Medical Director - Case Management and Utilization Review
Memorial Healthcare System
Complexity of Work: Essential Competencies and Skills: Excellent customer service and interpersonal skills. Able to effectively present information, both formal and informal. Strong written and verbal communications skills with all levels of internal and external customers. Strong analytical skills. Strong organizational skills and the ability to set priorities and multi-task. Demonstrated flexibility, teamwork, and accommodation to change in the healthcare environment. Ability to drive results and produce outcomes.
Required Work Experience: Extensive experience in one or more branches of medicine or surgery; at least, five (5) post-training years of medical staff organization/administrative experience in a large acute care hospital. Other Information: Additional Education Info: Graduate of a medical school approved by the Council on Medical Education of the American Medical Association. Memorial Healthcare System is a community of caregivers dedicated to delivering quality patient- and family-centered care. This passion for caring extends to our teammates, who support one another and create heartfelt connections that last a lifetime. We are one family at the heart of exceptional care. Join us as we elevate the well-being of everyone we touch. #teamMHSflorida- ...The Medical Director of Case Management and Utilization Review leads the hospital specific execution of the Case Management (CM) and Utilization Management (UR) and related activities. The Medical Director functions as the primary physician advisor for the hospital and...SuggestedWork experience placement
$74.8k - $112.2k
Behavioral Health Case Mgr - CT08IE We’re determined to... ...Behavioral Health Case Managers who are responsible for the review and evaluation of Short-Term... ...information. They will utilize established clinical guidelines... ..., Consultants, Medical Nurse Reviewers, etc.) for...SuggestedFull timeTemporary workWork experience placementWork at officeRemote work3 days per week- ...MEDIC002230 Description Job Summary The Medical Case Manager is responsible for coordinating the... ...education to potentially insured clients and utilizes tools specifically designed to select... ...plans, progress notes and progress reviews in client records as specified in...SuggestedFull timeWork at office
- Job Description Now hiring: RN Case Manager - Fort Lauderdale, FL Region.... ...effective manner, delivering medical case management consistent... ...balance. Responsibilities Reviews case records and reports, collects... ...conferring with physicians. Utilizes clinical expertise and...SuggestedWork at officeLocal areaImmediate start
- ...Power of Every One. Job Title RN Case Manager Location Weston Facility Florida Weston Hospital Department Utilization And Quality Assur-Weston Hospital Shift... ...of recent experience in utilization review, quality or care management Knowledge...SuggestedWork at officeShift work
- ...Job Description Spanish Speaker Case Manager – ABA Center (Hollywood, Florida) Full... ...high-quality client care. ~ Use utilization data to review client programs and ensure consistent... ...Comprehensive benefits package o Medical, dental, and vision insurance o...Full timeWork at office
- ...RN Hospice Case Manager Empath Trustbridge Hospice is currently seeking... ...plan of care Utilizes monitoring, intervention and... ...nursing care, oncology nursing, medical/surgical nursing, geriatric nursing... ...further information, please review the Know Your Rights notice from...ReliefWeekend work
- ...RN Case Manager Location: Pembroke Pines, Florida The RN Case... ...effective care coordination and utilization of healthcare resources to... .... Performs ongoing chart review to identify actual or potential... ...and appropriateness of medical care, including admission, length...Work experience placementRelocation packageShift work
- ...respected healthcare organizations in the world. As an RN Case Manager, you will collaborate with interprofessional teams across the... ...(CTM, ACM, CCM or AHA) Two years of recent experience in utilization review, quality or care management Knowledge of acute care...Hourly payWork at office
- ...Summary: The role of the Entry Point Case Manager is to provide utilization management and safe discharge... ...admission rates.Works with attending/ED medical staff to assign appropriate... ...admission status utilizing criteria-based review and provision of resources and education...Work experience placementRelocation packageShift work
- ...Provides professional nursing care by utilizing all elements of nursing process. 3. Assesses... ...nursing procedures. Administers medications and treatments as prescribed by the physician... ...optional comfort care. 11. Acts as Case Manager when assigned by Clinical Supervisor...Immediate start
- ...you as a Registered Nurse Case Manager? At HCA Florida Westside Hospital... ...with the Rehab Program Director and Facility Case... ...Certification in case management or utilization review preferred. InterQual experience... ...Comprehensive benefits for medical, prescription drug, dental,...Temporary workFlexible hours
- ...RN Case ManagerLocation: Pembroke Pines, FloridaWe... ....Summary: The RN Case Manager coordinates the care... ...care coordination and utilization of healthcare resources... ...and interim performance reviews for all staff and... ...Chemicals = 60% Hazardous Medication = 40% Latex = 60%...Work experience placementInterim roleWork at officeShift work
