• Behavioral Health Care Coordinator

    Actalent (Sunrise, FL)
    …in a managed care, health plan, or insurance setting + Experience with Utilization Management and Care Coordination + Knowledge of Medicaid/Medicare Regulations ... management . + Engage with Medical Directors and care management staff to direct appropriate utilization and...compliance with quality standards and accreditation requirements for care management programs. + Serve as a liaison … more
    Actalent (07/30/25)
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  • Mission Control RN Tier1 Transfer Center FT Days

    AdventHealth (Orlando, FL)
    …are not limited to: plan, prioritize, organize, direct and control all admissions and transfers between hospitals, departments and/or nursing units for AdventHealth. ... and nonemergent transfers from all referring facilities. Acts as a liaison between referring hospitals, physicians, offices, and nursing department on issues… more
    AdventHealth (07/31/25)
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  • RN Case Manager

    HCA Healthcare (Tallahassee, FL)
    …and assess observation patients for appropriateness in observation status + Performs utilization management reviews and communicates information to third party ... is acceptable for position if current and compliant** + **Certification in Case Management , Nursing, or Utilization Review, preferred** + **Three years of… more
    HCA Healthcare (06/21/25)
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  • RN Case Manager

    HCA Healthcare (Tallahassee, FL)
    …and assess observation patients for appropriateness in observation status + Performs utilization management reviews and communicates information to third party ... is acceptable for position if current and compliant** + **Certification in Case Management , Nursing, or Utilization Review, preferred** + **Three years of… more
    HCA Healthcare (06/21/25)
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  • Supervisor, Patient Access (On-Site) (H)

    University of Miami (Miami, FL)
    …via in-basket messaging. + Extensive collaboration with providers, nursing unit, and utilization review department in coordinating admissions . CTU + Must possess ... for treatment, financial liability, and HIPPA to patients. + Initiates performance management processes to address on-going performance issues. + Makes every effort… more
    University of Miami (06/21/25)
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  • RN Case Manager Part Time

    HCA Healthcare (Kissimmee, FL)
    …driven processes, for the appropriate level of care, patient status and resource utilization + Evaluates admissions for medical necessity using approved criteria ... 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
    HCA Healthcare (07/27/25)
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  • Social Services Counselor-F/C

    MyFlorida (Gainesville, FL)
    …and actively participate in, monthly Building Leadership Team meetings. Attend scheduled Utilization Management Team meetings for assigned caseload and discuss ... an active member of the recovery team counselors will participate in admissions , clinical rounds, intensive intervention assessments, and other team meetings as… more
    MyFlorida (07/31/25)
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  • RN Case Manager PRN

    HCA Healthcare (Pensacola, FL)
    …medical necessity, admission status, level of care, and resource management .Responsible for coordinatingactivities that promote quality outcomes and patient ... of psychosocial and medical needs of assigned patients. + ​Develops a case management plan of care to include identified clinical, psychosocial, discharge needs, and… more
    HCA Healthcare (06/21/25)
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