Complex Case Manager
Orlando, FL ยท On-site
The Complex Case Manager manages a cohort of Medicare Advantage patients to help ensure they receive the "right care at the right time" to improve clinical outcomes and lower costs. Utilizing an ...
Orlando, FL ยท On-site
The Complex Case Manager manages a cohort of Medicare Advantage patients to help ensure they receive the "right care at the right time" to improve clinical outcomes and lower costs. Utilizing an ...
Orlando, FL ยท On-site
The Complex Case Manager manages a cohort of Medicare Advantage patients to help ensure they receive the "right care at the right time" to improve clinical outcomes and lower costs. Utilizing an ...
Orlando, FL ยท On-site
The Complex Case Manager manages a cohort of Medicare Advantage patients to help ensure they receive the "right care at the right time in the right place" to improve clinical outcomes. Employing a ...
Orlando, FL ยท On-site
The Complex Case Manager manages a cohort of Medicare Advantage patients to help ensure they receive the "right care at the right time in the right place" to improve clinical outcomes. Employing a ...
Orlando, FL ยท On-site
The Complex Case Manager manages a cohort of Medicare Advantage patients to help ensure they receive the "right care at the right time in the right place" to improve clinical outcomes. Employing a ...
Orlando, FL ยท On-site
The Complex Case Manager manages a cohort of Medicare Advantage patients to help ensure they receive the "right care at the right time in the right place" to improve clinical outcomes. Employing a ...
Orlando, FL ยท On-site
The Complex Case Manager manages a cohort of Medicare Advantage patients to help ensure they receive the "right care at the right time" to improve clinical outcomes and lower costs. Utilizing an ...
Orlando, FL ยท On-site
The Complex Case Manager manages a cohort of Medicare Advantage patients to help ensure they receive the "right care at the right time" to improve clinical outcomes and lower costs. Utilizing an ...
Naples, FL ยท On-site
* DEPARTMENT: 17170 - Case Management * LOCATION: 350 7th Street North, Naples, FL, 34102 * WORK TYPE ... complex case review. โข Promotes and fosters a collaborative, supportive and efficient team ...
Naples, FL ยท On-site
* DEPARTMENT: 17170 - Case Management * LOCATION: 350 7th Street North, Naples, FL, 34102 * WORK TYPE ... complex case review. โข Promotes and fosters a collaborative, supportive and efficient team ...
Coordinate with Complex Case Manager to ensure patient attends PCP follow up visit * Assist with any additional care services or DME needs Perform case management engagement duties, such as:
Coordinate with Complex Case Manager to ensure patient attends PCP follow up visit * Assist with any additional care services or DME needs Perform case management engagement duties, such as:
Orlando, FL ยท On-site
Coordinate with Complex Case Manager to ensure patient attends PCP follow up visit * Assist with any additional care services or DME needs Perform case management engagement duties, such as:
Orlando, FL ยท On-site
Coordinate with Complex Case Manager to ensure patient attends PCP follow up visit * Assist with any additional care services or DME needs Perform case management engagement duties, such as:
Coral Gables, FL ยท On-site
Identify members considered to be high-risk for complicated, long-term, and/or continuous care in order to assure appropriate coordination of care and complex case management intervention with the ...
Coral Gables, FL ยท On-site
Identify members considered to be high-risk for complicated, long-term, and/or continuous care in order to assure appropriate coordination of care and complex case management intervention with the ...
Miami, FL ยท On-site
Identify members considered to be high-risk for complicated, long-term, and/or continuous care in order to assure appropriate coordination of care and complex case management intervention with the ...
Quick apply
Miami, FL ยท On-site
Identify members considered to be high-risk for complicated, long-term, and/or continuous care in order to assure appropriate coordination of care and complex case management intervention with the ...
Miami, FL ยท On-site
$65K - $85K/yr
Current working knowledge of discharge planning, crisis intervention, complex case management and performance improvement preferred. * Strong working knowledge of community services available for ...
Miami, FL ยท On-site
$65K - $85K/yr
Current working knowledge of discharge planning, crisis intervention, complex case management and performance improvement preferred. * Strong working knowledge of community services available for ...
Intensive Community Manager, Complex Care (RN) We're unique. You should be, too. We're changing ... The Nurse Case Manager 1 (RN) is responsible for achieving positive patient outcomes and managing ...
Intensive Community Manager, Complex Care (RN) We're unique. You should be, too. We're changing ... The Nurse Case Manager 1 (RN) is responsible for achieving positive patient outcomes and managing ...
Orlando, FL ยท On-site
$22/hr
... complex needs. CHF Case Managers utilize strengths-based, harm reduction framework, using trauma-informed practices and value working within a multi-disciplinary team to create a safe inclusive ...
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Orlando, FL ยท On-site
$22/hr
... complex needs. CHF Case Managers utilize strengths-based, harm reduction framework, using trauma-informed practices and value working within a multi-disciplinary team to create a safe inclusive ...
Orlando, FL ยท On-site
$22/hr
... complex needs. CHF Case Managers utilize strengths-based, harm reduction framework, using trauma-informed practices and value working within a multi-disciplinary team to create a safe inclusive ...
Quick apply
Orlando, FL ยท On-site
$22/hr
... complex needs. CHF Case Managers utilize strengths-based, harm reduction framework, using trauma-informed practices and value working within a multi-disciplinary team to create a safe inclusive ...
Hurlburt Field, FL ยท On-site
$18.25 - $23.50/hr
The people supporting and securingsome of the most complex government, defense, andintelligence ... The Case Manager provides comprehensive coordination of healthcare and support services for ...
Hurlburt Field, FL ยท On-site
$18.25 - $23.50/hr
The people supporting and securingsome of the most complex government, defense, andintelligence ... The Case Manager provides comprehensive coordination of healthcare and support services for ...
