• Manager , Utilization Management…

    Humana (Tallahassee, FL)
    …resources, schedules and goals. The Manager , Utilization Management Behavioral Health uses clinical knowledge, communication skills, and independent ... coaching, performance review, up to termination. + Certified or certified-eligible case manager required. **Additional Information:** **Workstyle:** Remote work… more
    Humana (03/12/25)
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  • RN Case Manager

    HCA Healthcare (Tallahassee, FL)
    …HCA Florida Capital Hospital have the opportunity to make a real impact. As a(an) RN Case Manager you can be a part of change. **Benefits** HCA Florida Capital ... positive outcomes for your patients as a (an) RN Case Manager . We want your knowledge and...case management plan of care to include identified clinical , psychosocial and discharge needs; coordinates plan of care;… more
    HCA Healthcare (03/12/25)
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  • Case Manager , RN

    CAI (Tallahassee, FL)
    …Type** Full time **Worksite Flexibility** Remote **Job Summary** We are looking for a motivated Case Manager , RN ready to take us to the next level! If you ... apply now. **Job Description** We are looking for a Case Manager , RN to provide community-based care...referrals to special programs such as Disease/Chronic Condition Management, Behavioral Health, and Complex Case Management +… more
    CAI (02/01/25)
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  • Complex Case Manager RN (Remote)

    Highmark Health (Tallahassee, FL)
    …Nursing **EXPERIENCE** **Required** + 7 years of any combination of clinical , case management and/or disease/condition management experience, provider operations ... panel of members that range in health status/severity and clinical needs. The incumbent assesses health management needs of...interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are… more
    Highmark Health (03/13/25)
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  • Manager Case Management

    HCA Healthcare (Tallahassee, FL)
    **Description** **Introduction** Do you have the career opportunities as a(an) Manager Case Management you want in your current role? We invest in what matters ... for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services...career path, we encourage you to apply for our Manager Case Management opening. We review all… more
    HCA Healthcare (02/18/25)
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  • LTSS Service Coordinator-LPN Case

    Elevance Health (Tallahassee, FL)
    …under the direction/supervision of an RN, with overall responsibility for the member's case , as required by applicable state law and contract, contributes to the ... evaluation, coordination and management of member's needs, including physical health, behavioral health, social services and long term services and supports. +… more
    Elevance Health (03/04/25)
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  • Operations Manager

    Maxim Healthcare Services (Tallahassee, FL)
    …absence. If not a Registered Nurse, will consult with AVPCO to appoint a qualified Clinical Manager to oversee the clinical management of the offices (when ... integral role in the ongoing education of clients, physicians, case managers and community members regarding the functions and...of the office. Those duties include ensuring that a clinical manager and operations manager more
    Maxim Healthcare Services (03/04/25)
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  • Manager Emergency Services Southwood FSED

    HCA Healthcare (Tallahassee, FL)
    …to deliver clinical excellence behind the scenes in data science, case management or transfer centers. Unlock your potential at HCA Florida Capital Hospital! ... **Are you passionate about delivering patient-centered care?** Submit your application for Manager Emergency Services Southwood FSED position and spend more time at… more
    HCA Healthcare (02/20/25)
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  • Care Manager RN (Delaware) Remote

    Highmark Health (Tallahassee, FL)
    …resource utilization, identification of opportunities for referral to a Health Coach/ case management, and identification and resolution of quality issues. Monitors ... with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable state, federal… more
    Highmark Health (02/20/25)
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  • Social Work Care Manager

    Intermountain Health (Tallahassee, FL)
    …and provides short term treatment planning for mental, emotional and behavioral disorders, conditions and addictions. **Essentials:** + Participates in case ... psychosocial functioning for the purpose of diagnosing mental, emotional, behavioral , addictive and developmental disorders and disabilities, implementing appropriate… more
    Intermountain Health (03/15/25)
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  • Coding Auditor Educator

    Highmark Health (Tallahassee, FL)
    …Is responsible for or works with external resources to create and monitor inpatient case mix reports and the top 25 assigned DRGs/APCs in the facilities to identify ... related to special projects and providing coverage for coding manager (s). (10%) + Depending on location provides or arranges...processes as it relates to the DRG/APC and other clinical data quality management factors. With technical direction and… more
    Highmark Health (02/07/25)
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