- ...patients using the functions of Utilization Resource Management, Transition of Care, Discharge Planning, and Case Management in order to... ...Specific Duties Coordinates medical DCP needs specific to pediatric... ...and concurrent/retro reviews using available third-party...Work experience placementFlexible hours
- ...Power of Every One. Job Title RN Case Manager Location Weston Facility Florida Weston Hospital Department Utilization And Quality Assur-Weston Hospital Shift... ...of recent experience in utilization review, quality or care management Knowledge...Work at officeShift work
- ...driven individual with a knack for problem-solving and a heart for helping others? Join our team as a Per Diem Behavioral Health Case Manager! As a crucial member of our dynamic team, you'll be at the forefront of empowering individuals and families to overcome...Daily paidFlexible hours
- ...Work: Responsible for day-to-day oversight and coordination of case management and discharge planning functions ensuring patient care meets... ...processes. Strong background in clinical decision making, medical criteria, and discharge planning. Must be proficient with Interqual...Work experience placement
- ...achieve good health and long-term sobriety. CASE MANAGER (BSW) The Case Manager functions under the direct supervision of the Director of Social Services. He or she assumes... ..., and communication with external review organizations. Experience in working with...Local area
- ...programs for "at-risk" youth. We are currently seeking a FT Case Manager I at the Broward Outreach Centers in Hollywood, FL, JOB... ...Discounts ~ Holidays (12) ~ Paid Time Off ~ Health Insurance (Medical, Dental, Vision, Disability, GAP and Health Savings Account)...Permanent employmentLocal area
- ...24-hour accountability for managing the functions of Access, Care... ...the central resource to the Director - Case Management to develop strategies... ...and interim performance reviews for all staff and contributes... ...clinical decision making, medical criteria, and discharge planning...Work experience placementInterim roleWork at officeShift work
- ...Description The Permanent Supportive Housing Case Manager is responsible for providing guidance,... ..., home-based services, training, medical services, mentoring, and socialization).... ...needed. Maintain progress notes and progress reviews in client records as specified in agency...Permanent employmentFull timeWork at officeLocal areaWork from home
- ...ESSENTIAL JOB RESPONSIBILITIES Housing Case Manager Conduct comprehensive interviews... ..., ensuring families receive coordinated medical, social, and community-based support throughout... .... For further information, please review the Know Your Rights notice from the...Permanent employmentTemporary workWork experience placementWork at officeLocal areaFlexible hours
- ...Job Title Broward Health Medical Center Shift Shift 1... ...Facilitates coordinates and manages an assigned caseload to promote... ...clinical focused outcomes. Manages utilization management supporting medical... ...Basic Life Support Case Management Documentation System...Shift work
$70.43 - $112 per hour
...Under the supervision of attorneys, the Case Manager manages a range of substantive and complex... ...and correspondence for attorney review, compiles, analyzes, and summarizes information... ...package of benefits including medical/dental/vision insurance, and 401(k). Applicants...Hourly payWork at officeLocal areaRemote workRelocationVisa sponsorshipRelocation package- ...Summary The Health Center Manager leads daily operations of a... .... Lead end-of-day reviews and escalate critical issues... ...show rates Hospital and ED utilization reduction Clinical documentation... ..., be able to respond to medical emergencies (Preferred). Knowledge...Contract workWork at office
$60k
...personal injury law firm in Aventura looking for an experienced Case Manager who can hit the ground running. This is a full-time, in-... ...on case status, timelines, and next steps • Gather, review, and analyze medical records, bills, and treatment summaries • Coordinate with...Full timeWork at officeMonday to Friday- ...RN Hospice Case ManagerEmpath Trustbridge Hospice is currently seeking... ...and motivated RN Hospice Case Manager to join our team in Broward... ...care, oncology nursing, medical/surgical nursing, geriatric nursing... ...further information, please review the Know Your Rights notice from...ReliefWeekend work
- ...Bilingual Pre- Suit Personal Injury Paralegal/Case Manager with 5+ years of experience. The firm is... ...drawing up legal documents for attorney review Support attorneys with all aspects of... ...including billing, docketing deadlines, medical records, and providing reminders as...Live in
$45.5k - $47k
...housing and living support Regularly review and update case plans, tracking progress towards goals... ...staff with general classroom/program management including, but not limited to,... ...probationary period, the company provides full medical and dental insurance for the employee...Work at officeFlexible hoursNight shiftWeekend work- ...Licensed Practical Nurse (LPN) Case Manager The Licensed Practical... ...Registered Nurse (RN) and/or Director of Nursing. The LPN Case... ...scope of practice. Provide medication management, treatment administration... ...in audits, chart reviews, and corrective action plans...
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