Top 166 Manager of case management Jobs in Stuart Fl

VBC Account Manager
MyCare Medical —Jupiter, FL
- Spanish
- Microsoft Outlook
- English
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Registered Nurse Case Manager - Homes Martin County
Treasure Coast Hospice —Stuart, FL
- $72,000 - $74,880 a year
- Full-time
- CPR Certification
- Nursing
- RN License
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Pre-Litigation Personal Injury Legal Assistant
Weston & Pape —Stuart, FL
- $19 - $23 an hour
- Full-time
- Spanish
- Conflict management
- In-person
- Paid holidays
- Health insurance
Quick Apply
13d
Career Planner - WIOA
CareerSource Research Coast —Stuart, FL
- $48,000 a year
- Temporary
- Spanish
- Microsoft Excel
- Office
- Health insurance
- Dental insurance
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1d
Registered Nurse
Health at Home —Port Saint Lucie, FL
- Part-time
- CPR Certification
- Nursing
- RN License
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RN Assistant Clinical Manager - Cath Lab Full Time
Jupiter Medical Center —Jupiter, FL
- Full-time
- Acute care
- Nursing
- RN License
RN Case Manager Full Time
Jupiter Medical Center —Jupiter, FL
- Full-time
- Nursing
- RN License
- Hospital
7d
Case Manager - Youth & Family Wraparound – Treasure Coast
Henderson Behavioral Health —Port Saint Lucie, FL
- Full-time
- Background check
- Spanish
- Mid-level
- Profit sharing
- Wellness program
Quick Apply
9d
Senior Loan Servicing Specialist
Anchor Bank —Palm Beach Gardens, FL
- Full-time
- Spanish
- 5 years
- Computer literacy
- Health insurance
- Dental insurance
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2d
Regional Sales Manager: Southeast
Something & Nothing —Florida
- $0.75 per mile
- Weekends as needed
- Remote
- Spanish
- Mid-level
- Ability to lift 50 pounds
- Health insurance
- Cell phone reimbursement
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20h
Business Office Assistant - Assisted Living Community
Discovery Commons Hobe Sound —Hobe Sound, FL
- $24 - $25 an hour
- Weekends as needed
- Background check
- Customer service
- Computer literacy
- Paid training
- Paid holidays
Quick Apply
10d
Family and Community Partnership Manager ( HeadStart Experience Required) $57K
The Agricultural and Labor Program Inc —Fort Pierce, FL
- $57,000 a year
- Full-time
- Mid-level
- Data entry
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Family Services Specialist
Early Learning Coalition of IRMO —Stuart, FL
- $20 - $30 an hour
- Full-time
- Bilingual
- Background check
- Computer literacy
- Health insurance
- Dental insurance
Quick Apply
14d
Case Manager (Children's Community Action Team)
New Horizons of the Treasure Coast Inc. —Fort Pierce, FL
- Full-time
- Mid-level
- 3 years
- Driver's License
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YouthBuild Program Case Manager
Boys & Girls Clubs of Martin County —Stuart, FL
- $60,000 a year
- Weekends as needed
- Spanish
- English
- Mid-level
- Health savings account
- Health insurance
Quick Apply
Project Search Job Coach
EmployU, Inc —Port Saint Lucie, FL
- Full-time
- Classroom
- High school
- Hospital
- Health savings account
- Paid holidays
Quick Apply
Manager of Case Management
HCA Florida St. Lucie Hospital —Port Saint Lucie, FL
- Full-time
- Mid-level
- Leadership
- 2 years
- Employee stock purchase plan
- Disability insurance
Quick Apply
OPS SENIOR HUMAN SERVICES PROG ANALYST - 64956548
The State of Florida —Port Saint Lucie, FL
- $25 - $29 an hour
- Temporary
- Background check
- Spanish
- Microsoft Outlook
- Employee assistance program
1d
Employment Specialist
EmployU, Inc —Port Saint Lucie, FL
- $60,000 - $70,000 a year
- Weekends as needed
- Background check
- Spanish
- Experience working with individuals with disabilities
- Health savings account
- Paid holidays
Quick Apply
Business Office Director
The Lynmoore at Lawnwood —Fort Pierce, FL
- Full-time
- Background check
- Recruiting
- Fingerprint clearance
- Paid training
- Paid holidays
Quick Apply

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manager of case management jobs near stuart fl

