- CVS Health (Orlando, FL)
- …solutions to make health care more personal, convenient and affordable. **Position Summary** : The Clinical Case Manager , Behavioral Health is a work ... treatment and services. + Applies and interprets applicable criteria and clinical guidelines, standardized case management plans, policies, procedures, and… more
- Molina Healthcare (Mid Florida, FL)
- …level of the assigned members, particular state-specific regulations, or whether the Case Manager position is located within Molina's Central Programs unit. ... per regulated timelines and determines who may qualify for case management based on clinical judgment, changes...**O** **C** **I** **A** **TI** **O** **N** **:** Certified Case Manager (CCM), **PHY** **S** **I** **C**… more
- Molina Healthcare (Mid Florida, FL)
- … health settings. Preferred License, Certification, Association Active, unrestricted Certified Case Manager (CCM) To all current Molina employees: If ... an integrated delivery of care across the continuum, including behavioral health and long term care, for members with...per regulated timelines and determines who may qualify for case management based on clinical judgment, changes… more
- Elevance Health (Orlando, FL)
- …circle of support and overall management of the individuals physical health (PH)/ behavioral health (BH)/LTSS needs, as required by applicable state law and contract, ... + Uses tools and pre-defined identification process, identifies members with potential clinical health care needs (including, but not limited to, potential for… more
- AdventHealth (Orlando, FL)
- …inpatients and 125,000 outpatients each year **The role you'll contribute:** The Sr. Manager of Clinical Experience (SMCE) is a solutions-focused leader who is ... empowering teams to elevate patient experience to top quartile performance. The Sr. Manager collaborates with the Clinical Experience Director on a regular basis… more
- Community Based Care of Brevard, Inc. (Orlando, FL)
- …Services Administrator to expand network and build provider relationships. Provide clinical insight, information, and referrals for case managers, caregivers ... Salary: $65,000/year POSITION OBJECTIVE: This position manages clinical well-being activities for youth and young adults...and older in the four-county area. The Well Being Manager will be a single point of contact for… more
- CVS Health (Orlando, FL)
- …with field visits to members as needed and per contractual requirements. The RN Case Manager utilizes advanced clinical judgment and critical thinking skills ... facility services + Experience managing pediatric behavioral health conditions + Case management experience + Certified Care Manager (CCM) Certification +… more
- CVS Health (Orlando, FL)
- …care management needs of FL Medicaid members with a history of HIV/AIDS. The Case Manager will drive and support care management and care coordination activities ... gaps in care and access. + Using a holistic approach consults with manager , medical directors, and/or other physical/ behavioral health support staff and… more
- HCA Healthcare (Kissimmee, FL)
- …to deliver clinical excellence behind the scenes in data science, case management or transfer centers. Unlock your potential at HCA Florida Osceola Hospital! ... about delivering patient-centered care?** Submit your application for OR Manager position and spend more time at the bedside...for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services… more
- HCA Healthcare (Kissimmee, FL)
- …with discharge planning or psychosocial needs. + You will obtain input from the RN case manager to ensure the discharge plan is appropriate and aligns with the ... for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services...this role: + You will work collaboratively with RN case managers, acute care nurses, physicians, insurance companies, and… more