Medical Case Manager
23 hours ago
We are seeking a highly motivated and detail-oriented Medical Case Manager to join our team at Medical Audit Professionals. As a Medical Case Manager, you will be responsible for handling medical benefits verification and medical pre-authorization services, inpatient care review, and itemized bill review.
Responsibilities:- Answer inbound calls and respond to customer inquiries.
- Monitor and respond to emails, with an average of 70 emails per day.
- Handle provider inquiries for benefit verification.
- Manage and resolve customer complaints.
- Provide customers with pre-authorization for medical services.
- Review medical records and assess for pre-existing conditions and relevant exclusions on the policy.
- Document all activities and call information according to standard operating procedures.
- Foreign Medical Graduate with no USMLE STEP 1, STEP 2, or CSA certification.
- Excellent verbal and written communication skills in English and Spanish, with proficiency in MS Access, Word, and Excel.
- Strong listening and problem-solving skills, with a customer service-oriented approach.
- Ability to work in a team environment and adapt to changing priorities.
Our office is located in the Miami Shores area, and the ideal candidate will be able to work in a fast-paced environment with a high level of accuracy and attention to detail.
Compensation:The successful candidate will be offered a competitive hourly rate of $16.00-$24.00 per hour, with opportunities for advancement and professional growth.
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Medical Case Manager
1 week ago
Miami, Florida, United States Medical Audit Professionals Full timeJob SummaryWe are seeking a highly motivated and detail-oriented Foreign Medical Graduate to join our team as a Medical Case Manager. As a Medical Case Manager, you will be responsible for handling medical benefits verification and medical pre-authorization services, inpatient care review, and itemized bill review.Key ResponsibilitiesAnswer inbound calls and...
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Medical Case Manager
3 weeks ago
Miami, Florida, United States Medical Audit Professionals Full timeJob DescriptionWe are seeking a highly skilled Medical Case Manager to join our team at Medical Audit Professionals. As a Medical Case Manager, you will be responsible for managing medical benefits verification and medical pre-authorization services, inpatient care review, and itemized bill review.Key Responsibilities:Answer inbound calls and respond to...
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RN Case Manager
7 days ago
Miami, Florida, United States The University of Miami Full time{"Job Title": "RN Case Manager", "Job Summary": "We are seeking a skilled RN Case Manager to join our team at the University of Miami/UHealth. As a RN Case Manager, you will be responsible for coordinating patient care and ensuring that patients receive the best possible treatment. You will work closely with physicians and other healthcare professionals to...
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RN Case Manager
1 week ago
Miami, Florida, United States HCA Florida Mercy Hospital Full timeAbout the RoleHCA Florida Mercy Hospital is seeking a skilled RN Case Manager to join our team. As a RN Case Manager, you will play a vital role in ensuring high-quality, patient-centered care by managing rehabilitative care to achieve optimum outcomes.Key ResponsibilitiesProvide program orientation to patients, families, and caregivers, including the case...
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RN Case Manager
2 days ago
Miami, Florida, United States HCA Florida Mercy Hospital Full timeJob SummaryHCA Florida Mercy Hospital is seeking a skilled RN Case Manager to join our team. As a RN Case Manager, you will play a vital role in ensuring high-quality, patient-centered care by managing rehabilitative care to achieve optimum outcomes.ResponsibilitiesProvide program orientation to patients, families, and caregivers, including the case...
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RN Case Manager
2 days ago
Miami, Florida, United States HCA Florida Mercy Hospital Full timeJob SummaryWe are seeking a skilled RN Case Manager to join our team at HCA Florida Mercy Hospital. As a RN Case Manager, you will play a vital role in ensuring high-quality, patient-centered care by managing rehabilitative care to achieve optimum outcomes.ResponsibilitiesProvide program orientation to patients, families, and caregivers, including the case...
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Nurse Case Manager
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Nurse Case Manager
7 days ago
Miami, Florida, United States University of Miami Full timeJob SummaryWe are seeking a skilled Registered Nurse Case Manager to join our team at the University of Miami. As a key member of our healthcare team, you will play a vital role in coordinating patient care and ensuring the best possible outcomes.Key ResponsibilitiesDevelop and implement comprehensive care plans for patients, taking into account their unique...
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Nurse Case Manager
3 days ago
Miami, Florida, United States HCA Florida Kendall Hospital Full timeUnlock Your Potential with HCA Florida Kendall HospitalWe are seeking a dedicated and compassionate RN Case Manager to join our team at HCA Florida Kendall Hospital. As a key member of our rehabilitation team, you will play a vital role in ensuring high-quality, patient-centered care for our patients.Key Responsibilities:Manage rehabilitation care to ensure...
