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Case Manager Full-time

5ffc5741 7db3 4aa8 A16a E19abed9677e 19000101 000001 · Larkin Community Hospital, South Miami, FL, US, South Miami, FL · Active · ADP Workforce Now Recruiting

Job facts

FieldValue
Company5ffc5741 7db3 4aa8 A16a E19abed9677e 19000101 000001
TitleCase Manager Full-time
Normalized title-
Department / team-
LocationLarkin Community Hospital, FL, United States
Work model-
Employment typeFull Time
Salary-
Statusactive
ATS providerADP Workforce Now Recruiting
Posted / first seen2026-05-07 / 2026-05-31
Changed / last seen2026-06-06 / 2026-06-06

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PageWhat it containsOpen
Company jobsActive postings from 5ffc5741 7db3 4aa8 A16a E19abed9677e 19000101 000001.Open
Company breakdownsRole, location, ATS, and work model facets for this company.Open
ATS provider jobsActive postings observed through ADP Workforce Now Recruiting.Open
Provider filtered searchThe same provider as a filtered job collection.Open
City jobsActive postings in Larkin Community Hospital.Open
Lifecycle eventsOpen, update, close, and reopen events for this posting.Open
Original postingCanonical source or apply URL captured from the ATS.Open

Linked records

Company5ffc5741 7db3 4aa8 A16a E19abed9677e 19000101 000001
Source123e12f9-1a98-404e-b1d9-b8790df9e2ac
ATS providerADP Workforce Now Recruiting

Description

Job Summary: Seeking an experienced case manager with +5 years of experience in an acute hospital setting. Qualifications: Experience 5+ years of experience in managed care Substantial clinical experience Education Bachelor's degree (required) Masters (preferred) Licensing Foreign Medical Graduate or Registered Nurse (preferred) CCM (Certified Case Manager) (preferred) ACM (Accredited Case Manager) (preferred) Bilingual (English/Spanish) (preferred) Responsibilities: Performs and documents patient assessment within 24 hours of admission Checks prior authorizations initiative by admitting Knowledge navigating and using payer portals Performs concurrent reviews Contacting all HMO’s on a daily basis and provides clinical information to obtain insurance authorization for the patient’s admission and continued stay Indicates the appropriate level of care and utilization of services needed Establishes criteria for medically necessary services Knowledgeable of Milliman Care and Interqual Guidelines Develops a plan of care for patients from admission to discharge. Promotes the most efficient and cost-effective use of services Curtails the performance of inappropriate and/or duplicate services Encourages standardization of medical practice patterns Enhances the quality of healthcare Performs concurrent reviews for patients to ensure that extended stays are medically justified and are documented in patient's medical records. Calculates and manages the lengths of stay and continued-stay days for patients. Evaluating the patient’s condition and readiness for discharge planning Develops discharge plans Communicate and assist the physicians in the planning and coordination of patients discharge planning Management of transfer procedures Management of the guardianship process Able to discuss and educate patient/family regarding discharge planning and resources available after discharge. Clearly specifies all the information discussed with the patient and/or family regarding the patient’s discharge plan. Participates in PI programs through the identification of opportunities for improvement, data collection, evaluation of findings, improving the process, applying knowledge and incorporates into practice Scheduling Peer-to-Peer reviews with payors Proactively identifying and resolving issues that could lead to denials Skills: Familiarity with Medhost electronic medical records Extensive medical knowledge Self-driven (work and education) Keeps knowledge up to date by reading literature and participating in outside continued education meetings, training, and conferences Working knowledge of regulatory agencies Excellent human relations and communication skills (verbal and written) to maintain good rapport and effective working relationships with medical staff, nursing staff, and other ancillary department staff throughout the hospital Excellent organizational skills and attention to detail Ability to convey care plan to physicians and the medical team Proficient with Microsoft Office Suite or related software. Integrity https://casemanagementstudyguide.com/which-case-management-certification-is-best/

