- HCA Healthcare (Tallahassee, FL)
- …in your career path, we encourage you to apply for our Manager Case Management opening. We review all applications. Qualified candidates will be contacted by ... **Description** **Introduction** Do you have the career opportunities as a(an) Manager Case Management you want in your current role? We invest in what matters most… more
- CVS Health (Tallahassee, FL)
- …with heart, each and every day. **Position Summary** As a Care Management Associate you will be supporting comprehensive coordination of medical services including ... and supporting the implementation of care plans to promote effective utilization of health services service. Promotes/supports quality effectiveness of Healthcare… more
- Select Medical (Miami, FL)
- …documentation related to the hospital's CQI program. + Performs basic chart review activities with appropriate staff for outcome utilization , infection control ... **Location: Miami, FL** **$20,000 Sign-on Bonus** **Director of Quality Management ** **(DQM)** **Responsibilities** **Position Summary** Coordinates the Medical Quality… more
- Elevance Health (Miami, FL)
- …members and providers. **How you will make an impact:** + Perform physician-level case review , following initial nurse review , of Medical Oncology regimens ... and supportive care. + Perform physician-level case review , following initial nurse review ,...maintain knowledge of relevant policies and regulations pertaining to utilization review of oncology care. + Participate… more
- CenterWell (The Villages, FL)
- …review of clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates and ... requirements. + Responsible for the QA/PI activities. Works with Utilization Review staff relative to data tracking...care analysis to determine efficiency, the efficacy of case management system as well as any other systems and… more
- CenterWell (Ocala, FL)
- …review of clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates and ... requirements. + Responsible for the QA/PI activities. Works with Utilization Review staff relative to data tracking...and reliable transportation. + Two years as a Registered Nurse with at least one-year of management … more
- HCA Healthcare (Tallahassee, FL)
- …is acceptable for position if current and compliant** + **Certification in Case Management , Nursing, or Utilization Review , preferred** + **Three years ... and assess observation patients for appropriateness in observation status + Performs utilization management reviews and communicates information to third party… more
- HCA Healthcare (Tallahassee, FL)
- …is acceptable for position if current and compliant** + **Certification in Case Management , Nursing, or Utilization Review , preferred** + **Three years ... location._** It is an exciting time to be a nurse at HCA Healthcare! Come unlock your career potential...observation patients for appropriateness in observation status + Performs utilization management reviews and communicates information to… more
- HCA Healthcare (Tallahassee, FL)
- … license is acceptable for position if current and compliant + Certification in Case Management , Nursing, or Utilization Review , preferred + Three years of ... and assess observation patients for appropriateness in observation status + Performs utilization management reviews and communicates information to third party… more
- HCA Healthcare (Kissimmee, FL)
- …and admission status issues through established chain of command. + Performs utilization management reviews and communicates to third party payors. + ... supporting a balance of optimal care and appropriate resource utilization . Identify potential barriers to patient throughput and quality...Bachelor's in Nursing + 1+ year of prior case management experience + Registered Nurse - Currently… more