- CVS Health (Tallahassee, FL)
- …care coordination experience Preferred Experience + Bilingual (English/Spanish) + Certified Case Manager + Excellent analytical and problem-solving skills + ... and expand DSNP into new markets across the country. Fundamental Components + Nurse Care Manager is responsible for assessing, planning, implementing, and… more
- Highmark Health (Tallahassee, FL)
- …the appropriate clinical interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are enrolled in case ... management. The incumbent conducts outreach to members enrolled in case management including but is not limited to: developing...in addressing targeted populations **LICENSES AND CERTIFICATIONS** **Required** + RN license in PA or WV or DE or… more
- CVS Health (Tallahassee, FL)
- …health care more personal, convenient and affordable. Requisition Job Description The Case Manager RN position is 100% remote and employees can live in ... on a volunteer basis. There is no travel expected with this position. This Case Manager RN position is part of Aetna's Commercial Care Management division.… more
- Actalent (Tampa, FL)
- …ensure full recovery and compliance with prescribed care. Hard Skills + Registered Nurse + computer skills + case management + managed care experience Soft ... Job Description The Care Manager is pivotal in providing care management services...+ Spanish speaking Work Site This is a fully remote position. Work Environment Remote work environment… more
- AmeriHealth Caritas (Palm Beach Gardens, FL)
- **Transition Care Manager , Registered Nurse ** Location: Palm Beach Gardens, FL Primary Job Function: Medical Management ID**: 31535 **Job Brief** Experienced ... daily ER or inpatient census of LTC plan members; follow up with assigned case manager , member, and facility discharge planner. + Receive and process facility,… more
- Humana (West Palm Beach, FL)
- …Information)** **Use your skills to make an impact** **Required Qualifications** + Active Licensed Registered Nurse ( RN ) in the state of Florida or a ... and help us put health first** The Field Care Manager Nurse 2 assesses and evaluates member's...to troubleshoot and resolve general technical issues in a remote environment **Preferred Qualifications** + BSN + 2-3 years… more
- Health First (Melbourne, FL)
- *POSITION SUMMARY:* The RN Case Manager is...may vary from open to confined; on site or remote . * May require travel to various facilities within ... Florida regulations, and The Joint Commission (TJC) accreditation standards. The RN Case Manager uses sound clinical judgment, working collaboratively with… more
- Health First (Melbourne, FL)
- *POSITION SUMMARY:* The RN Case Manager is...may vary from open to confined; on site or remote * May require travel to various facilities within ... Florida regulations, and The Joint Commission (TJC) accreditation standards. The RN Case Manager uses sound clinical judgment, working collaboratively with… more
- CVS Health (Tallahassee, FL)
- …health care more personal, convenient and affordable. Position Summary The Pediatric Care Manager RN will support a population of primarily medically complex ... duty nursing and nursing facility services. This role is remote , work from home, with field visits to members...members as needed and per contractual requirements. The CM RN utilizes advanced clinical judgment and critical thinking skills… more
- CVS Health (Tallahassee, FL)
- …policies and programs are comprised of network management, clinical coverage, and policies. Nurse Case Manager is responsible for telephonically and/or face ... to face assessing, planning, implementing and coordinating all case management activities with members to evaluate the medical needs of the member to facilitate the… more
- CVS Health (Tallahassee, FL)
- …in the state of Florida Preferred Qualifications : + Bilingual + Certified Case Manager Educational Requirements: + Associates Degree Required. Bachelor's Degree ... themselves. They are responsible for assessing, planning, implementing, and coordinating all case management activities with members to evaluate the medical needs of… more
- AmeriHealth Caritas (Palm Beach Gardens, FL)
- … Manager with operational or reporting responsibilities. **Education/Experience:** + Required **Florida Registered Nurse ( RN )** with at least two (2) ... **Community Care Manager | RN or LCSW [Must...the identification of members/consumers appropriate for care coordination and/or case management program services in a community setting. The… more
- Health First (Rockledge, FL)
- …**Job:** ** Case Management* **Organization:** **HF Administrative Plan Inc* **Title:** * RN Care Manager HFHP - Member Outpatient Services* **Location:** ... of a multidisciplinary team in an outpatient setting. The RN Care Manager acts as a patient...* * *Education:*Bachelor's degree in nursing * *Licensure:*Compact State RN license * *Certification:* o Case Management… more
- Actalent (Orlando, FL)
- Case Manager I ( RN ) Job Description...a duration of 11 Weekly. Work Environment This is a remote , work-from-home case management role with a focus ... As a Case Manager I ( RN ), your role involves performing care management duties to...medical management systems. Hard Skills + Care Management + Case Management + RN + Medicare Soft… more
- Sedgwick (Tampa, FL)
- …place to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Field Case Manager **This Field Case Manager will cover our ... be considered.** **PRIMARY PURPOSE OF THE ROLE:** Sedgwick Field Case Managers work face to face with their injured...on the health and lives of others, and a remote work environment that allows face to face interaction… more
- Highmark Health (Tallahassee, FL)
- …in a second language **LICENSES or CERTIFICATIONS** **Required** One of the following: + Registered Nurse ( RN ) + Licensed Professional Counselor (LPC) + ... Worker (LSW) + Licensed Marriage and Family Therapist (LMFT) **Preferred** + Certified Case Manager + CAC - Certified Addiction Counselor **SKILLS** + Advanced… more
- Health First (Melbourne, FL)
- …*Education:*BSN or Master's Degree in a healthcare field *Certification:*Current Case Manager Certification (CCM or ACM) *Work Experience:*Critical, ... Management* **Organization:** **Holmes Regional Medical Center* **Title:** *Utilization Review Nurse - Case Management UR Part Time* **Location:** *Florida… more
- Healthfirst (FL)
- …overtime as necessary. + Additional duties as assigned. **Minimum Qualifications:** + NYS RN or LCSW, LMSW, LMFT, LMHC, LPC, licensed psychologist + 1 year of ... dual diagnosis of mental health and substance abuse + Case Management experience + Strong interpersonal and assessment skills,...line + Relevant work experience preferably as a Care Manager + Demonstrated ability to manage large caseloads and… more
- AmeriHealth Caritas (Palm Beach Gardens, FL)
- ** Manager Integrated Care Management (must reside in FL)** Location: Palm Beach Gardens, FL Primary Job Function: Medical Management ID**: 31533 **Job Brief** In ... anticipation of future business needs we are seeking an experienced Manager Integrated Care Management to support AmeriHealth Caritas Florida. Candidates must reside… more