Top 95 Director of case management Jobs in Miami, Fl

Manager - Case Management - FT - Days - MHP
Memorial Healthcare System —Pembroke Pines, FL
- Full-time
- Acute care
- Nursing
- RN License
Primary Care Physician
ChenMed —Hollywood, FL
- $221,141 - $315,915 a year
- Weekends as needed
- Medicine
- Microsoft Outlook
- BLS Certification
- Opportunities for advancement
Pathology Coordinator
Medipath, LLC —Coral Gables, FL
- $65,000 - $80,000 a year
- Full-time
- Office
- 3 years
- Administrative experience
- Health savings account
- Health insurance
Quick Apply
7d
Primary Care Physician
ChenMed —Miami Gardens, FL
- $221,141 - $315,915 a year
- Weekends as needed
- Medicine
- Microsoft Outlook
- BLS Certification
- Opportunities for advancement
Director of Clinical Services - RN Home Health
Confidential —Hallandale Beach, FL
- Full-time
- Nursing
- RN License
- Administrative experience
- Health insurance
- Dental insurance
Quick Apply
Primary Care Physician-2
ChenMed —Plantation, FL
- $221,141 - $315,915 a year
- Weekends as needed
- Medicine
- Microsoft Outlook
- BLS Certification
- Opportunities for advancement
Medical Director Veterinarian
Sunset Animal Clinic (Miami, FL) —Miami, FL
- Spanish
- English
- Clinic experience
- Continuing education credits
- Relocation assistance
2d
Primary Care Physician
ChenMed —Miami, FL
- $214,700 - $306,714 a year
- Full-time
- Medicine
- Microsoft Outlook
- BLS Certification
- Opportunities for advancement
Primary Care Physician
ChenMed —Miami, FL
- $221,141 - $315,915 a year
- Full-time
- Microsoft Outlook
- Primary Care
- English
- Opportunities for advancement
Practice Manager - Specialty & Emergency
Animal Medical Center of Miami —Miami, FL
- Weekends as needed
- Surgery
- 5 years
- Internal Medicine
- Continuing education credits
- Health insurance
Quick Apply
3d
Program Manager
Carrfour Supportive Housing —Miami Beach, FL
- From $50,000 a year
- Full-time
- Spanish
- Driver's License
- Bachelor's degree
- Health insurance
- Dental insurance
Quick Apply
2d
Manager Social Work & Care Management, Case Management, FT,9A-5:30P
Baptist Health South Florida —Miami, FL
- $91,132.84 - $118,472.69 a year
- Full-time
- Hospital
- 5 years
- Licensed Clinical Social Worker
- Wellness program
- Health insurance
QI Coordinator
Citrus Family Care Network —Miami, FL
- $60,000 - $65,000 a year
- Full-time
- Hybrid work
- Background check
- Spanish
- Customer service
- Health insurance
- Dental insurance
Quick Apply
Primary Care Physician - Miami Dade County Various Locations
ChenMed —Miami, FL
- $214,700 - $306,714 a year
- Full-time
- Medicine
- Microsoft Outlook
- BLS Certification
- Opportunities for advancement
Program Manager
Carrfour Supportive Housing —Miami Beach, FL
- From $50,000 a year
- Full-time
- Spanish
- Driver's License
- Bachelor's degree
- Health insurance
- Dental insurance
Quick Apply
4d
Registered Nurse Case Manager PRN
HCA Florida Aventura Hospital —Aventura, FL
- PRN
- Surgery
- Mid-level
- Radiology
- Employee stock purchase plan
- Disability insurance
Quick Apply
3d
Medical Director of Case Management and Utilization Review - FT Days - MHM
Memorial Healthcare System —Miramar, FL
- Full-time
- Acute care
- Medicine
- Surgery
Manager, Case Management
University of Miami —Miami, FL
- Full-time
- RN License
- Hospital
- Word processing
- Health insurance
- Dental insurance
Vice President, MISSION UNITED
United Way —Fort Lauderdale, FL
- $100,000 - $110,000 a year
- Full-time
- Microsoft Word
- Customer service
- 5 years
Community Partnership School Director
Childrens Home Society of Florida —Miami, FL
- Weekends as needed
- Background check
- Customer service
- 5 years
- Paid holidays
- Paid time off
Quick Apply

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Manager - Case Management - FT - Days - MHP

Memorial Healthcare System -
Pembroke Pines, FL

Apply Now

Job Details

Full-time

Qualifications

Optimizing workflow processes
RN License
InterQual
Decision making
Milliman Care Guidelines (MCG Health)

Full Job Description

Location:

Pembroke Pines, Florida

At Memorial, we are dedicated to improving the health, well-being and, most of all, quality of life for the people entrusted to our care. An unwavering commitment to our service vision is what makes the difference. It is the foundation of The Memorial Experience.

Summary:

Assumes 24-hour accountability for managing the functions of Access, Care Coordination, and Discharge Planning. With the Manager - Social Work, serves as the central resource to the Director - Case Management to develop strategies which are efficient, effective, timely, patient-centered, and support appropriate financial reimbursement. To meet accountabilities of the Care Management Dashboard, collaborates with all disciplines, departments, payers, system partners, vendors, and community agencies to optimize clinical outcomes within best practice, ethical, legal, and regulatory parameters.

