LPN Case Manager FIRST CARE HOME SERVICES, INC.LPN Case ManagerFort Lauderdale, FLThe LPN Case Manager ensures continuity of care, compliance with physician orders, timely service delivery, and accurate documentation while serving as a liaison between patients, families, caregivers, physicians, and the interdisciplinary care team. Job Summary The Licensed Practical Nurse (LPN) Case Manager is responsible for coordinating and managing patient care under the supervision of a Registered Nurse (RN) and/or Director of Nursing.
RN Hospice Case Manager Hospice of Marion CountyRN Hospice Case ManagerFort Lauderdale, FLEmpath Health is a not-for-profit healthcare organization providing Full Life Care through a connected network of services across Florida-including hospice, home health, grief care, geriatric primary care, elder care (PACE), HIV and sexual health (EPIC), and dementia support. Trustbridge Hospice, a member of Empath Health, is seeking a caring and motivated Hospice Registered Nurse (RN) Case Manager to join our dedicated hospice team in the northern Broward County area.
Hospice RN Case Manager - PRN Hospice of Marion CountyHospice RN Case Manager - PRNBoca Raton, FLEmpath Health is a not-for-profit healthcare organization providing Full Life Care through a connected network of services across Florida, including hospice, home health, grief care, geriatric primary care, elder care (PACE), HIV and sexual health (EPIC), and dementia support. Empath Health is a not-for-profit healthcare organization providing Full Life Care through a connected network of services across Florida-including hospice, home health, grief care, geriatric primary care, elder care (PACE), HIV and sexual health (EPIC), and dementia support.
Hospice RN Case Manager Hospice of Marion CountyHospice RN Case ManagerBoca Raton, FLEmpath Health is a not-for-profit healthcare organization providing Full Life Care through a connected network of services across Florida, including hospice, home health, grief care, geriatric primary care, elder care (PACE), HIV and sexual health (EPIC), and dementia support. Empath Health is a not-for-profit healthcare organization providing Full Life Care through a connected network of services across Florida-including hospice, home health, grief care, geriatric primary care, elder care (PACE), HIV and sexual health (EPIC), and dementia support.
RN Hospice Case Manager - Boca Hospice of Marion CountyRN Hospice Case Manager - BocaBoca Raton, FLEmpath Health is a not-for-profit healthcare organization providing Full Life Care through a connected network of services across Florida-including hospice, home health, grief care, geriatric primary care, elder care (PACE), HIV and sexual health (EPIC), and dementia support. Trustbridge Hospice, a member of Empath Health, is currently seeking a caring and motivated RN Hospice Case Manager to join our team in the Boca area.
Supervisor, MMA Care Management Independent Living Systems LLCSupervisor, MMA Care ManagementMiami, FLAbout the Role: The Supervisor, MMA Care Management plays a vital role in supervising a care management team that supports members enrolled in the Managed Medical Assistant (MMA) Program that qualify to receive care management services. Key responsibilities include monitoring team performance, reviewing and evaluating work quality, conducting quality assurance activities, and taking corrective action as needed to promote enrollee satisfaction and high-quality service delivery.
Case Manager Acute Care Broward HealthCase Manager Acute CareFort Lauderdale, FLWe're working together to build strong communities inside and outside. Company sees the whole person and looks to support your well-being.
Case Manager Behavioral Health Broward HealthCase Manager Behavioral HealthFort Lauderdale, FLWe're working together to build strong communities inside and outside. Company sees the whole person and looks to support your well-being.
Surgical Case Coordinator - 1st Shift - Starting at $28.01/hr Stryker CorpSurgical Case Coordinator - 1st Shift - Starting at $28.01/hrFort Lauderdale, FLHowever, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. Achieve operational excellence via team-based and product-focused orientation, capacity planning, continuous improvement, safety awareness, and cost reduction to be implemented, so timely, accurate deliveries are produced.
🚨 Red Alert –Rn/Lpn- Urgent Pediatric Case – Miami-Dade, Fl 🚨 Family First Homecare🚨 Red Alert –Rn/Lpn- Urgent Pediatric Case – Miami-Dade, Fl 🚨Miami, Florida$8–$12 / hourFamily First Homecare | 1:1 In-Home Care | Competitive Pay | 8–12 hr shifts | Days/Nights/Weekends | Miami-Dade Family First Homecare is building a strong bench of home health nurses (RN/LPN) for current and upcoming 1:1 in-home cases across Miami-Dade —serving both adult and pediatric patients . If you’re confident with TPN, trach care, and/or vent skills , we’d love to connect and match you to the right case based on your experience and availability.
Senior Case Coordinator, Dispute Resolution Mediation Financial Industry Regulatory Authority, Inc.Senior Case Coordinator, Dispute Resolution MediationBoca Raton, FLFINRA employees are required to disclose to FINRA all brokerage accounts that they maintain, and those in which they control trading or have a financial interest (including any trust account of which they are a trustee or beneficiary and all accounts of a spouse, domestic partner or minor child who lives with the employee) and to authorize their broker-dealers to provide FINRA with duplicate statements for all of those accounts. Additional insurance includes basic life, accidental death and dismemberment, supplemental life, spouse/domestic partner and dependent life, and spouse/domestic partner and dependent accidental death and dismemberment, short- and long-term disability, long-term care, business travel accident, disability and legal.
