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 ...
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 ...
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 ...
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 ...
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 ...
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 ...
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 ...
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 ...
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 ...
Lake Mary, FL · On-site +1
Are you ready to take on a pivotal leadership role within the Complex Claims Unit (CCU)? CCU is a highly specialized home office claim organization responsible for managing the Company's most complex ...
Lake Mary, FL · On-site +1
Are you ready to take on a pivotal leadership role within the Complex Claims Unit (CCU)? CCU is a highly specialized home office claim organization responsible for managing the Company's most complex ...
Manages an inventory of highly complex commercial claims with large exposures that require a high degree of technical expertise and coordination, by following company protocols to verify policy ...
Manages an inventory of highly complex commercial claims with large exposures that require a high degree of technical expertise and coordination, by following company protocols to verify policy ...
... management oversight of the engineering, manufacturing, delivery and installation of upgraded components for Generator Major Projects and other complex projects. Generator upgraded equipment includes ...
... management oversight of the engineering, manufacturing, delivery and installation of upgraded components for Generator Major Projects and other complex projects. Generator upgraded equipment includes ...
A Snapshot of Your Day As a Senior Project Manager for Complex Gas Turbine Modernization & Upgrades projects, your day is focused on driving the successful execution of high-value, technically ...
A Snapshot of Your Day As a Senior Project Manager for Complex Gas Turbine Modernization & Upgrades projects, your day is focused on driving the successful execution of high-value, technically ...
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 ...
We are aggressively seeking an RN Complex Care Manager for a Healthcare organization in your area! As the Year 2016 is in full swing, this organization is very busy, and they need YOUR help. Take ...
We are aggressively seeking an RN Complex Care Manager for a Healthcare organization in your area! As the Year 2016 is in full swing, this organization is very busy, and they need YOUR help. Take ...
Orlando, FL · On-site
$65K - $100K/yr
... managing and supporting customer service initiatives for example store of the community and ... Complex Structure (based on external factors that create challenges) ㅤ State Pay Differential ...
Orlando, FL · On-site
$65K - $100K/yr
... managing and supporting customer service initiatives for example store of the community and ... Complex Structure (based on external factors that create challenges) ㅤ State Pay Differential ...
... managing and supporting customer service initiatives for example store of the community and ... location) - Complex Structure (based on external factors that create challenges) State Pay ...
... managing and supporting customer service initiatives for example store of the community and ... location) - Complex Structure (based on external factors that create challenges) State Pay ...
A team of paralegals and case managers who will become measurably better at their jobs because of your mentorship * The client experience -- keeping people informed, managing expectations, and ...
A team of paralegals and case managers who will become measurably better at their jobs because of your mentorship * The client experience -- keeping people informed, managing expectations, and ...
Winter Park, FL · On-site
$77 - $110/hr
The Case Manager is responsible for enhancing the quality of patient management and satisfaction ... Refers cases where patients and/or family would benefit from counseling to complete complex ...
Winter Park, FL · On-site
$77 - $110/hr
The Case Manager is responsible for enhancing the quality of patient management and satisfaction ... Refers cases where patients and/or family would benefit from counseling to complete complex ...
The Case Manager is responsible for enhancing the quality of patient management and satisfaction ... Refers cases where patients and/or family would benefit from counseling to complete complex ...
The Case Manager is responsible for enhancing the quality of patient management and satisfaction ... Refers cases where patients and/or family would benefit from counseling to complete complex ...
Winter Park, FL · On-site
$52.70/hr
The Case Manager is responsible for enhancing the quality of patient management and satisfaction ... Refers cases where patients and/or family would benefit from counseling to complete complex ...
Winter Park, FL · On-site
$52.70/hr
The Case Manager is responsible for enhancing the quality of patient management and satisfaction ... Refers cases where patients and/or family would benefit from counseling to complete complex ...
Manages an inventory of highly complex commercial claims, with large exposures that require a high degree of specialized technical expertise and coordination, by following company protocols to verify ...
Manages an inventory of highly complex commercial claims, with large exposures that require a high degree of specialized technical expertise and coordination, by following company protocols to verify ...
Orlando, FL · Hybrid
Manage a program with very large or complex inter-related projects or multiple moderate size projects,representing multisector Capital Improvement Plans ranging from hundreds of millions to more than ...
Orlando, FL · Hybrid
Manage a program with very large or complex inter-related projects or multiple moderate size projects,representing multisector Capital Improvement Plans ranging from hundreds of millions to more than ...
The ideal candidate will have interests in complex patient management and will be able to start soon. The office has a full lab, dexa, echo, and allergy. There is no inpatient. This well established ...
The ideal candidate will have interests in complex patient management and will be able to start soon. The office has a full lab, dexa, echo, and allergy. There is no inpatient. This well established ...
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 ...
New
Quick apply
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 ...
New
$32.7K is the 25th percentile. Wages below this are outliers.
$24.3K - $38.6K
43% of jobs
$38.6K - $52.9K
0% of jobs
$52.9K - $67.2K
0% of jobs
The median wage is $75.6K / yr.
$67.2K - $81.5K
13% of jobs
$81.5K - $95.9K
11% of jobs
$103.5K is the 75th percentile. Wages above this are outliers.
$95.9K - $110.2K
16% of jobs
$110.2K - $124.5K
2% of jobs
$124.5K - $138.8K
0% of jobs
$138.8K - $153.1K
0% of jobs
$153.1K - $167.4K
0% of jobs
$167.4K - $181.7K
16% of jobs
$24.3K
$83.4K
$181.7K
| Aspect | Complex Manager | Project Manager |
|---|---|---|
| Credentials | Often requires industry-specific certifications and experience in managing complex operations | Typically holds PMP or similar project management certifications |
| Work Environment | Oversees multiple departments or units within a large organization, handling complex processes | Focuses on specific projects with defined scope, timeline, and budget |
| Industry Usage | Common in industries like manufacturing, logistics, and large-scale services | Widely used across various industries including IT, construction, and marketing |
The Complex Manager role involves overseeing multiple interconnected operations within an organization, requiring broader strategic skills. In contrast, the Project Manager focuses on managing individual projects with specific objectives. Both roles require strong leadership and organizational skills, but the scope and focus differ significantly.
The most popular types of Complex jobs in Orlando, FL are:
Cities near Orlando, FL with the most Complex Manager job openings:

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
Sourced by ZipRecruiter
51 - 200 Employees
Orlando, FL, US
1987