Responsibilities:

Assists with the preparation and evaluation of departmental budgets, and ensures that the department operates in compliance with allocated funding. Coordinates and directs internal/external audits.Monitors staffing activities, including hiring, orienting, evaluating, disciplinary actions, and continuing education initiatives. Completes annual and interim performance reviews for all staff and contributes to performance reviews of other professionals and support staff as requested.Manages and constantly evaluates staffing levels, assignments, skills, learning needs, and deployment of staff.Assists with the management and evaluation of department operations, including information technologies, service level determination and complaint management, to achieve performance and quality control objectives.May collect and assess data to identify quality trends or actual sources of risk to patients and employees. Collaborates with multi-disciplinary teams and committees with respect to quality outcomes.Participates in clinical performance improvement activities, including the development of clinical paths, patient/family education programs, collaborative practice groups, Six Sigma, and other quality initiatives.Assists with the development and implementation of Case Management goals, plans, and standards consistent with the clinical, administrative, regulatory, legal, and ethical requirements.

Competencies:

ACCOUNTABILITY, CUSTOMER SERVICE, EFFECTIVE COMMUNICATION, HEALTHCARE REGULATORY ENVIRONMENT, LEADING BY COACHING, LEADING CHANGE INITIATIVES, MANAGING PEOPLE, PATIENT AND FAMILY CENTERED CARE, RESPONDING TO CHANGE, STANDARDS OF BEHAVIOR

Education and Certification Requirements:

Accredited Program: Nursing (Required)Registered Nurse Compact License (RN LICENSE COMPACT) - Compact RN Multistate, Registered Nurse License (RN LICENSE) - State of Florida (FL)

Additional Job Information:

Complexity of Work: Responsible for day-to-day oversight and coordination of case management and discharge planning functions ensuring patient care meets quality and efficiency standards while aligning with regulatory requirements. This role requires an understanding of payer guidelines and working closely with multi-disciplinary teams to optimize patient flow. Requires critical thinking and effective communication (verbal and written) skills, decisive judgment, and the ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate action. Knowledge of State and Federal regulations governing discharge planning conditions of participation, hospital information systems (e.g., logician and IDX), staff development techniques, and performance improvements processes. Strong background in clinical decision making, medical criteria, and discharge planning. Must be proficient with Interqual or Milliman guidelines and use. Proficient in process improvement, and performance monitoring. Required Work Experience: Minimum of three (3) years of case management experience and, at least, two (2) years of leadership experience within case management. Other Information: Additional Education Info: Graduate of an accredited Registered/Professional Nursing program or a Bachelor’s degree in Nursing (BSN).Additional Certification Info: Certification in Case Management preferred.

Working Conditions and Physical Requirements:

Bending and Stooping = 0%
Climbing = 0%
Keyboard Entry = 80%
Kneeling = 0%
Lifting/Carrying Patients 35 Pounds or Greater = 40%
Lifting or Carrying 0 - 25 lbs Non-Patient = 60%
Lifting or Carrying 2501 lbs - 75 lbs Non-Patient = 0%
Lifting or Carrying > 75 lbs Non-Patient = 0%
Pushing or Pulling 0 - 25 lbs Non-Patient = 60%
Pushing or Pulling 26 - 75 lbs Non-Patient = 60%
Pushing or Pulling > 75 lbs Non-Patient = 0%
Reaching = 60%
Repetitive Movement Foot/Leg = 0%
Repetitive Movement Hand/Arm = 80%
Running = 0%
Sitting = 80%
Squatting = 0%
Standing = 80%
Walking = 80%
Audible Speech = 80%
Hearing Acuity = 80%
Smelling Acuity = 0%
Taste Discrimination = 0%
Depth Perception = 80%
Distinguish Color = 80%
Seeing - Far = 60%
Seeing - Near = 80%
Bio hazardous Waste = 60%
Biological Hazards - Respiratory = 60%
Biological Hazards - Skin or Ingestion = 60%
Blood and/or Bodily Fluids = 60%
Communicable Diseases and/or Pathogens = 60%
Asbestos = 0%
Cytotoxic Chemicals = 0%
Dust = 60%
Gas/Vapors/Fumes = 60%
Hazardous Chemicals = 60%
Hazardous Medication = 40%
Latex = 60%
Computer Monitor = 80%
Domestic Animals = 60%
Extreme Heat/Cold = 40%
Fire Risk = 0%
Hazardous Noise = 0%
Heating Devices = 0%
Hypoxia = 0%
Laser/High Intensity Lights = 0%
Magnetic Fields = 0%
Moving Mechanical Parts = 0%
Needles/Sharp Objects = 60%
Potential Electric Shock = 0%
Potential for Physical Assault = 60%
Radiation = 0%
Sudden Decompression During Flights = 0%
Unprotected Heights = 0%
Wet or Slippery Surfaces = 60%

Shift:

Primarily for office workers - not eligible for shift differential

Disclaimer: This job description is not intended, nor should it be construed to be an exhaustive list of all responsibilities, skills, efforts or working conditions associated with the job. It is intended to indicate the general nature and level of work performed by employees within this classification.

Wages shown on independent job boards reflect market averages, not specific to any employer. We encourage candidates to talk to their Memorial Healthcare System recruiter to discuss actual pay rates, during the hiring process.

Memorial Healthcare System is proud to be an equal opportunity employer committed to workplace diversity.

Memorial Healthcare System recruits, hires and promotes qualified candidates for employment opportunities without regard to race, color, age, religion, gender, sexual orientation, national origin, veteran status, disability, genetic information, or any factor prohibited by law.

We are proud to offer Veteran’s Preference to former military, reservists and military spouses (including widows and widowers). You must indicate your status on your application to take advantage of this program.

Employment is subject to post offer, pre-placement assessment, including drug testing.

If you need reasonable accommodation during the application process, please call 954-276-8340 (M-F, 8am-5pm) or email [email protected]

Apply Now

Refine Your Search

director of case management jobs in miami, fl

Manager - Case Management - FT - Days - MHP

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Vice President, MISSION UNITED

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