• Case Mgr RN PRN

    HCA Healthcare (Plantation, FL)
    …PACU, PCU, ICU, CVICU etc.) hospital nursing experience required + Certification in case management or utilization review preferred InterQual experience ... reach our goals. Unlock your potential! **Job Summary and Qualifications** The Case Manager (CM) ensures high-quality, patient-centered care by managing… more
    HCA Healthcare (03/21/25)
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  • Non-Clinical Coding and OASIS Review…

    BAYADA Home Health Care (Orlando, FL)
    …full time OASIS Review and Coding Manager . The OASIS and Coding Review Manager provides support to all BAYADA Home Health Care Medicare service offices ... policies and procedures. As a member of the Medicare Case Management (MCM) office, individuals in this role are...should be available Monday-Friday from 8:30am-5:00pm. _Medicare, Coder, OASIS Review , Utilization Review , Quality Assurance,… more
    BAYADA Home Health Care (05/17/25)
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  • Assistant General Manager - Parking

    ABM Industries (Orlando, FL)
    **Overview** An Assistant General Manager of Parking, as a senior member of the General Manager 's Staff, is charged with the responsibility of organizing and ... major duties to be performed by the Assistant General Manager : + Maintain close liaison with the General ...and the resolution of the problem. + Monitor and review on a daily basis all required logs, for… more
    ABM Industries (05/07/25)
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  • Clinical Manager Home Health

    CenterWell (Winter Haven, FL)
    …action through the utilization of Performance Improvement principles. + Responsible for review of the appropriate number of Case Managers and clinical staff ... care to all patients served by the location. Receives case referrals. Reviews available patient information related to the...clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the… more
    CenterWell (05/20/25)
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  • Operations Review Specialist

    MyFlorida (Orlando, FL)
    …review activities and special assignments and provides feedback to Quality Management Manager . Selection of review team members and provision of technical ... OPERATIONS REVIEW SPECIALIST - 60072653 Date: May 23, 2025...Secretary of the Department. Knowledge, skills and abilities, including utilization of equipment, required for the position: Knowledge, skills… more
    MyFlorida (05/24/25)
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  • Assistant General Manager

    ABM Industries (Tampa, FL)
    …endorsement is required for this role. As the senior member of the General Manager 's staff, the Assistant General Manager is responsible for organizing and ... position operates directly under the authority of the General Manager and will have authority to manage the operations...and the resolution of the problem. + Monitor and review on a daily basis all required logs, for… more
    ABM Industries (05/29/25)
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  • Care Manager RN - Remote

    Highmark Health (Tallahassee, FL)
    …Health **Job Description :** **JOB SUMMARY** This job implements effective utilization management strategies including: review of appropriateness of health ... care services, application of criteria to ensure appropriate resource utilization , identification of opportunities for referral to a Health Coach/ case … more
    Highmark Health (05/21/25)
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  • Acute Care Nurse, HCT (Registered Nurse)

    ChenMed (Lakeland, FL)
    …of 2 years' clinical work experience required. + A minimum of 1 year of utilization review and/or case management, home health, hospital discharge planning ... need great people to join our team. The Nurse Case Manager 2 (RN) is responsible for...patients' progress and adjust and plan accordingly. + Understanding utilization review and how to leverage with… more
    ChenMed (04/15/25)
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  • Manager Contract Management

    AdventHealth (Altamonte Springs, FL)
    …AdventHealth Multi-State Division Contract Management team. This team is responsible for contract review ; as well as, the building and maintenance of rates and terms ... direction to department leadership within Patient Financial Services (PFS), Utilization Management and Ancillary facilities regarding contract interpretation and the… more
    AdventHealth (04/22/25)
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  • Contract Manager

    AdventHealth (Maitland, FL)
    …: **The role you will contribute:** This position is responsible for contract review and interpretation; as well as, the building and maintenance of rates and ... revenue for the Florida division. This position assists the Sr. Contract Manager with ensuring that preferred contract language provides for ease of interpretation… more
    AdventHealth (05/21/25)
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