Talent.com
Ohio Licensed Patient Care Manager

Ohio Licensed Patient Care Manager

VirtualVocationsBoca Raton, Florida, United States
5 hours ago
Job type
  • Full-time
Job description

A company is looking for a Patient Care Resource Manager - Retrospective Review.

Key Responsibilities

Conduct retrospective reviews of medical services to assess medical necessity and compliance with guidelines

Support the Utilization Management team with prior authorizations and concurrent reviews

Analyze claims data to identify trends and develop action plans for process improvements

Required Qualifications

Bachelor's degree in nursing and a current Ohio Registered Nurse license

Minimum of three years' experience in a clinical setting, with a focus on utilization or case management

Knowledge of managed health care concepts and experience with national guidelines (e.g., MCG)

Proficiency in Microsoft Office applications and electronic health records

Strong understanding of HIPAA regulations and compliance requirements

Create a job alert for this search

Patient Care Manager • Boca Raton, Florida, United States

Related jobs
  • Promoted
Healthcare Industry Success Leader

Healthcare Industry Success Leader

VirtualVocationsDavie, Florida, United States
Full-time
A company is looking for an Industry Success Leader (HCLS).Key Responsibilities Serve as a Consulting Leader, leveraging domain expertise to improve client business outcomes Own and develop a bo...Show moreLast updated: 1 day ago
  • Promoted
Kentucky Licensed Care Manager

Kentucky Licensed Care Manager

VirtualVocationsBoca Raton, Florida, United States
Full-time
A company is looking for a Care Manager (RN) to develop and facilitate care management activities for members with physical needs. Key Responsibilities Evaluate member needs and recommend care pla...Show moreLast updated: 30+ days ago
  • Promoted
Clinic Manager- PT / OT

Clinic Manager- PT / OT

PT SolutionsWest Palm Beach, FL, US
Full-time
Join our team as a Clinic Manager, where you'll use evidence-based techniques to transform patients' lives.Your primary responsibilities include evaluating, planning, and administering treatment pr...Show moreLast updated: 1 day ago
  • Promoted
Sr. Clinical Assistant

Sr. Clinical Assistant

University of MiamiFort Lauderdale, FL, US
Full-time
If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to apply for a facu...Show moreLast updated: 30+ days ago
  • Promoted
Administrative Supervisor Nursing Admin Full Time Rotate

Administrative Supervisor Nursing Admin Full Time Rotate

Delray Medical CenterDELRAY BEACH, Florida, United States
Full-time
A professional Registered Nurse who functions as a direct liaison between the physician, patient, community and all hospital departments to coordinate patient flow in the hospital.Assists in managi...Show moreLast updated: 30+ days ago
  • Promoted
Clinic Manager- PT / OT

Clinic Manager- PT / OT

PT Solutions Physical TherapyWest Palm Beach, FL, US
Full-time +1
Job Overview & Responsibilities : .Join our team as a Clinic Manager, where you'll use evidence-based techniques to transform patients lives. Your primary responsibilities include evaluating, planning...Show moreLast updated: 1 day ago
  • Promoted
Administrative Officer - Nursing - ER - FT - Nights - MRH

Administrative Officer - Nursing - ER - FT - Nights - MRH

Memorial Regional HospitalHollywood, FL, US
Full-time
Provides nursing leadership for all nursing units during assigned shift.Evaluates the effectiveness of patient care and identifies any issues that affect desired patient outcomes.Coordinates patien...Show moreLast updated: 14 days ago
  • Promoted
Clinical Supervisor

Clinical Supervisor

Banyan Treatment CentersLake Worth, FL, US
Full-time
Exciting Opportunity with Banyan Treatment Centers!.We’re seeking a dedicated.Clinical Supervisor (LMHC, LCSW, or LMFT).In this role, you will oversee clinical services, guide therapeutic pra...Show moreLast updated: 30+ days ago
  • Promoted
Nursing Admin Supervisor Full Time Days

Nursing Admin Supervisor Full Time Days

Tenet HealthcareWest Palm Beach, FL, US
Full-time
Focus on the core content of the job post, removing any extra metadata, navigation mentions, and redundant headers.Keep the formatting beautiful and high signal to noise ratio.Show moreLast updated: 30+ days ago
  • Promoted
Nurse Manager PCU

