RN Case Manager EX

20 hours ago


Hialeah, Florida, United States Steward Health Care Full time
Job Title: RN Case Manager EX

Location: Palmetto General Hospital

Job Type: Full Time

Department: 8329.40600 CASE MANAGEMENT

Job Summary:

As a RN Case Manager EX, you will be responsible for performing case management activities to ensure medical necessity of admissions and appropriateness of continued stay utilizing the Interqual Criteria guidelines. You will monitor the utilization of resources of all patients reviewed and maintain confidential communication with physicians and multi-disciplinary personnel to meet individual needs or the patients served.

Key Responsibilities:
  • Perform case management activities to ensure medical necessity of admissions and appropriateness of continued stay
  • Monitor the utilization of resources of all patients reviewed
  • Maintain confidential communication with physicians and multi-disciplinary personnel
  • Function as an independent contributor as well as a team member
Requirements:
  • Current Florida RN Licensure
  • Solid clinical background to accomplish extensive Medical Record review
  • Computer skills preferred

We are an equal opportunity employer and do not discriminate on the grounds of race, color, religion, sex, national origin, age, disability, veteran status, sexual orientation, gender identity, and or expression.


  • RN Case Manager

    14 hours ago


    Hialeah, Florida, United States Hialeah Hospital Full time

    Job Title: RN Case ManagerWe are seeking a skilled RN Case Manager to join our team at Hialeah Hospital. As a key member of our healthcare team, you will be responsible for performing case management activities to ensure medical necessity of admissions and appropriateness of continued stay.Key Responsibilities:Monitor patient utilization of resources and...

  • Case Manager

    5 days ago


    Hialeah, Florida, United States Advanced Support Coordination Servi Full time

    Job DescriptionWe are seeking a highly skilled Case Manager to join our team at Advanced Support Coordination Services. As a Case Manager, you will play a critical role in ensuring the health and well-being of our clients.Key Responsibilities:Manage Cost Plans and work closely with IConnect to ensure seamless service delivery.Create and implement Support...

  • Case Manager

    2 weeks ago


    Hialeah, Florida, United States Advanced Support Coordination Servi Full time

    Job DescriptionJob SummaryWe are seeking a highly skilled Case Manager to join our team at Advanced Support Coordination Services. As a Case Manager, you will play a critical role in ensuring the health and well-being of our clients by providing personalized support and services.Key Responsibilities:Develop and implement individualized support plans in...


  • Hialeah, Florida, United States UnitedHealthcare Full time

    Job SummaryWe are seeking a highly skilled Field Based Case Manager to join our team at UnitedHealthcare. As a Field Based Case Manager, you will be responsible for managing complex members with behavioral health needs, providing behavioral health support to the broader team, and coordinating care to promote appropriate utilization of services and improved...

  • Accounting Manager

    2 days ago


    Hialeah, Florida, United States Steward Health Care Full time

    Job Title: Controller, Full Time, DaysLocation: Hialeah HospitalJob Type: FT-EXDepartment: 8836.72010 GENERAL ACCOUNTINGJob Summary:We are seeking a highly skilled and experienced Controller to join our team at Hialeah Hospital. As a key member of our finance department, you will be responsible for the operations of the assigned department, demonstrating...


  • Hialeah, Florida, United States The Ward Law Group, PL Full time

    Job SummaryWe are seeking a highly skilled and experienced Personal Injury Pre-Litigation Manager to join our team at The Ward Law Group, PL. As a key member of our organization, you will play a critical role in ensuring the smooth operation of our pre-litigation process.Key ResponsibilitiesDevelop and Implement Pre-Litigation Standards: Create and maintain...

  • Product Manager

    1 week ago


    Hialeah, Florida, United States TUUCI Full time

    Job Title: Product ManagerAt Tuuci, we're seeking a skilled Product Manager to join our team. As a Product Manager, you'll be responsible for conducting market research and competitive analysis to inform our product strategies. This role will include providing detailed reports on market size, customer insights, and industry trends, helping to develop a clear...


  • Hialeah, Florida, United States The Ward Law Group, PL Full time

    Job Title: Personal Injury Pre-Litigation ManagerWe are seeking a highly skilled and experienced Personal Injury Pre-Litigation Manager to join our team at The Ward Law Group, PL. As a key member of our team, you will be responsible for managing the pre-litigation process for personal injury cases, ensuring that our clients receive the best possible service...


