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 ...
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 ...
Complex Case Manager
Orlando, FL · 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 ...
Complex Case Manager
Orlando, FL · 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 ...
Complex Case Manager
Orlando, FL · 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 ...
Complex Case Manager
Orlando, FL · 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 ...
Complex Case Manager
Orlando, FL · 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 ...
Complex Case Manager
Orlando, FL · 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 ...
RN Case Manager Lead
Naples, FL · On-site
* DEPARTMENT: 17170 - Case Management * LOCATION: 350 7th Street North, Naples, FL, 34102 * WORK TYPE ... complex case review. • Promotes and fosters a collaborative, supportive and efficient team ...
RN Case Manager Lead
Naples, FL · On-site
* DEPARTMENT: 17170 - Case Management * LOCATION: 350 7th Street North, Naples, FL, 34102 * WORK TYPE ... complex case review. • 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:
Inpatient Case Manager (RN)
Orlando, FL · 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:
Inpatient Case Manager (RN)
Orlando, FL · 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:
Case Manager RN
Coral Gables, FL · 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 ...
Case Manager RN
Coral Gables, FL · 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 ...
Case Manager RN
Miami, FL · 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
Case Manager RN
Miami, FL · 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 ...
Social Work Case Manager 2, Palliative Care - WKBH, $10000 Bonus, FT, 8A-4:30P
Miami, FL · 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 ...
Social Work Case Manager 2, Palliative Care - WKBH, $10000 Bonus, FT, 8A-4:30P
Miami, FL · 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 ...
Case Manager
Orlando, FL · 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
Case Manager
Orlando, FL · 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 ...
Case Manager
Orlando, FL · 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
Case Manager
Orlando, FL · 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 ...
Case Manager
$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 Manager
$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 ...
Case Manager
Hastings, FL · 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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Case Manager
Hastings, FL · 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 ...
Case Manager
$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 ...
Case Manager
$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 ...
Case Manager
$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 ...
Case Manager
$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 ...
Case Manager
$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 ...
Case Manager
$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 ...
Case Manager
Hastings, FL · 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 ...
Case Manager
Hastings, FL · 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 ...
Complex Case Manager information
See Florida salary details
$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
How much do complex case manager jobs pay per hour?
What is a Complex Case Manager?
What are some common challenges faced by Complex Case Managers and how can they be addressed?
What are the key skills and qualifications needed to thrive as a Complex Case Manager, and why are they important?

Job description
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:
• Utilization knowledge on Part A, Part B and part D Medicare.
• Medicare Advantage experience required
• Knowledges of HEDIS
• Case Management experience
• Knowledge of the evidence based guidelines for the main chronic conditions-HTN, CAD, Heart Failure, Diabetes, CKD and COPD.
• Ability to understand CMS guidelines.
• Understanding of the basic principles for OSHA, CLIA, HIPAA and AHCA.
Duties and responsibilities:
 • Works in collaboration and continuous partnership with chronically ill or "high-risk" patients and their family/caregiver(s) in a team approach to:
• Reduce emergency room utilization and hospital readmissions
• Promote timely access to appropriate care
• Increase utilization of preventative care
• Increase comprehension through culturally and linguistically appropriate education
• Create and promote adherence to a care plan, developed in coordination with the patient, primary care provider, and family/caregiver(s)
• Increase patients’ ability for self-management and shared decision-making• 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:
 • Knowledge of Electronic Medical Records.
• Ability to read, comprehend, and interpret medical coding and medical documents.
• Ability to be collaborative and effectively communicate with patient.
• Ability to have strong sense of urgency and use judgment to respond to emergencies.
• Ability to solve practical problems and deal with a variety of situations.
• Ability to write simple correspondence
• Ability to effectively present information in one-one and small group situations to clients and other employees of the organization.
• Prefer bi-lingual in English and Spanish.
Education and Experience:
 • Current State of Florida Registered Nurse
• Case Management experience required
• 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
About Family Physicians Group
Sourced by ZipRecruiter
Company size
51 - 200 Employees
Headquarters location
Orlando, FL, US
Year founded
1987