Nurse Manager PCU

Midland-Marvel Recruiters, LLCWest Palm Beach, FL, US
Full-time
Community hospital looking to bring on Nurse Manger PCU! Sign On Bonus and Relocation!.The Manager ensures high quality, patient-centered care through oversight of the overall daily function and st...Show moreLast updated: 21 days ago
  • Promoted
Memory Care Director

Memory Care Director

Belmont Village AventuraAventura, FL
Full-time
WELCOME TO BELMONT VILLAGE AVENTURA!.Be a part of the Belmont Village Aventura legacy.Belmont Village Aventura, our 36th senior living community, is elevating senior living to unprecedented heights...Show moreLast updated: 28 days ago
  • Promoted
Veterinary Hospital Manager

Veterinary Hospital Manager

Healing Arts Veterinary CenterWest Palm Beach, FL, US
Full-time
Healing Arts Veterinary Center in.We are a busy 1-doctor practice, focused on maintaining exceptional patient care and client experiences while we grow toward our full potential.This is an incredib...Show moreLast updated: 30+ days ago
  • Promoted
Patient Access Center Supervisor - Boynton Beach, Florida

Patient Access Center Supervisor - Boynton Beach, Florida

NYU Langone HealthBoynton Beach, FL, US
Full-time
Patient Access Center Supervisor - Boynton Beach, Florida.We have an exciting opportunity to join our team as a Faculty Group Practice Supervisor-Patient Access Center. This Supervisor role is respo...Show moreLast updated: 30+ days ago
  • Promoted
Nurse Manager Med / Surg

Nurse Manager Med / Surg

Midland-Marvel Recruiters, LLCWest Palm Beach, FL, US
Full-time
Community healthcare facility looking to bring on Nurse Manager! Sign on Bonus!.Managers report to the DON Unit has CNC's to assist with leadership duties. Coordinates nursing services and accep...Show moreLast updated: 21 days ago
  • Promoted
Mississippi Licensed Care Manager

Mississippi Licensed Care Manager

VirtualVocationsHollywood, Florida, United States
Full-time
A company is looking for a Care Manager (RN) to develop and facilitate complex care management activities for members with physical needs. Key Responsibilities Evaluate member needs and recommend ...Show moreLast updated: 30+ days ago
  • Promoted
Care Manager

Care Manager

Sunrise Senior LivingBoca Raton, Florida, United States
Full-time +1
When you join Sunrise Senior Living, you will be able to use your unique skills to empower residents to live longer, healthier, and happier lives. Not only will you build meaningful relationships wi...Show moreLast updated: 13 days ago
  • Promoted
OR GI RN Manager

OR GI RN Manager

The Surgery Center of Ft. Lauderdale (10601)LAUDERDALE LAKES, Florida, United States
Full-time
Lauderdale is now seeking an OR / GI (RN) Manager, Full time.Welcome to The Surgery Center of Ft.We believe health and care are inseparable. We focus on offering a high quality, service oriented envir...Show moreLast updated: 2 days ago
  • Promoted
Pennsylvania Licensed Care Manager

Pennsylvania Licensed Care Manager

VirtualVocationsTamarac, Florida, United States
Full-time
A company is looking for a Care Manager.Key Responsibilities Conduct telephone assessments to determine care coordination and management needs Develop care plans to help members achieve optimal ...Show moreLast updated: 30+ days ago
  • Promoted
Center Clinical Manager

Center Clinical Manager

ChenMedHollywood, FL, US
Full-time
We're changing lives every day.For both our patients and our team members.Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the charts? Do you inspire others with y...Show moreLast updated: 14 days ago
  • Promoted
Manager Patient Access Outpatient Rehabilitation

Manager Patient Access Outpatient Rehabilitation

Jupiter Medical CenterWest Palm Beach, FL, US
Full-time
Ranked #1 for Safety, Quality and Patient Satisfaction, Jupiter Medical Center is the leading destination for world-class health care in Palm Beach County and the greater Treasure Coast.Outstanding...Show moreLast updated: 30+ days ago