… more
- AdventHealth (Land O' Lakes, FL)
- …frames on a specific group of patients.The Case Manager is responsible for utilization reviews and resource management , discharge planning, treatment plan ... management and financial management , while also completing medical record documentation. The Case Manager reports to the CEO and Lead Case Manager. In addition,… more
- Elevance Health (FL)
- …nursing preferred. + Participation and/or certification in a managed care or utilization management organization preferred. + Ability to understand clinical ... - Carebridge - Bilingual** is responsible for determining the appropriate Care Management program for members referred through internal and external sources and… more
- MTC (Quincy, FL)
- …performing the duties of the position. 11. Practice advanced cost containment and utilization management for inmate care and facility operations. 12. Maintain ... and military leave + Opportunities for job advancement Impact lives with Management & Training Corporation (MTC)! At the **Gadsden Correctional Facility** **in… more
- CVS Health (Tallahassee, FL)
- …experience in health care delivery (clinical practice) Experience in managed care, care management , utilization management , quality management , or ... products and programs as well as sales and account management . Duties include support for - case management... management . Duties include support for - case management , clinical content research & development, chronic condition … more
- Molina Healthcare (Jacksonville, FL)
- …including 3 or more years in one or more of the following areas: utilization management , case management , care transition and/or disease management ... work of external vendors. + Focuses on process improvement, organizational change management , program management and other processes relative to the business.… more
- Select Medical (Jacksonville, FL)
- …allotted time frame; assuring payments of hospital-based services meeting patient-related utilization management criteria, and implementation of safe and ... of the discharge planning process. + The primary job functions in Case Management include: + Clinical Interventions/Discharge Planning + Care Planning Management … more
- Select Medical (Gainesville, FL)
- …allotted time frame; assuring payments of hospital-based services meeting patient-related utilization management criteria, and implementation of safe and ... of the discharge planning process. + The primary job functions in Case Management include: + Clinical Interventions/Discharge Planning + Care Planning Management … more