- AdventHealth (Ocala, FL)
- …patient satisfaction, patient safety, readmission prevention and length of stay management . The RN Care Manager communicates daily with the interdisciplinary team ... core competencies of this role. The RN Care Manager facilitates the collaborative management of patient care across the continuum, intervening to remove barriers to… more
- Fresenius Medical Center (Venice, FL)
- …and acts as the liaison for patient care as per the disease management agreement, including initial and ongoing validation of member eligibility. Facilitate timely ... workup of patients for access management , dialysis services, patient education, hospitalizations, and kidney transplantation as appropriate, and ensures coordination… more
- MTC (Quincy, FL)
- …record or other forms as appropriate. + Practice basic cost containment and utilization management for inmate care and facility operations. + Maintain absolute ... HIPAA rules. + Accurately and promptly chart medical care. Review medical files to determine all provided services are...with an acceptable driving record required, unless waived by management . Management & Training Corporation (MTC) is… more
- CVS Health (Tallahassee, FL)
- …appropriate member care. . Attends and participates in case rounds, including utilization management rounds for behavioral health and physical health to ... and/or face to face assessing, planning, implementing, and coordinating all care management activities with members to evaluate the medical and behavioral health… more
- Molina Healthcare (Tampa, FL)
- …Previous experience in Hospital Acute Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual / MCG ... meetings. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse (RN). **Required Experience** 1-3 years of hospital or medical… more
- Matrix Providers (Jacksonville, FL)
- …ratios and fair, reliable schedules. Matrix Providers is hiring a Licensed Practical Nurse /Licensed Vocational Nurse - Pain Management to join our ... + Degree: Be a graduate from a Licensed Practical Nurse (LPN) or Licensed Vocational Nurse (LVN)...coordinating with the local Medical Home Port (MHP) clinic, utilization and Referral Management policies, and obtains… more
- Select Medical (Gainesville, FL)
- …functions and professional growth of the department, including, but not limited to: Utilization Review (UR) and resource management , discharge planning, ... focus on resource management . + Demonstrating compliance with facility-wide Utilization Management policies and procedures. + Coordinating UR compliance with… more
- Molina Healthcare (FL)
- … and effective resource management . + Develops and implements a Utilization Management program and action plan, which includes strategies that ensure ... IT and data analysts to produce tools to report, monitor and improve Utilization Management . + Actively participates in regulatory, professional and community… more
- HCA Healthcare (Gainesville, FL)
- …physical, psycho-social, financial). 1. Participates in IDT rounds, 1. Conducts utilization review , evaluates clinical information, and communicates findings to ... Florida Hospital team is looking for a(an) Manager Case Management . HCA Healthcare is an advanced healthcare network that...on a timely basis in accordance with the NFRMC Utilization Review Plan and managed care contractual… more
- 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