- Molina Healthcare (Tampa, FL)
- …Management (CPHM), Certified Professional in Health Care Quality (CPHQ), Commission for Case Manager Certification (CCMC), Case Management Society of ... oversight and clinical leadership for health plan and/or market specific utilization management and care management behavioral health programs and chemical… more
- HCA Healthcare (Tampa, FL)
- …**Introduction** Do you want to join an organization that invests in you as a Director Case Management ? At HCA Florida South Tampa Hospital, you come ... and you have the opportunity to make a difference. We are looking for a dedicated Director Case Management like you to be a part of our team. **Job Summary… more
- Elevance Health (Tampa, FL)
- **Clinical Operations Associate Medical Director ** **Carelon Medical Benefits Management ** **Post Acute Care Benefit Utilization Management ** **Schedule:** ... of care for the people we serve._ The **Clinical Operations Associate Medical Director ** is responsible for supporting the medical management staff ensuring… more
- AccentCare, Inc. (Tampa, FL)
- …policies and protocols + Pariticpates and promotes Back to Bedside efforts in reinforcing Case Management skills, and knowledge and attitude per protocol for all ... Overview Registered Nurse / RN Team Director , Hospice Location: Tampa FL Position: Registered...Location: Tampa FL Position: Registered Nurse / RN Team Director Remote/Virtual Position : No Coverage Area: Hillsborough County… more
- Molina Healthcare (Tampa, FL)
- … Management (CPHM), Certified Professional in Healthcare Quality (CPHQ), Commission for Case Manager Certification (CCMC), Case Management Society of ... clinical practice experience, and at least 2 years as a medical director in managed care setting supporting utilization management /quality management… more
- ChenMed (Clearwater, FL)
- …and we need great people to join our team. The Associate Center Clinical Director will directly supervise and train primary care providers (PCPs) in his/her assigned ... needs, size of centers, patient membership, and Market Clinical Director direction. **ESSENTIAL JOB DUTIES/RESPONSIBILITIES:** + Independently provides care for… more
- Elevance Health (Tampa, FL)
- **Behavioral Health Medical** ** Director -Psychiatrist** **Appeals** **Location:** This role enables associates to work virtually full-time, with the exception of ... Monday - Friday. Half day Saturday rotation, once a month.** The **Medical Director ** is responsible for the administration of behavioral health medical services, to… more
- Molina Healthcare (Tampa, FL)
- …Summary** Molina's Behavioral Health function provides leadership and guidance for utilization management and case management programs for mental health ... management programs. **Knowledge/Skills/Abilities** Provides Psychiatric leadership for utilization management and case management programs for mental… more
- Elevance Health (Tampa, FL)
- **Plan Performance Medical Director ** Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, ... granted as required by law. The **Plan Performance Medical Director ** serves as a lead clinician and oversees the...you will make an impact:** + Supports the Medical Management staff to ensure timely and consistent responses to… more
- Molina Healthcare (Tampa, FL)
- …Management (CPHM), Certified Professional in Health Care Quality (CPHQ), Commission for Case Manager Certification (CCMC), Case Management Society of ... health care services provided to plan members. * Supports plan utilization management program and accompanying action plan(s), which includes strategies to ensure… more
- BrightSpring Health Services (Clearwater, FL)
- …services/training programs on a routine basis in cooperation with Operations management ; monitoring both skilled and non-skilled healthcare services + Directly ... and Medicare standards, as well as state reimbursement regulations + Leading case conferences and other client-related meetings + Chairing committees as appropriate,… more
- Grant Thornton (Tampa, FL)
- …ensuring alignment with firm goals and market needs. + Focus on use case development and requirements gathering for Tax products, ensuring alignment with business ... requirements. + Collaborate with the Technology Transformation group to drive change management and adoption of new products, and oversee the allocation of product… more
- Elevance Health (Tampa, FL)
- …critical thinking skills and nursing judgment and experience. + Collaborates with case management nurses on discharge planning, ensuring patient has appropriate ... treatment is medically necessary and provides consultation to Medical Director on cases that are unclear or do not...about plan benefits and physicians and may assist with case management . + Collaborates with leadership in… more
- The Cigna Group (Tampa, FL)
- **Position Summary** The Sales & Account Management Trainer, Commercial Division is responsible for delivering world-class learning experiences that enable ... Commercial Sales and Account Management professionals to perform with confidence, clarity, and impact....+ Facilitate engaging sessions that incorporate storytelling, role plays, case studies, and skill practice consistent with the L&D… more
- MyFlorida (New Port Richey, FL)
- …with and representing children. + Ongoing live in-person trainings and webinars on case law, evidence, legal writing, trial skills, and ethics which fulfills CLE ... sensitive issues before the court. + The incumbent reviews case files to identify legal issues, conducts an independent...strategies. The incumbent also performs other duties assigned by management . + Incumbents in this class report directly to… more
- MyFlorida (Clearwater, FL)
- …situations. + Ability to coach, instruct and motivate volunteers. + Knowledge of case management , social support services and concepts of child development. + ... + Collaborate with the Guardian ad Litem Office multidisciplinary team, management , Department of Children and Families, contracted service providers, Department of… more
- MyFlorida (Clearwater, FL)
- …situations. + Ability to coach, instruct and motivate volunteers. + Knowledge of case management , social support services and concepts of child development. + ... + Collaborate with the Guardian ad Litem Office multidisciplinary team, management , Department of Children and Families, contracted service providers, Department of… more
- MyFlorida (New Port Richey, FL)
- …The BHC works directly with Child Protective Investigators (CPIs) and dependency case managers to enhance recognition of behavioral health concerns, improve family ... Responsibilities include: + Consult and collaborating with CPI and dependency case managers to help frontline staff identify behavioral health disorders particularly… more
- ChenMed (Tampa, FL)
- …developing a plan of care, providing health education, specialty referrals and case management referrals, providing follow-up care and applying clear, in-depth ... cardiovascular care as well as, care coordination, echocardiogram reading, population management of market's members, and oversight of PCP's cardiovascular skills. +… more
- CDM Smith (Tampa, FL)
- …Manuals, Training, Job Safety Report, etc.) * Responsible for overall scheduling management of all PGL construction projects and ensuring Construction Managers are ... Packages and defining Scopes of Work under the supervision of the Director of Construction/President or Project Manager. * Responsible for overseeing total… more