NewFlorida Medical Management Nurse - Weekends Elevance HealthFlorida Medical Management Nurse - WeekendsMiami, FloridaThe Medical Management Nurse will be responsible for review of the most complex or challenging cases that require nursing judgment, critical thinking, and holistic assessment of member’s clinical presentation to determine whether to approve requested service(s) as medically necessary. Requires a minimum of 4 years care management or case management experience and requires a minimum of 2 years clinical, utilization review, or managed care experience; or any combination of education and experience, which would provide an equivalent background.
Quality Management Nurse Consultant CVS Health CorpQuality Management Nurse ConsultantFL$60,522–$129,615 / yearContributes to the development, revision, and implementation of policies, procedures, and guidelines that focus on system performance, network provider and community partner performance, and addressing barriers including health disparity and health related social needs, to improve clinical quality, promote best member and provider experience, and ensure patient safety. Collaborates with all POSC stakeholders and participants to ensure cross-functional collaboration, education and participation in establishing, measuring and evaluating best practice interventions aimed to achieve Quality performance goals.
Director of Utilization Management Palm Medical CentersDirector of Utilization ManagementCoral Gables, FLThe Director of Utilization Management will work closely with healthcare providers, staff, and senior leadership to improve patient care, streamline referral processes, and manage care coordination across the organization. Experience: Minimum of 10 years of progressive experience in healthcare administration, with at least 5 years in a leadership role in utilization management, case management, or a related field.
NewManagement and Program Analyst Project Manager Department of the Treasury, USManagement and Program Analyst Project ManagerMiami, FL$125,776–$197,200 / yearYou must also meet the following requirement(s): TIME AFTER COMPETITIVE APPOINTMENT (TACA): By the closing date (or if this is an open continuous announcement, by the cut-off date) specified in this job announcement, current civilian employees must have completed at least 90 days of federal civilian service since their latest non-temporary appointment from a competitive referral certificate, known as time after competitive appointment. If applying for a higher grade and you met time-in-grade (TIG) at another agency, it is recommended that you provide an SF-50(s) (Notification of Personnel Action) (or equivalent) which demonstrates you meet the 52-week TIG requirement (e.g., Promotion with an effective date more than one (1) year old, Within-Grade-Increase at the highest grade held).
NewGPS HST Delivery management Engineer III DeloitteGPS HST Delivery management Engineer IIIMiami, FLFull timeAs a Delivery Management Engineer III on the GPS HST Technology team, you will be responsible for: Support Implementation and Operations Management best practices while taking ownership of tasks and/or project workstreams and guiding more junior professionals. We can enhance customer experiences and drive sustained growth and customer value creation and capture, through customer and commercial strategies, digital products and innovation, marketing, commerce, sales, and service.
Medical Management Nurse Elevance Health IncMedical Management NurseMiami, FL$75,772–$113,658 / yearHow you will make an impact: Utilizes nursing judgment and reasoning to analyze members' clinical information, interface with healthcare providers, make assessments based on clinical presentation, and apply clinical guidelines and/or policies to evaluate medical necessity. The Medical Management Nurse is responsible for review of the most complex or challenging cases that require nursing judgment, critical thinking, and holistic assessment of member's clinical presentation to determine whether to approve requested service(s) as medically necessary.
Medical Management Nurse - Florida Elevance Health IncMedical Management Nurse - FloridaMiami, FLHow you will make an impact: Utilizes nursing judgment and reasoning to analyze members' clinical information, interface with healthcare providers, make assessments based on clinical presentation, and apply clinical guidelines and/or policies to evaluate medical necessity. The Medical Management Nurse will be responsible for review of the most complex or challenging cases that require nursing judgment, critical thinking, and holistic assessment of member's clinical presentation to determine whether to approve requested service(s) as medically necessary.
Medical Director Utilization Management Oncology Starling OncologyMedical Director Utilization Management OncologyMiami, FLRemote$275,000–$325,000 / yearFormerly known as The Oncology Institute, Starling Oncology offers cutting-edge, evidence-based cancer care to a population of approximately 2.1 million patients, including clinical trials, transfusions, and other care delivery models traditionally associated with the most advanced care delivery organizations. The Medical Director role provides clinical expertise in assessing the medical necessity, appropriateness, and efficiency of oncology care with a focus on direct utilization management for case review and clinical decision making.
Utilization Management Coordinator Independent Living Systems LLCUtilization Management CoordinatorMiami, FLILS, along with its affiliated health plans known as Florida Community Care and Florida Complete Care, is committed to promoting a higher quality of life and maximizing independence for all vulnerable populations. The Utilization Management Coordinator reviews the prior authorization form received for documentation completeness and determines if the requested service requires an authorization.