Full job record

Job IDfc8e18849c852c8b77b849cce85cfbd81c2fd130
Org ID5e552e68-d105-41fa-855a-e3d62473e873
Source ID123e12f9-1a98-404e-b1d9-b8790df9e2ac
Board ID123e12f9-1a98-404e-b1d9-b8790df9e2ac
Provideradp_workforcenow
Provider Job Key544380
TitleCase Manager Full-time
Normalized Title—
Statusactive
Activeyes
Location TextLarkin Community Hospital, South Miami, FL, US, South Miami, FL
Department—
Team—
Employment Typefull_time
Workplace Type—
Remote Policy—
CountryUnited States
RegionFL
CityLarkin Community Hospital
Salary Raw—
Salary Min—
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Source URLhttps://workforcenow.adp.com/mascsr/default/mdf/recruitment/recruitment.html?cid=5ffc5741-7db3-4aa8-a16a-e19abed9677e&ccId=19000101_000001&lang=en_US&type=JS&jobId=544380&jwId=9201213847162_1
Apply URLhttps://workforcenow.adp.com/mascsr/default/mdf/recruitment/recruitment.html?cid=5ffc5741-7db3-4aa8-a16a-e19abed9677e&ccId=19000101_000001&lang=en_US&type=JS&jobId=544380&jwId=9201213847162_1
First Seen At2026-05-31 18:20:11Z
Last Seen At2026-06-06 13:33:31Z
Last Checked At2026-06-06 13:33:31Z
Last Changed At2026-06-06 13:33:31Z
Inactive At—
Source Posted At2026-05-07 12:44:00Z
Source Updated At—
Raw Payload Uris3://job-postings-prod-raw-590183727216/raw/provider=adp_workforcenow/board=5ffc5741-7db3-4aa8-a16a-e19abed9677e|19000101_000001/date=2026-06-06/2026-06-06T13-33-24-759Z-c04bc620dd992a741485f832d15f032625135408a7ef213d1c64a662c2fdc4a0.json
Event Fields
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Extensions
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    "requisitionDescription": "<div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><link href=\"https://static.workforcenow.adp.com/mas/mdf-components/23.18.17/styles/froala_editor.pkgd.min.css\" rel=\"stylesheet\" type=\"text/css\">&nbsp;<link href=\"https://static.workforcenow.adp.com/mas/mdf-components/23.18.17/styles/froala_style.min.css\" rel=\"stylesheet\" type=\"text/css\"><div class=\"fr-view\"><div><p style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;' id=\"isPasted\"><strong><span style='font-size:16px;font-family:\"Times New Roman\",serif;'>Job Summary:</span></strong></p><p style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;'><span style='font-size:16px;font-family:\"Times New Roman\",serif;'>Seeking an experienced case manager with +5 years of experience in an acute hospital setting.</span></p><p style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;'><span style='font-size:16px;font-family:\"Times New Roman\",serif;'>&nbsp;</span></p><p style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;'><strong><span style='font-size:16px;font-family:\"Times New Roman\",serif;'>Qualifications:</span></strong></p><ul type=\"disc\" style=\"margin-bottom:0in;\"><li style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;'><span style='font-size:16px;font-family:\"Times New Roman\",serif;'>Experience</span><ul type=\"circle\" style=\"margin-bottom:0in;\"><li style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;'><span style='font-size:16px;font-family:\"Times New Roman\",serif;'>5+ years of experience in managed care</span></li><li style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;'><span style='font-size:16px;font-family:\"Times New Roman\",serif;'>Substantial clinical experience</span></li></ul></li><li style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;'><span style='font-size:16px;font-family:\"Times New Roman\",serif;'>Education</span><ul type=\"circle\" style=\"margin-bottom:0in;\"><li style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;'><span style='font-size:16px;font-family:\"Times New Roman\",serif;'>Bachelor&#39;s degree (required)</span></li><li style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;'><span style='font-size:16px;font-family:\"Times New Roman\",serif;'>Masters (preferred)</span></li></ul></li><li style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;'><span style='font-size:16px;font-family:\"Times New Roman\",serif;'>Licensing</span><ul type=\"circle\" style=\"margin-bottom:0in;\"><li style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;'><span style='font-size:16px;font-family:\"Times New Roman\",serif;'>Foreign Medical Graduate or Registered Nurse (preferred)</span></li><li style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;'><span style='font-size:16px;font-family:\"Times New Roman\",serif;'>CCM (Certified Case Manager) (preferred)</span></li><li style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;'><span style='font-size:16px;font-family:\"Times New Roman\",serif;'>ACM (Accredited Case Manager) (preferred)</span></li></ul></li><li style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;'><span style='font-size:16px;font-family:\"Times New Roman\",serif;'>Bilingual (English/Spanish) (preferred)</span></li></ul><p style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;'><span style='font-size:16px;font-family:\"Times New Roman\",serif;'>&nbsp;</span></p><p style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;'><strong><span style='font-size:16px;font-family:\"Times New Roman\",serif;'>Responsibilities:</span></strong></p><ul type=\"disc\" style=\"margin-bottom:0in;\"><li style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;'><span style='font-size:16px;font-family:\"Times New Roman\",serif;'>Performs and documents patient assessment within 24 hours of admission</span></li><li style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;'><span style='font-size:16px;font-family:\"Times New Roman\",serif;'>Checks prior authorizations initiative by admitting</span></li><li style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;'><span style='font-size:16px;font-family:\"Times New Roman\",serif;'>Knowledge navigating and using payer portals</span></li><li style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;'><span style='font-size:16px;font-family:\"Times New Roman\",serif;'>Performs concurrent reviews</span><ul type=\"circle\" style=\"margin-bottom:0in;\"><li style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;'><span style='font-size:16px;font-family:\"Times New Roman\",serif;'>Contacting all HMO&rsquo;s on a daily basis and provides clinical information to obtain insurance authorization for the patient&rsquo;s admission and continued stay</span></li></ul></li><li style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;'><span style='font-size:16px;font-family:\"Times New Roman\",serif;'>Indicates the appropriate level of care and utilization of services needed</span></li><li style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;'><span style='font-size:16px;font-family:\"Times New Roman\",serif;'>Establishes criteria for medically necessary services</span><ul type=\"circle\" style=\"margin-bottom:0in;\"><li style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;'><span style='font-size:16px;font-family:\"Times New Roman\",serif;'>Knowledgeable of Milliman Care and Interqual Guidelines</span></li></ul></li><li style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;'><span style='font-size:16px;font-family:\"Times New Roman\",serif;'>Develops a plan of care for patients from admission to discharge.