Manager, Case Management University of MiamiManager, Case ManagementMiami, FLESSENTIAL FUNCTIONS: Technical Duties: Proficient in math applications and use of spreadsheet programs; ability to operate word processing equipment; advanced written communication skills including grammar, spelling, and punctuation; thorough understanding of all regulations regarding personnel practices. Manage the observation patient process, assist the Admitting department with bed assignment and appropriate placement, conduct InterQual reviews, EQ Health reviews, coordinate monthly statistics for data reporting-Avoidable data, denial data and Physician Advisor reviews, HINN Data.
Social Worker II - Case Management Delray Medical CenterSocial Worker II - Case ManagementDelray Beach, FLThis individual’s responsibility will include the following activities: a) complex psycho-social transition planning assessment and reassessment and intervention, b) assistance with adoptions, abuse and neglect cases, including assessment, intervention and referral as appropriate to local, state and /or federal agencies, c) care coordination, d) implementation or oversight of implementation of the transition plan, e) leading and/or facilitating multi-disciplinary patient care conferences including Complex Case Review, f) making appropriate referrals to other departments, g ) communicating with patients and families about the plan of care, h) collaborating with physicians, office staff and ancillary departments, i) assuring patient education is completed to support post-acute needs , j) timely, complete and concise documentation in Tenet Case Management documentation system, k ) maintenance of accurate patient demographic and insurance information, l) and other duties as assigned. The individual in this position is responsible to facilitate care along a continuum through effective resource coordination to help patients achieve optimal health, access to care and appropriate utilization of resources, balanced with the patient’s resources and right to self-determination.
Case Management Assistant PRN HCA HealthcareCase Management Assistant PRNMiami, FLAdditional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. This role involves assisting with documentation, scheduling, and communication with clients and external agencies, helping to ensure that cases are handled efficiently and that clients receive appropriate services.
Case Management Assistant HCA HealthcareCase Management AssistantPlantation, FLThe Case Management Assistant (CMA) will work under the direction of the RN Case Manager or Social Worker to assist with facilitating patient discharges requiring post-acute placement or services, and will identify and report barriers to discharges. That’s why more than 80% of our hospitals earn an A or B Leapfrog safety grade, rank in the top 5% nationally for patient outcomes through Health Grades, or are recognized as Magnet or Pathway to Excellence facilities.
Social Worker/Case Management/Full Time/Day Shift Req 1716742 Florida Medical CenterSocial Worker/Case Management/Full Time/Day Shift Req 1716742Lauderdale Lakes, FLFull timePOSITION QUALIFICATIONS (including required licenses/certifications, education and job knowledge/experience):Bachelor's Degree in Social Work requiredMinimum 2 years experience as a social worker in a medical setting Hospital experience is preferredExcellent oral and written communication skillsAbility to prioritize workloadGood problem solving skillsBasic computer skillsCUSTOMER SERVICE RESPONSIBILITIES:Performs duties and conducts interpersonal relationships in a manner designed to project a positive image of the department and the hospital. POSITION SUMMARY:Utilizes professional, medical, social-work skills to assess patient and family scenarios for discharge planning, information and referral, psychosocial and counseling support needs and establishes plans for effective management of the identified needs.
Care Management Discharge Plan Coordinator, Case Management, FT, 8A-4:30P Baptist Health South FloridaCare Management Discharge Plan Coordinator, Case Management, FT, 8A-4:30PSouth Miami, FL$18.87–$23.96 / hourSpecific duties include frequent interactions with care managers, patients, payers, and community care providers, data entry and analysis related to insurance coverage and availability of resources, coordination of post discharge services including home health care, durable medical equipment, nursing homes, hospital transfers, transportation and services for the indigent population. Additional Qualifications: Associate Degree preferred; Prior experience in a healthcare setting; prior additional education experience in discharge planning, billing utilization review, financial counseling or registration preferred.
Care Management Discharge Plan Coordinator, Case Management, FT, 8:30A-5P Baptist Health South FloridaCare Management Discharge Plan Coordinator, Case Management, FT, 8:30A-5PMiami, FL$18.87–$23.96 / hourSpecific duties include frequent interactions with care managers, patients, payers, and community care providers, data entry and analysis related to insurance coverage and availability of resources, coordination of post discharge services including home health care, durable medical equipment, nursing homes, hospital transfers, transportation and services for the indigent population. Additional Qualifications: Associate Degree preferred; Prior experience in a healthcare setting; prior additional education experience in discharge planning, billing utilization review, financial counseling or registration preferred.
Pool Care Management Discharge Planner Coordinator, Case Management, Per Diem, Shift Varies Baptist Health South FloridaPool Care Management Discharge Planner Coordinator, Case Management, Per Diem, Shift VariesBoca Raton, FLSpecific duties include, frequent interactions with care managers, patients, payers, and community care providers, data entry and analysis related to insurance coverage and availability of resources, coordination of post discharge services including home health care, durable medical equipment, nursing homes, hospital transfers, transportation and services for the indigent population. Conducts post Discharge Follow-up Calls to assure post discharge services are being rendered and problem solves accordingly by contacting service providers to affect patient safety.
