- AdventHealth (Ocala, FL)
- …Spectacular springs throughout the county **The role you'll contribute:** The RN Care Manager in collaboration with the patient/family, social workers, nurses, ... care coordination and progression through the continuum of care . The RN Care Manager ...physicians and the interdisciplinary team on issues related to utilization of resources, medical necessity, CMS CoP for Discharge… more
- AdventHealth (Zephyrhills, FL)
- …attractions (Orlando & Tampa theme parks) **The role you'll contribute:** The RN Care Manager in collaboration with the patient/family, social workers, nurses, ... care coordination and progression through the continuum of care . The RN Care Manager ...physicians and the interdisciplinary team on issues related to utilization of resources, medical necessity, CMS CoP for Discharge… more
- AdventHealth (Tampa, FL)
- …support a well-balanced work life balance The role you'll contribute: The RN Care Manager in collaboration with the patient/family, social workers, nurses, ... care coordination and progression through the continuum of care . The RN Care Manager ...physicians and the interdisciplinary team on issues related to utilization of resources, medical necessity, CMS CoP for Discharge… more
- AdventHealth (Zephyrhills, FL)
- … Care ) Premium shopping outlets **The role you'll contribute:** The RN Care Manager in collaboration with the patient/family, social workers, nurses, ... care coordination and progression through the continuum of care . The RN Care Manager ...a hospital setting + One (1) year experience of utilization review This facility is an equal… more
- Humana (Hallandale Beach, FL)
- …between the company and members are optimized. The Telephonic Behavioral Health Care Manager Internship provides transitioning service members that are eligible ... state in a remote telephonic environment. The Behavioral Health Care Manager guides members and/or families towards...psycho-social health issues. + Monitor and maintain awareness of utilization and conducts outreach based on acuity to assess… more
- University of Miami (Miami, FL)
- …Department of UMHC SCCC Business Operations has an exciting opportunity for a full time Utilization Review Case Manager to work to work remote. The incumbent ... reviews for clinical utilization and authorization. The Utilization Review Case Manager coordinates...services requiring prior authorization as well as timely concurrent review for continuation of care services +… more
- HCA Healthcare (Tallahassee, FL)
- …position if current and compliant** + **Certification in Case Management, Nursing, or Utilization Review , preferred** + **Three years of nursing experience in ... and patient throughput while supporting a balance of optimal care and appropriate resource utilization . The RN...we encourage you to apply for our RN Case Manager Part Time opening. We promptly review … more
- CenterWell (Sarasota, FL)
- …review of clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates and ... community and help us put health first** The Clinical Manager coordinates and oversees all direct care ...requirements. + Responsible for the QA/PI activities. Works with Utilization Review staff relative to data tracking… more
- AdventHealth (Maitland, FL)
- …team player, strong analytic skills, and strong organizational skills. The Medical Economics Manager will manage and mentor managed care staff for both the ... FL **The role you will contribute:** A Medical Economics Manager is responsible for overseeing the analysis and evaluation...support comprehension and replication Leads in the development and review of the annual Managed care net… more
- HCA Healthcare (Gainesville, FL)
- …is preferred + BSN is preferred + Certification in Case Management, Nursing or Utilization Review is preferred HCA Florida North Florida Hospital is a 523-bed, ... and patient throughput while supporting a balance of optimal care and appropriate resource utilization . You would...we encourage you to apply for our RN Case Manager PRN opening. We promptly review all… more