&nbsp;</span></li><li style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;'><span style='font-size:16px;font-family:\"Times New Roman\",serif;'>Promotes the most efficient and cost-effective use of services</span></li><li style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;'><span style='font-size:16px;font-family:\"Times New Roman\",serif;'>Curtails the performance of inappropriate and/or duplicate services</span></li><li style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;'><span style='font-size:16px;font-family:\"Times New Roman\",serif;'>Encourages standardization of medical practice patterns</span></li><li style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;'><span style='font-size:16px;font-family:\"Times New Roman\",serif;'>Enhances the quality of healthcare</span></li><li style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;'><span style='font-size:16px;font-family:\"Times New Roman\",serif;'>Performs concurrent reviews for patients to ensure that extended stays are medically justified and are documented in patient&#39;s medical records.</span></li><li style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;'><span style='font-size:16px;font-family:\"Times New Roman\",serif;'>Calculates and manages the lengths of stay and continued-stay days for patients.</span></li><li style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;'><span style='font-size:16px;font-family:\"Times New Roman\",serif;'>Evaluating the patient&rsquo;s condition and readiness for discharge planning</span></li><li style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;'><span style='font-size:16px;font-family:\"Times New Roman\",serif;'>Develops discharge plans</span></li><li style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;'><span style='font-size:16px;font-family:\"Times New Roman\",serif;'>Communicate and assist the physicians in the planning and coordination of patients discharge planning</span></li><li style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;'><span style='font-size:16px;font-family:\"Times New Roman\",serif;'>Management of transfer procedures</span></li><li style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;'><span style='font-size:16px;font-family:\"Times New Roman\",serif;'>Management of the guardianship process</span></li><li style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;'><span style='font-size:16px;font-family:\"Times New Roman\",serif;'>Able to discuss and educate patient/family regarding discharge planning and resources available after discharge. Clearly specifies all the information discussed with the patient and/or family regarding the patient&rsquo;s discharge plan.</span></li><li style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;'><span style='font-size:16px;font-family:\"Times New Roman\",serif;'>Participates in PI programs through the identification of opportunities for improvement, data collection, evaluation of findings, improving the process, applying knowledge and incorporates into practice</span></li><li style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;'><span style='font-size:16px;font-family:\"Times New Roman\",serif;'>Scheduling Peer-to-Peer reviews with payors</span></li><li style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;'><span style='font-size:16px;font-family:\"Times New Roman\",serif;'>Proactively identifying and resolving issues that could lead to denials</span></li></ul><p style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;'><span style='font-size:16px;font-family:\"Times New Roman\",serif;'>&nbsp;</span></p><p style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;'><strong><span style='font-size:16px;font-family:\"Times New Roman\",serif;'>Skills:</span></strong></p><ul type=\"disc\" style=\"margin-bottom:0in;\"><li style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;'><span style='font-size:16px;font-family:\"Times New Roman\",serif;'>Familiarity with Medhost electronic medical records</span></li><li style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;'><span style='font-size:16px;font-family:\"Times New Roman\",serif;'>Extensive medical knowledge</span></li><li style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;'><span style='font-size:16px;font-family:\"Times New Roman\",serif;'>Self-driven (work and education)</span></li><li style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;'><span style='font-size:16px;font-family:\"Times New Roman\",serif;'>Keeps knowledge up to date by reading literature and participating in outside continued education meetings, training, and conferences</span></li><li style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;'><span style='font-size:16px;font-family:\"Times New Roman\",serif;'>Working knowledge of regulatory agencies</span></li><li style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;'><span style='font-size:16px;font-family:\"Times New Roman\",serif;'>Excellent human relations and communication skills (verbal and written) to maintain good rapport and effective working relationships with medical staff, nursing staff, and other ancillary department staff throughout the hospital</span></li><li style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;'><span style='font-size:16px;font-family:\"Times New Roman\",serif;'>Excellent organizational skills and attention to detail</span></li><li style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;'><span style='font-size:16px;font-family:\"Times New Roman\",serif;'>Ability to convey care plan to physicians and the medical team</span></li><li style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;'><span style='font-size:16px;font-family:\"Times New Roman\",serif;'>Proficient with Microsoft Office Suite or related software.</span></li><li style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;'><span style='font-size:16px;font-family:\"Times New Roman\",serif;'>Integrity</span></li></ul><p style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;'><u><span style='font-size:16px;font-family:\"Times New Roman\",serif;color:blue;'><a href=\"https://casemanagementstudyguide.com/which-case-management-certification-is-best/\" target=\"_blank\"><span style=\"color:blue;\">https://casemanagementstudyguide.com/which-case-management-certification-is-best/</span></a></span></u></p></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div>\n",
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