Medical Director - Case Management and Utilization Review
Shea
Medical Director - Case Management and Utilization Review at Memorial Healthcare System - Jobs in Hollywood, Florida | SHEAEmployer Log In Post a JobJob SeekersEmployersSign UpMemorial Healthcare SystemJob description Employer profileabout jobs## About Memorial Healthcare SystemBe at the heart of exceptional care with **Memorial Healthcare System.** Our Facilities include: Memorial Regional Hospital, Memorial Hospital West, Joe DiMaggio Children’s Hospital, Memorial Hospital Miramar, Memorial Hospital Pembroke, Memorial Regional Hospital South, Memorial Cancer Institute and more.You have the chance to make a difference on any shift at any of our esteemed facilities. As a Memorial employee, you will play a vital role in upholding our high standards of care and contributing to our organization’s mission to heal the body, mind and spirit of those we touch. Join us in providing exceptional services at our state-of-the-art facilities, where you can support a Level I Trauma Center, a Cutting-edge Cancer Institute, a Magnet Recognized Children’s Hospital, or one of our many clinics/centers. Make a real impact on the lives of those we serve – Be where you belong. Apply Now to be a part of our dedicated team. #J-18808-Ljbffr
Vacancy posted 2 days ago
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- Overview The Medical Director of Case Management and Utilization Review leads the hospital-specific execution of Case Management (CM) and Utilization Management (UR) and related activities. The Medical Director functions as the primary physician advisor for the hospital...Suggested
- # Medical Director - Case Management and Utilization ReviewHollywood, FloridaHospitalComplexity of Work: Essential Competencies and Skills: Excellent customer service and interpersonal skills. Able to effectively present information, both formal and informal. Strong written...SuggestedWork experience placement
American Geriatrics Society
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Behavioral Health Case Mgr - CT08IE We’re determined to... ...of Behavioral Health Case Managers who are responsible for the review and evaluation of Short-... ...clinical information. They will utilize established clinical... ..., Consultants, Medical Nurse Reviewers, etc.) for...SuggestedTemporary workWork experience placementWork at officeRemote work3 days per week- ...A health organization located in the Town of Florida, NY, seeks a Medical Director for Case Management and Utilization Review. The ideal candidate will lead hospital initiatives, improve resource management, and enhance patient care quality. Required qualifications include...Suggested
National Medical Association
Florida, NY2 days ago $20.19 per hour
...a career that changes lives - including yours! As a Targeted Case Manager assesses client and family needs and coordinates provision of... ...health record system Participate in family service planning, case reviews, and community outreach efforts Who Thrives Here? You're...SuggestedFull timeRelocation package$102.9k - $190.5k
...Position Purpose: Manages the behavioral health (BH) utilization review clinicians to ensure appropriate care to members. Oversees and works with senior leadership... ...principles preferred. Advanced understanding of medical necessity criteria for a broad range of BH services...Full timePart timeWork at officeRemote workFlexible hoursCentene Corporation
Florida, NY3 days ago- ...Description JOB PURPOSE: The Disaster Case Manager is responsible for supporting individuals... ...and progress towards recovery goals. * Utilize online software to document and track case... ...with the Case Management Supervisor to review caseload and receive guidance. * Provide...Night shiftWeekend work
Endeavors
Florida, NY26 minutes ago - ...The Case Manager is a qualified registered nurse empowered to provide... ...health strategies and procedures utilizing community resources. Observe... ...condition. Perform medication reconciliation. Participate... ...clinical record/utilization review of medical records and quality...Immediate startNight shiftWeekend work
CR & RA Investments, LLC
Florida, NY2 days ago $25k
...community As a Clinical Manager at CenterWell Home... ...to the Branch Director, you will lead and... ...onsite in-office. Review referrals,... ...standards; monitor case management quality... ...documentation review, utilization review findings, and... ..., Humana provides medical, dental and vision...Full timeTemporary workApprenticeshipWork at officeCenterWell Home Health
Florida, NY1 day ago- ...supervision of a physician Provides case management to an assigned group of... ...strategies and procedures utilizing community resources as... ...condition, responsible for medication reconciliation Participates... ...clinical record/utilization review of medical records and quality...Immediate startNight shiftWeekend work
CR & RA Investments, LLC
Florida, NY12 hours ago - ## RN Case Manager - Full timeApplylocations: Main Campustime type: Full timeposted on: Posted... ...and Patient Satisfaction, Jupiter Medical Center is the leading destination for... ...the patient. Coordinates and completes utilization review activities to ensure compliance with...Full timeFlexible hours
Jupiter Med
Florida, NY4 days ago $34 - $36 per hour
...detail‑oriented, and tech‑savvy Case Management Coordinator to support... ...case management , focusing on medically complex and supportive populations... ...wellness, appropriate care utilization, and positive long‑term... ...care management tools and data review Develop, implement, and...Contract workLocal areaMonday to Friday- ...for a talented Family Case Manager who wants to make an impact... ...to the lead agency Utilization Management Department... ...placement, emergency medical treatment, and emergency... ...with Program Directors, with other Case Managers... ...further information, please review the Know Your Rights...Work at officeFlexible hours