Case load will reflect heavier weighting of complex cases than Care Manager I, commensurate with experience * Enter and maintain assessments, authorizations, and pertinent clinical information into ...
Case load will reflect heavier weighting of complex cases than Care Manager I, commensurate with experience * Enter and maintain assessments, authorizations, and pertinent clinical information into ...
Hastings, FL ยท On-site
Salary: $48,000 per year Case Manager Youth Behavioral Health Location: Hastings, FL Job Type ... complex care. Delivered within a traumainformed, 24/7 residential setting, youth receive ...
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Hastings, FL ยท On-site
Salary: $48,000 per year Case Manager Youth Behavioral Health Location: Hastings, FL Job Type ... complex care. Delivered within a traumainformed, 24/7 residential setting, youth receive ...
Hastings, FL ยท On-site
$48K/yr
Case Manager - Youth Behavioral Health Location: Hastings, FL Job Type: Full-Time | Monday-Friday ... complex care. Delivered within a traumainformed, 24/7 residential setting, youth receive ...
Hastings, FL ยท On-site
$48K/yr
Case Manager - Youth Behavioral Health Location: Hastings, FL Job Type: Full-Time | Monday-Friday ... complex care. Delivered within a traumainformed, 24/7 residential setting, youth receive ...
$18.75 - $24/hr
General knowledge of care(case)management practices, including familiarity with Medicare Advantage ... Ability to use logical reasoning for simple and complex problem solving. * Occasionally requires ...
$18.75 - $24/hr
General knowledge of care(case)management practices, including familiarity with Medicare Advantage ... Ability to use logical reasoning for simple and complex problem solving. * Occasionally requires ...
Jacksonville, FL ยท On-site
$18.50 - $23.75/hr
General knowledge of care(case)management practices, including familiarity with Medicare Advantage ... Ability to use logical reasoning for simple and complex problem solving. * Occasionally requires ...
Jacksonville, FL ยท On-site
$18.50 - $23.75/hr
General knowledge of care(case)management practices, including familiarity with Medicare Advantage ... Ability to use logical reasoning for simple and complex problem solving. * Occasionally requires ...
Hastings, FL ยท On-site
$48K/yr
Case Manager - Youth Behavioral Health Location: Hastings, FL Job Type: Full-Time | Monday-Friday ... complex care. Delivered within a trauma-informed, 24/7 residential setting, youth receive ...
Hastings, FL ยท On-site
$48K/yr
Case Manager - Youth Behavioral Health Location: Hastings, FL Job Type: Full-Time | Monday-Friday ... complex care. Delivered within a trauma-informed, 24/7 residential setting, youth receive ...
$10.78 - $12.69
6% of jobs
$14.47 is the 25th percentile. Wages below this are outliers.
$12.69 - $14.60
20% of jobs
The median wage is $16.39 / hr.
$14.60 - $16.51
25% of jobs
$16.51 - $18.42
21% of jobs
$18.90 is the 75th percentile. Wages above this are outliers.
$18.42 - $20.33
9% of jobs
$20.33 - $22.24
5% of jobs
$22.24 - $24.15
4% of jobs
$24.15 - $26.06
3% of jobs
$26.06 - $27.97
2% of jobs
$27.97 - $29.89
2% of jobs
$29.89 - $31.80
1% of jobs
$10
$18
$31

The Complex Case Manager manages a cohort of Medicare Advantage patients to help ensure they receive the "right care at the right time" to improve clinical outcomes and lower costs. Utilizing an evidence-based approach the Complex Case Manager will optimize care to determine what is medically necessary, while eliminating excessive treatment and expense. The Complex Case Manager will act as mentor and coach to assigned Complex Care Coordinators within the department.
Requirements:
โข Utilization knowledge on Part A, Part B and part D Medicare.
โข Medicare Advantage experience required
โข Knowledges of HEDIS
โข Case Management experience
โข Knowledge of the evidence based guidelines for the main chronic conditions-HTN, CAD, Heart Failure, Diabetes, CKD and COPD.
โข Ability to understand CMS guidelines.
โข Understanding of the basic principles for OSHA, CLIA, HIPAA and AHCA.
Duties and responsibilities:
ย โข Works in collaboration and continuous partnership with chronically ill or "high-risk" patients and their family/caregiver(s) in a team approach to:
โข Reduce emergency room utilization and hospital readmissions
โข Promote timely access to appropriate care
โข Increase utilization of preventative care
โข Increase comprehension through culturally and linguistically appropriate education
โข Create and promote adherence to a care plan, developed in coordination with the patient, primary care provider, and family/caregiver(s)
โข Increase patientsโ ability for self-management and shared decision-makingโข Connect patients to relevant community resources, with the goal of enhancing patient health and well-being, increasing patient satisfaction, and reducing health care costs
Knowledge, Skills, and Abilities:
ย โข Knowledge of Electronic Medical Records.
โข Ability to read, comprehend, and interpret medical coding and medical documents.
โข Ability to be collaborative and effectively communicate with patient.
โข Ability to have strong sense of urgency and use judgment to respond to emergencies.
โข Ability to solve practical problems and deal with a variety of situations.
โข Ability to write simple correspondence
โข Ability to effectively present information in one-one and small group situations to clients and other employees of the organization.
โข Prefer bi-lingual in English and Spanish.
Education and Experience:
ย โข Current State of Florida Registered Nurse
โข Case Management experience required
โข CCM preferred
Physical Demands:
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to stand and/or sit for extended period of time. The employee is occasionally required to sit. Specific vision abilities required by this job include close vision, color vision, and ability to adjust focus.
Work Environment:
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
FLSA Status:
Non- Exempt
Sourced by ZipRecruiter
51 - 200 Employees
Orlando, FL, US
1987