- CVS Health (Tallahassee, FL)
- …the full continuum of our members' health care and social determinant needs. The Case Management (CM) Medical Director will participate in designing, ... reside in Florida and and must have a Florida medical license or be willing to obtain one. **Primary...business needs * 3-5 years of Managed Care experience; Medicare highly preferred * 3-5 year of Case… more
- Elevance Health (Miami, FL)
- ** Medicare Medical Director ** Location: This position will work a hybrid model (remote and office). The ideal candidate will must live within 50 miles of one ... be able to work Eastern Time Zone hours. The ** Medicare Medical Director ** is responsible...and external physicians. + May conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering providers… more
- Humana (Tallahassee, FL)
- **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement ... reference materials, internal teaching conferences, and other reference sources. Medical Directors will learn Medicare and ...to operationalize this knowledge in their daily work. The Medical Director 's work includes reviewing of all… more
- Humana (Tallahassee, FL)
- **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement ... will understand how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to… more
- Humana (Tallahassee, FL)
- **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The ... Medical Director work assignments involve moderately complex to complex issues...materials, internal teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and … more
- Humana (Tallahassee, FL)
- …and help us put health first** Job Description Summary The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing ... national guidelines such as NCD/LCD, MCG(R) or InterQual The Medical Director conducts clinical case ... Medicare population and reports to the Lead Medical Director . **Other duties:** + Identify … more
- HCA Healthcare (West Palm Beach, FL)
- …the needs of each Rehab patient. The CM collaborates with the Rehab Program Director and Facility Case Management Director regarding departmental functions. ... 156,000 hours volunteering in our communities. As a(an) RN Case Manager PRN with HCA Florida JFK North Hospital...colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no… more
- HCA Healthcare (Fort Pierce, FL)
- …and Qualifications The Manager for Case Management services reports to the Case Management Director and is responsible for promoting patient-centered care by ... colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no...daily, weekly and monthly reports as assigned by the Director of Case Management. + May be… more
- HCA Healthcare (Plantation, FL)
- …the needs of each Rehab patient. The CM collaborates with the Rehab Program Director and Facility Case Management Director regarding departmental functions. ... 156,000 hours volunteering in our communities. As a(an) RN Case Manager with HCA Florida Westside Hospital you can...colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no… more
- HCA Healthcare (Miami, FL)
- …the needs of each Rehab patient. The CM collaborates with the Rehab Program Director and Facility Case Management Director regarding departmental functions. ... and inclusion thrive? Submit your application for our RN Case Manager opening with HCA Florida Mercy Hospital today...colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no… more
- HCA Healthcare (Miami, FL)
- …the needs of each Rehab patient. The CM collaborates with the Rehab Program Director and Facility Case Management Director regarding departmental functions. ... 156,000 hours volunteering in our communities. As a(an) RN Case Manager with HCA Florida Mercy Hospital you can...colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no… more
- HCA Healthcare (Margate, FL)
- …the needs of each Rehab patient. The CM collaborates with the Rehab Program Director and Facility Case Management Director regarding departmental functions. ... 156,000 hours volunteering in our communities. As a(an) RN Case Manager with HCA Florida Northwest Hospital you can...colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no… more
- HCA Healthcare (Margate, FL)
- …the needs of each Rehab patient. The CM collaborates with the Rehab Program Director and Facility Case Management Director regarding departmental functions. ... and integrity. We care like family! Jump-start your career as a(an) RN Case Manager today with HCA Florida Northwest Hospital. **Benefits** HCA Florida Northwest… more
- CVS Health (Tallahassee, FL)
- …and reimbursement expertise as well as directing case management when necessary. The Medical Director will act as a business and clinical liaison to network ... have Internal Medicine or Internal Medicine/Pediatrics (Med/Peds) Board Certification. In the Medical Director role, you will provide oversight for medical… more
- HCA Healthcare (Port St. Lucie, FL)
- …the needs of each Rehab patient. The CM collaborates with the Rehab Program Director and Facility Case Management Director regarding departmental functions. ... Do you have the career opportunities as a(an) RN Case Manager PRN you want with your current employer?...colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no… more
- HCA Healthcare (Miami, FL)
- …the needs of each Rehab patient. The CM collaborates with the Rehab Program Director and Facility Case Management Director regarding departmental functions. ... We care like family! Jump-start your career as a(an) Case Mgr RN PRN today with HCA Florida Mercy...colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no… more
- HCA Healthcare (Tamarac, FL)
- …the needs of each Rehab patient. The CM collaborates with the Rehab Program Director and Facility Case Management Director regarding departmental functions. ... **Introduction** Do you have the career opportunities as a(an) Case Manager RN you want with your current employer?...colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no… more
- HCA Healthcare (Fort Pierce, FL)
- …the needs of each Rehab patient. The CM collaborates with the Rehab Program Director and Facility Case Management Director regarding departmental functions. ... an organization that invests in you as a(an) RN Case Manager? At HCA Florida Lawnwood Hospital, you come...colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no… more
- HCA Healthcare (Ocala, FL)
- …the needs of each Rehab patient. The CM collaborates with the Rehab Program Director and Facility Case Management Director regarding departmental functions. ... 156,000 hours volunteering in our communities. As a(an) RN Case Manager PRN with HCA Florida West Marion Hospital...colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no… more
- HCA Healthcare (Sanford, FL)
- …the needs of each Rehab patient. The CM collaborates with the Rehab Program Director and Facility Case Management Director regarding departmental functions. ... you have the PRN career opportunities as a(an) RN Case Management you want with your current employer? We...colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no… more