- HCA Florida Largo Hospital (Largo, FL)
- … and satisfaction.You will promote cost effectiveness through the integration of case management , utilization review management and discharge planning. What ... IntroductionDo you have the career opportunities as a(an) Case Manager RN you want with your current employer? We...colleagues. Do you want to work as a(an) Case Manager RN where your passion for creating positive patient… more
- Elevance Health (Tampa, FL)
- …with health plans for people enrolled in Medicaid and/or Medicare programs in Florida. ** Manager I Utilization Management ** **Location:** 11430 NW 20th ST, ... with PulsePoint sites used for collaboration, community, and connection. The ** Manager I Utilization Management ** is responsible for the daily management… more
- Elevance Health (Tampa, FL)
- ** Utilization Management Representative II** **Location:** Must live within 50 miles of a Florida PulsePoint. The ** Utilization Management Representative ... benefits and/or eligibility information. + May act as liaison between Medical Management and internal departments. Responds to telephone and written inquiries from… more
- BayCare Health System (Clearwater, FL)
- …and Licensures:** + Required RN (Registered Nurse) + Preferred ACM (Case Management ) + Preferred CCM (Case Manager ) **Education:** + Required Associates ... clinical excellence. **BayCare Health System** is currently seeking a ** Utilization Review Specialist Senior** to join our outstanding and... Review or + Required 2 years in Case Management + Preferred 3 years Registered Nurse in Critical… more
- Black & Veatch (Tampa, FL)
- **Fleet Equipment Rental Manager - Hybrid** Date: Oct 28, 2024 Location: US Company: Black & Veatch Family of Companies **Together, we own our company, our future, ... development, and career advancement to allow for continuous professional development. Our management is committed to the latest advances in technology, above class… more
- Bristol Myers Squibb (Tampa, FL)
- …and in their personal lives. Read more: careers.bms.com/working-with-us . The Senior Manager , Procurement, Contact Center & Agency Management role is responsible ... financial analysis, market analysis, supplier analysis, supplier diversity, supplier management , technology utilization , strategic planning, and integrated… more
- Cherry Bekaert (Tampa, FL)
- **Description** We have a new opportunity to join our Assurance Resource Management team as we continue to add integral capabilities and tools to support Cherry ... Bekaert's (https://www.cbh.com/) growth. As a Resource Manager you are collaborating with executive and staff-level professionals in this highly visible role. As a… more
- CVS Health (Tampa, FL)
- …behavioral health conditions + Case management experience + Certified Care Manager (CCM) Certification + Managed care or utilization review experience ... care more personal, convenient and affordable. **Position Summary** The Pediatric Care Manager RN will support a population of primarily medically complex pediatric… more
- Elevance Health (Clearwater, FL)
- …associates, and may be involved in process improvement initiatives. + Submits utilization /authorization requests to utilization management with documentation ... integrated care plan, engaging the member's circle of support and overall management of the individuals physical health (PH)/behavioral health (BH)/LTSS needs, as… more
- CenterWell (Land O' Lakes, FL)
- …review of clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates and conducts ... problems, identifies and evaluates alternative courses of action through the utilization of Performance Improvement principles. + Responsible for review of the… more
- CVS Health (Tampa, FL)
- …to make health care more personal, convenient and affordable. **Summary** : The Care Manager RN is responsible for driving and supporting care management and ... and coordination of psychosocial wrap around services to promote effective utilization of available resources and optimal, cost-effective outcomes. The Case … more
- BayCare Health System (Tampa, FL)
- … Manager III** is responsible for: In a complex practice, oversees the utilization management and daily business operations of the physician practice at the ... + Responsible for patient access to services, insurance contract verification, utilization management , charge entry, collections, clinical support management… more
- SAM LLC (Tampa, FL)
- …and managed throughout their lifecycles. Your Impact at SAM A Geomatics Project Manager is responsible for the oversight and reporting of budgets and utilization ... + 5+ years of industry related work experience in a professional or management capacity + Bachelor's degree in related discipline/and or equivalent experience +… more
- AdventHealth (Tarpon Springs, FL)
- …care escalations. The Social Worker is under the general supervision of the Care Management Supervisor or Manager and is responsible for patient evaluations of ... transitions, patient satisfaction, patient safety, readmission prevention and length of stay management . The Social Work Care Manager communicates daily with the… more
- Elevance Health (Tampa, FL)
- ** Manager Pharmacy Clinical Ops** **Location:** This position will work a hybrid model (remote and office). Ideal candidates will live within 50 miles of one of our ... strong, clinical-first lens, to deliver member-centered, lasting pharmacy care. The ** Manager Pharmacy Clinical Ops** is responsible for developing and implementing… more
- AdventHealth (Tarpon Springs, FL)
- …transitions, patient satisfaction, patient safety, readmission prevention and length of stay management . The RN Care Manager communicates daily with the ... are core competencies of this role. The RN Care Manager facilitates the collaborative management of patient...physicians and the interdisciplinary team on issues related to utilization of resources, medical necessity, CMS CoP for Discharge… more
- AdventHealth (Wesley Chapel, FL)
- …transitions, patient satisfaction, patient safety, readmission prevention and length of stay management . The RN Care Manager communicates daily with the ... are core competencies of this role. The RN Care Manager facilitates the collaborative management of patient...physicians and the interdisciplinary team on issues related to utilization of resources, medical necessity, CMS CoP for Discharge… more
- HCA Healthcare (Tampa, FL)
- **Description** **Introduction** The GME Simulation Manager designs, develops, and facilitates simulation activities, and operates GME simulation space(s). ... portion of the Division (Brandon, FL to Sarasota, FL). The Simulation Manager also develops educational experiences in collaboration with the GME Group Simulation… more
- Deloitte (Tampa, FL)
- Deloitte Technology-US (DT-US) PMO - Sr Project Manager As a Manager in the Deloitte Technology-US (DT-US) Office of the CIO (OCIO) PMO team, you will play a key ... role in leveraging leading program and project management practices and methodologies to enable world-class delivery of...January 31, 2025. Work you'll do As a DT-US Manager , you will work directly with the DT-US PMO… more
- CDM Smith (Tampa, FL)
- …The Water Services Group (WSG) has an immediate need for a Technical Delivery Manager in our Southeast Region. The Technical Delivery Manager (TDM) is a ... superior products and services, staff development and profit delivery. Our Technical Delivery Manager opportunity can be located in any of CDM Smith's offices in:… more