VBC Account Manager

MyCare Medical -
Jupiter, FL

Quick Apply

Job Details

Qualifications

Customer communication
Microsoft Outlook
Medicare
Healthcare compliance
HEDIS

Full Job Description

VBC Account Manager, Broward, FL Region

POSITION SUMMARY:
MyCare Medical Group is a healthcare organization committed to delivering the highest quality, most cost-effective care to its patients. We are looking for an experienced Account Manager, Provider Relations, who will be responsible for assisting in the communication and dissemination of information to the current community of Affiliate MSO Medicare Advantage providers. This position will be assigned provider accounts in our Broward Market (including but not limited to Broward) to guide, manage, and communicate directly with the Physician Staff and Providers assisting with technical support on topics including but not limited to service, network, MRA & HEDIS compliance Utilization, Claims and Credentialing.

RESPONSIBILITIES:

Owns and manages contractual relationship and performance of assigned in-network Affiliate provider groups.
Serves as primary point of contact for assigned providers.
Evaluates provider performance via Affiliate Provider Dashboard and develops performance actionable plans.
Completes new provider orientation for all applicable product lines to educate on policies and initiatives, resolve issues, and educate staff/providers.
Drives adoption, discussions and utilization of Provider Payor Portals, including Power Bi, Accureports (Rx, Hospital and ER Discharge, Medical Expenses via PMPM views), VIM, Switchboard, Smartlink and others.
Establish consistent and strong relationships with provider groups utilizing an account management approach.
Establish and leads cross-functional communication with internal departments, including but not limited to MRA and HEDIS.
Collaborates with internal cross-functional team to support provider performance and resolve barriers and challenges on a monthly basis.
Drives improvement of provider performance by educating, analyzing, interpreting, communicating utilization and quality metrics. Responsible for developing and executing performance improvement plans.
Has understanding and explains full risk contract reimbursement to providers and management leads cross-functional communication and works with internal support team to resolve provider contractual inquiries.
Plans, prepares, and executes effective group monthly meetings/discussion with proper objectives and expected outcomes with cross-functional communication on internal and external customers.
Maintains provider data integrity including monitoring provider credentialing, location additions, demographic updates, and terminations.
Provides continual training to assigned providers on provider portal and other resources to assist with claims, authorizations, member support, etc.
Provides oversight of delegated functions, as applicable.
Performs special projects/campaigns as assigned.
Partners with Network Development to identify network gaps and suggest additional providers for recruitment to ensure network adequacy, working with internal support team.

QUALIFICATIONS:

Bachelor's degree in healthcare administration, business, or a related field, OR with equivalent demonstrated work experience.
Minimum of 1 year of experience required working in Provider Relations, Account Management, Customer Service, or relevant position with demonstrated ability to perform the required responsibilities and duties.
Experience working in healthcare with an IPA/MSO/HMO/PPO environment preferred.
Case Management experience is desirable and would be ideal for success in this role.
Must be well-versed in HEDIS & MRA compliance; preferably within a managed care environment.
Excellent computer skills, specifically with Microsoft Office (Office 365) applications (Outlook, Excel, Word).
Must have excellent verbal and written communication skills.
Ability to multitask and organize priority of work throughout the day, managing their time accordingly, and be flexible in a results-driven, fast-paced, growth oriented, emerging company.
Self-direct and work autonomously and independently while consistently showing self-initiative.
Detail-oriented with strong analytical and problem-solving skills.
Ability to represent the company with external constituents, including demonstrating exceptional interpersonal skills and building rapport.
Bilingual English/Spanish preferred.
Must live within Broward Region.
Travel required; Must have reliable form of transportation, with the ability to travel within the market region approximately 75% of the time.

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#INDNP

#LI-SW1

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Refine Your Search

manager of case management jobs in stuart fl

VBC Account Manager

Registered Nurse Case Manager - Homes Martin County

Pre-Litigation Personal Injury Legal Assistant

Career Planner - WIOA

Registered Nurse

RN Assistant Clinical Manager - Cath Lab Full Time

RN Case Manager Full Time

Case Manager - Youth & Family Wraparound – Treasure Coast

Senior Loan Servicing Specialist

Regional Sales Manager: Southeast

Business Office Assistant - Assisted Living Community

Family and Community Partnership Manager ( HeadStart Experience Required) $57K

Family Services Specialist

Case Manager (Children's Community Action Team)

YouthBuild Program Case Manager

Project Search Job Coach

Manager of Case Management

OPS SENIOR HUMAN SERVICES PROG ANALYST - 64956548

Employment Specialist

Business Office Director

I want to receive the latest job alert for manager of case management in stuart fl

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