CCM Case Management RN Oscar Health IncCCM Case Management RNFlorida, FLRemote$32.60–$42.79 / hourAbout the role: Telephonic case management role in which you will educate 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 the Clinical Concierge Specialist and other Oscar teams to ensure exceptional care for our members. Work with non-clinical teammates in assisting members to navigate the healthcare system, including coaching non-clinicians on how they can add value to all member interactions.
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.
Bilingual Case Management Analyst - Field in Hileah & Hileah Gardens, FL CVS Health CorpBilingual Case Management Analyst - Field in Hileah & Hileah Gardens, FLHialeah, 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.
Bilingual Case Management Analyst - Field in West Kendall area of Miami, Fl CVS Health CorpBilingual Case Management Analyst - Field in West Kendall area of Miami, 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 South Miami-Dade County, Fl CVS Health CorpBilingual Case Management Analyst - Field in South Miami-Dade County, 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.
NewBilingual Case Management Analyst - Field in North Miami, FL CVS Health CorpBilingual Case Management Analyst - Field in North Miami, FLNorth Miami, 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 Miami-Dade County, FL CVS Health CorpBilingual Case Management Analyst - Field in Miami-Dade County, FLMiami-Dade County, 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.
Bilingual Case Management Analyst - Field in Little Havana, FL CVS Health CorpBilingual Case Management Analyst - Field in Little Havana, 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 Downtown Miami, FL CVS Health CorpBilingual Case Management Analyst - Field in Downtown Miami, FLMiami, 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.
Case Management, LPN License Required Miami Jewish Health Systems IncCase Management, LPN License RequiredMiami, FLWe operate Florida PACE (Program of All-Inclusive Care for the Elderly) Centers, the largest PACE program in Florida, which serves as health plan, healthcare provider, and social center designed for older adults with complex medical needs. Coordinates the implementation of all homecare services which includes nursing, physical therapy, occupational therapy, speech therapy and personal care services to ensure that quality services is provided to meet client needs.
Department Secretary of Case management HCA Healthcare IncDepartment Secretary of Case managementMiami, FLThis role includes ensuring that information is consistent and accurate in various computer programs, coordinating the information with various personnel and supporting the functions of Case Management to support the Case Management staff to support various hospital functions.\n \nEducation and Exp \n\n High School Diploma or equivalent Preferred \n Associates / Technical Preferred \n 3-5 years Health Care Setting Preferred \n Previous secretarial experience required Required \n Proficient in Microsoft\n \nWhat qualifications you will need:\n \nHCA Florida Mercy Hospital is a 488-bed facility. In recent years, HCA Healthcare spent an estimated 3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.\n \n"There is so much good to do in the world and so many different ways to do it."- Dr. Thomas Frist, Sr.\n \nHCA Healthcare Co-Founder\n \nIf you find this opportunity compelling, we encourage you to apply for our Dept of Secretary Case mgmt opening.
Case Management Coordinator Iconma LLCCase Management CoordinatorMiami, FLCase 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.
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 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 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 Assistant, Jackson Memorial Hospital, FT, Days Jackson Health SystemCase Management Assistant, Jackson Memorial Hospital, FT, 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 Assistant, Jackson Memorial Hospital, Days Jackson Health SystemCase Management Assistant, Jackson Memorial Hospital, 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.
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.
Pool Utilization Review Registered Nurse, Case Management, Per Diem, Shift Varies (Rotating Weekends) Baptist Health South Florida IncPool Utilization Review Registered Nurse, Case Management, Per Diem, Shift Varies (Rotating Weekends)Boca Raton, 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. Baptist Health is the region''s largest not-for-profit healthcare organization, with 12 hospitals, over 29,000 employees, 4,500 physicians and 200 outpatient centers, urgent care facilities and physician practices across Miami-Dade, Monroe, Broward and Palm Beach counties.