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Registered Nurse
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Miami, Florida, United States HCA Florida Mercy Hospital Full timeJoin Our Team as a RN Case ManagerWe are seeking a highly skilled and compassionate RN Case Manager to join our team at HCA Florida Mercy Hospital. As a RN Case Manager, you will play a vital role in ensuring that our patients receive high-quality, patient-centered care.About the RoleThe RN Case Manager will be responsible for coordinating and directing care...
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Legal Assistant for Medical Malpractice Cases
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Registered Nurse Case Manager
2 days ago
Miami, Florida, United States HCA Florida Mercy Hospital Full timeUnlock Your Potential with HCA Florida Mercy HospitalWe are seeking a dedicated and compassionate Registered Nurse Case Manager to join our team at HCA Florida Mercy Hospital. As a key member of our rehabilitation team, you will play a vital role in ensuring high-quality, patient-centered care for our patients.Job SummaryThe Registered Nurse Case Manager...
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Travel Nurse RN Case Manager
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Miami, Florida, United States Titan Medical Group Full timeJob SummaryWe are seeking a skilled Travel Nurse RN to fill a Case Management position with our esteemed client in the Largo, FL area. As a Travel Nurse RN, you will be responsible for providing high-quality patient care and collaborating with healthcare teams to ensure optimal patient outcomes.Key Responsibilities:Provide direct patient care and develop...
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Registered Nurse Case Manager
2 days ago
Miami, Florida, United States HCA Florida Mercy Hospital Full timeUnlock Your Potential with HCA Florida Mercy HospitalWe are seeking a dedicated and compassionate Registered Nurse Case Manager to join our team at HCA Florida Mercy Hospital. As a key member of our rehabilitation team, you will play a vital role in ensuring high-quality, patient-centered care for our patients.Job SummaryThe Registered Nurse Case Manager...
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RN Case Manager
4 days ago
Miami, Florida, United States HCA Florida Kendall Hospital Full timeJob SummaryWe are seeking a skilled RN Case Manager to join our team at HCA Florida Kendall Hospital. As a RN Case Manager, you will play a critical role in ensuring high-quality, patient-centered care by managing rehabilitative care to achieve optimum outcomes.Key ResponsibilitiesProvide program orientation to patients, families, and caregivers, including...
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Case Management Specialist
6 days ago
Miami, Florida, United States BlackFish Federal LLC Full time### Job Summary We are seeking a highly organized and detail-oriented individual to join our team as a Docket Clerk at BlackFish Federal LLC. As a Docket Clerk, you will play a critical role in supporting the computerized case tracking/record keeping system for the United States Attorney's Office in the Southern District of Florida. ### Key...
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Bilingual Nurse Case Manager
4 days ago
Miami, Florida, United States Paradigm Full timeJob Title: Bilingual Nurse Case ManagerWe are seeking a highly skilled and compassionate Bilingual Nurse Case Manager to join our team at Paradigm. As a key member of our case management team, you will be responsible for providing exceptional care and support to individuals with complex injuries and diagnoses.About ParadigmParadigm is a leading specialty...
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Case Management Specialist
4 days ago
Miami, Florida, United States BlackFish Federal LLC Full timeJob SummaryWe are seeking a highly organized and detail-oriented individual to fill the role of Docket Clerk at BlackFish Federal LLC. As a key member of our team, you will be responsible for managing case data and performing various administrative tasks to support our operations.Key ResponsibilitiesReview and analyze case documents to determine accurate...
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PRN RN Case Manager
4 weeks ago
Miami, Florida, United States HCA Florida Aventura Hospital Full timeJob OverviewPosition Summary Are you an experienced RN looking for a flexible opportunity? HCA Florida Aventura Hospital, a leading healthcare provider, is seeking a dedicated RN Case Manager PRN to enhance our patient care team.Benefits OverviewAt HCA Florida Aventura Hospital, we offer a comprehensive benefits package designed to support the health, life,...
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RN Case Manager PRN
5 days ago
Miami, Florida, United States HCA Florida Mercy Hospital Full timeJob SummaryWe are seeking a skilled RN Case Manager PRN to join our team at HCA Florida Mercy Hospital. As a key member of our rehabilitation team, you will play a vital role in ensuring high-quality, patient-centered care for our patients.ResponsibilitiesProvide program orientation to patients, families, and caregivers, including the case manager's role,...