- Spanish Speaker Case Manager - ABA Center (Hollywood, Florida) Full-Time | Comprehensive Benefits Lead with Purpose. Empower... ...to guarantee continuous, high-quality client care. Use utilization data to review client programs and ensure consistent, reliable service....Full timeWork at office
- ...Martin North Hospital have made it an excellent medical facility and a home away from home. RN Case Managers work collaboratively with inter-professional... ...ACM or CCM) Two years of recent experience in utilization review, quality or care management Knowledge of CMS regulations...Hourly payWork at office
- ...Qualifications As a Registered Nurse Case Manager, you will support patients... ...with the Rehab Program Director, Facility Case Management... ...in case management or utilization review preferred. Experience with... ...preferred. Benefits Comprehensive medical, prescription drug, dental,...Temporary workFlexible hours
HCA Florida Northwest Hospital
Florida, NY2 days ago - ...Summary And Qualifications As a Case Manager, your role will be to... ...closely with the Rehab Program Director, Facility Case Management... ...in case management or utilization review preferred InterQual experience... ...Comprehensive benefits for medical, prescription drug, dental,...Temporary workFlexible hours
HCA Florida Lawnwood Hospital
Florida, NY1 day ago - ...alternative application process. Nurse Case Manager Full Time Center Support Pinellas Park,... ...care at the right time. Assess service utilization, identify gaps in care, and support initiatives... ...care. Participate in huddles, case reviews, committees, and workflow improvement...Full timeLocal areaMonday to Friday
Evara Health
Florida, NY4 days ago $100k
...Greenbrook Medical is building the new standard... ...our Complex Care Manager, you'll own the... ...than traditional case management. You'll... ...reduce unnecessary SNF utilization, coordinate timely... ..., Market Medical Director and work alongside... ...during Panel Review and Burden of Disease...Work at officeLocal areaTGH Senior Center Powered by Greenbrook Medical
Florida, NY12 hours ago- ...more below. Summary The RN Case Manager coordinates the care and service... ...care coordination and utilization of healthcare resources to achieve... ...and appropriateness of medical care, including admission, length... ....Performs ongoing chart review to identify actual or potential...Work experience placementShift work
Memorial Health Care System
Florida, NY12 hours ago - Select Specialty Hospital Case Manager (PRN) Requires a current licensure... ...be Champions of the Select Medical Way, which includes putting... ...Manager is responsible for utilization reviews and resource management,... ...report directly to the Director of Case Management and provide...ReliefShift workWeekday work
- Care Manager Isle Health and Rehab Center is looking for Care Manager to join their Team. About us: Isle Health and Rehab Located in Flemming... ...strong referral relationships with hospitals, physicians, case managers, assisted living facilities, and community partners to...Local area
$74.8k - $112.2k
A leading insurance company is seeking a Behavioral Health Case Manager in the Town of Florida, NY. This role involves monitoring quality care, evaluating functionality of claimants, and managing complex behavioral health claims. Candidates should have 3-5 years of clinical...Remote jobWork at office- ...from home) We’re looking for a dedicated Long-term Service Care Manager to join our team. In this role, you’ll manage a caseload of... ...Home Health, or Discharge Planning) Familiarity with electronic medical health records and Microsoft Office Valid driver’s license (Travel...Contract workWork at officeLocal areaRemote workWork from homeShift work
$75k
...agency, is seeking a customer service-driven and detail-oriented RN Clinical Manager to join our Maitland team! This position is full-time, in-office (8:30 AM - 5:00 PM) and includes limited field case management as needed. The RN Clinical Manager is responsible for...Full timeWork at office- ...for a talented Child Welfare Case Manager who wants to make an impact... ...requests to the lead agency Utilization Management Department, and provide... ...placement, emergency medical treatment, and emergency services... ...cooperatively with Program Directors, with other Case Managers,...Work at officeImmediate startFlexible hoursNight shiftWeekend work
Austin Community College
Florida, NY12 hours ago $19 - $25 per hour
...WE ARE LOOKING FOR A CERTIFIED TARGETED CASE MANAGER IN DADE AND BROWARD COUNTY JOB SUMMARY: Responsible for providing Mental Health Targeted... ...health targeted case management services as recommended. Utilizes experience and knowledge to assess needs of the clients and their...Full timeLocal areaAdvance Health and Community Services Corp
Florida, NY12 hours ago- ...hope? 4KIDS is seeking a compassionate Case Manager who will provide guidance, accountability... ...His Caring Place program Facilitate case reviews and resident staffings with program... ...years in a row Excellent benefit package (medical/dental/life/disability insurance and retirement...Afternoon shift
4KIDS
Florida, NY12 hours ago $22 - $23.1 per hour
...located in Woodland Park, CO is seeking a Case Manager who will be responsible for determining... ...What You'll Do (1) Gather, assemble and review information supplied by applicants and... ...food stamps, financial assistance, and/or medical assistance. Verify certain information...Full timeWork at officeLocal areaTeller County Government
Florida, NY12 hours ago$18.54 per hour
...NAFI) is accepting resumes for a full-time Case Manager for the delivery of Parenting with Love... ...for full time employees include: Medical Insurance, Dental Insurance, Vision Insurance... ...employment laws.For further information, please review the Know Your Rights notice from the...Hourly payFull timeFlexible hoursAfternoon shiftNFI North
Florida, NY2 days ago
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