  • Hialeah, Florida, United States IASIS Healthcare Full time

    Job Title: RN Coordinator - Orthopedic, Operating Room, Full Time, Day ShiftJoin our team of dedicated healthcare professionals at Palmetto General Hospital as an RN Coordinator - Orthopedic, Operating Room, Full Time, Day Shift. In this role, you will have the opportunity to work in a fast-paced environment, utilizing your expertise and knowledge in...

  • Healthcare Manager

    3 weeks ago


    Hialeah, Florida, United States Adams and Associates, Inc. Full time

    Job SummaryWe are seeking a highly skilled and experienced Healthcare Manager to join our team at Adams and Associates, Inc. The successful candidate will be responsible for providing preventative and emergency health services and wellness education to students, ensuring confidentiality of sensitive information and compliance with all HIPAA laws.Key...


  • Hialeah, Florida, United States Moments Hospice Full time

    Make a Meaningful Difference as an LPN at Moments HospiceAt Moments Hospice, we're dedicated to providing exceptional care to our patients and their families. As an LPN, you'll play a vital role in our interdisciplinary team, working closely with our RN Case Manager and Hospice Clinical Director to deliver personalized care and support.Key...


  • Hialeah, Florida, United States Steward Health Care Full time

    Job SummaryWe are seeking a skilled RN Coordinator to join our team at Palmetto General Hospital. As a key member of our surgical team, you will be responsible for coordinating and assisting with orthopedic procedures.Key ResponsibilitiesAnticipate the needs of surgeons and patients during proceduresStay current with new techniques and mentor staffManage...


  • Hialeah, Florida, United States First Horizon Full time

    Job SummaryWe are seeking a highly skilled Risk Specialist II to join our team at First Horizon. As a key member of our risk management team, you will be responsible for conducting confidential research and investigations of money laundering and other financial crimes.Key ResponsibilitiesMonitor client relationships and conduct customer due diligence and...


  • Hialeah, Florida, United States Cordis Full time

    About CordisCordis is an independent, customer-focused global provider of interventional cardiovascular technologies. With a legacy of pioneering breakthrough technologies, including the first guiding catheters and coronary drug eluting stents, we've established a strong global footprint spanning 70 countries.Job OverviewWe're seeking a highly skilled Senior...


  • Hialeah, Florida, United States Mount Sinai Medical Center of Florida Full time

    Care Management Nurse Job DescriptionMount Sinai Medical Center of Florida is seeking a skilled Care Management Nurse to join our team. As a Care Management Nurse, you will play a vital role in ensuring the highest quality of care for our patients.Key Responsibilities:Provide 24/7 access to physicians or other qualified healthcare professionals for urgent...


  • Hialeah, Florida, United States Denovo Review Full time

    Job OverviewDenovo Review is seeking an experienced Insurance Defense Legal Assistant to join its Miami office. The ideal candidate will have 2+ years of experience in insurance defense and possess excellent communication skills, organizational abilities, and a strong work ethic.Key ResponsibilitiesOrganize and manage case files, calendars, and...


  • Hialeah, Florida, United States Mount Sinai Medical Center of Florida Full time

    Job Title: Care Management NurseMount Sinai Medical Center of Florida is seeking a skilled Care Management Nurse to join our team. As a key member of our healthcare team, you will play a vital role in ensuring the highest quality care for our patients.Job Summary:The Care Management Nurse will be responsible for coordinating patient care across the...

  • Care Manager

    3 weeks ago


    Hialeah, Florida, United States Centene Full time

    Care Manager Job DescriptionAt Centene, we're transforming the health of our communities, one person at a time. As a Care Manager, you'll play a vital role in ensuring our 28 million members receive the best possible care.Key Responsibilities:Coordinate care between members, caregivers, and healthcare providers to ensure person-centered care.Monitor member...

  • Healthcare Consultant

    3 weeks ago


    Hialeah, Florida, United States US Tech Solutions Full time

    Job SummaryWe are seeking a skilled Healthcare Consultant to join our team at US Tech Solutions. As a key member of our staff augmentation firm, you will provide comprehensive healthcare management services to facilitate appropriate healthcare treatment, effectively manage healthcare costs, and improve healthcare program/operational efficiency.Key...


  • Hialeah, Florida, United States The Ward Law Group, PL Full time

    Job Title: Personal Injury AttorneyWe are seeking a highly skilled and experienced Personal Injury Attorney to join our team at The Ward Law Group, PL. As a Personal Injury Attorney, you will play a pivotal role in managing the entire litigation process, overseeing tasks from initial filing through to verdict.Key Responsibilities:Handle CPL (Commercial...