Medical Director of Case Management and Utilization Review - FT Days - MHM Memorial Healthcare SystemMedical Director of Case Management and Utilization Review - FT Days - MHMMiramar, FloridaAssists the Case Management staff in resolving patient care issues for referred cases, provides physician education, and assists the hospital and medical staff in developing and promoting resource management goals and objectives. This includes, but not limited to:Makes decisions on referred individual patient cases regarding pre-admission authorization, medical necessity and services/setting, appropriateness of admission, and continuation stay.
NewBilingual Case Management Analyst - Field in Miami-Dade, Fl CVS Health CorpBilingual Case Management Analyst - Field in Miami-Dade, FlMiami-Dade, FL$21.10–$40.90 / hourAs a Case Manager Analyst you support optimal member health outcomes by coordinating care, providing education, and facilitating access to appropriate healthcare services. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
NewBilingual Case Management Analyst - Field in North Miami Hialeah FL CVS Health CorpBilingual Case Management Analyst - Field in North Miami Hialeah FLFL$21.10–$40.90 / hourAs a Case Manager Analyst you support optimal member health outcomes by coordinating care, providing education, and facilitating access to appropriate healthcare services. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
Bilingual Case Management Analyst - Field in Hialeah & Hialeah Gardens, FL CVS HealthBilingual Case Management Analyst - Field in Hialeah & Hialeah Gardens, FLHialeah, FloridaAs a Case Manager Analyst you support optimal member health outcomes by coordinating care, providing education, and facilitating access to appropriate healthcare services. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
Director of Case Management ( RN / RT / MSW / LPN ) Select Medical CorpDirector of Case Management ( RN / RT / MSW / LPN )Miami Lakes, FLWe are looking for valued employees who will be Champions of the Select Medical Way, which includes putting the patient first, helping to improve quality of life for the community in which you live and work, continuing to develop and explore new ideas, providing high-quality care and doing well by doing what is right. Our hospital is a critical illness recovery hospital committed to providing world-class inpatient post-ICU services to chronic, critically ill patients who require extended healing and recovery.
Case Management Coordinator ICONMA, LLCCase Management CoordinatorMiami-Dade County, FL$34.13 / hourCase Management Coordinators will determine appropriate services and supports due to member’s health needs; including but not limited to: Prior Authorizations, Coordination with PCP and skilled providers, Condition management information, Medication review, Community resources and supports. Utilizes critical thinking and judgment to collaborate and inform the case management process, in order to facilitate appropriate healthcare outcomes for members by providing care coordination, support and education for members through the use of care management tools and resources.
NewCase Management Assistant, Jackson Memorial Hospital, Per Diem, Days Jackson Health SystemCase Management Assistant, Jackson Memorial Hospital, Per Diem, DaysMiami, FLFacilitates appropriate follow up in administering The Centers for Medicare & Medicaid Services forms (Medicare outpatient Observation notices and Important Message forms to enhance the quality of the services being provided to our patients across the system. Jackson Memorial is an accredited, tertiary teaching hospital with 1,500 licensed beds, where nearly every medical specialty is provided by some of the world''s most skilled and highly regarded multidisciplinary team of healthcare professionals.
NewCase Management Registered Nurse HCA HealthcareCase Management Registered NurseMargate, FLAt HCA Healthcare, we are committed to equipping nurses with the tools and resources they need to deliver exceptional patient care, championing the profession, and supporting the advancement of nursing’s future.". As a Registered Nurse at HCA Florida Northwest Hospital, you’ll have all the staffing support, technology and resources you need to deliver safe, high-quality care—so you can focus on what you do best.
Case Management RN Oscar HealthCase Management RNMiami, FLRemote$32.60–$42.79 / hourEducate members on improving health outcomes, assist with transitions from care settings, participate in process improvement and other pilot programs as they arise, and work with support teams to ensure care for our members. Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience.
Travel RN Case Management Voyage HealthTravel RN Case ManagementMargate, Florida$1,964–$2,067At Voyage Healthcare, we help connect nurses, therapists, and allied health pros with high-paying travel jobs at top-rated facilities across the U.S. With thousands of openings nationwide, you can earn up to $3,500+ per week (depending on your specialty, location, housing, and benefits)—all while making a real impact on the communities that need you most. We're hiring experienced RN Case Management for a 13-week contract in Margate, Florida — earn up to ($1965 - $2068 per week) while providing essential care at a leading facility.
Case Management Coordinator - Onsite Viva USA IncCase Management Coordinator - OnsiteMiami, FL$53,882–$70,990 / yearContractorTitle: Case Management Coordinator - Onsite.
Registered Nurse Utilization Review, Case Management, Per Diem, 8:30A-5P/Shift Varies Baptist Health South FloridaRegistered Nurse Utilization Review, Case Management, Per Diem, 8:30A-5P/Shift VariesMiami, FLSpecific functions within this role include: Screens pre-admission, admission process using established criteria for all points of entry, Facilitates communication between payers, review agencies and healthcare team, Identify delays in treatment or inappropriate utilization and serves as a resource, Coordinates communication with physicians, Identify opportunities for expedited appeals and collaborates resolve payer issues and ensures, maintains effective communication with Revenue Cycle Departments. Additional Qualifications: RNs hired prior to 2/2012 (10/1/2017 at Bethesda or 7/1/2019 at BRRH) with an Associates Degree in Nursing are not required to have a BSN to continue their non-leadership role as an RN; however, required to complete the BSN within 3 years of hire.