- Elevance Health (Tampa, FL)
- …of Florida. + Requires minimum of 5 years acute care clinical experience, utilization management or managed care experience; or any combination of education ... Senior RN Utilization Review/ Management (Acute InPatient) JR116937 **Location:**...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Elevance Health (Tampa, FL)
- ** Utilization Management Representative II** **Location:** Must live within 50 miles of Costa Mesa, CA or a Florida PulsePoint. The ** Utilization ... + Master's degree preferred. Certain contracts require a Master's degree. + Utilization Management experience preferred. + Medical experience preferred, + Long… 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
- Elevance Health (Tampa, FL)
- …for people enrolled in Medicaid and/or Medicare programs in Florida. **Licensed Utilization Review Ld** **Location:** This is a remote position. The selected ... based on operational needs (holiday and weekend rotation). The **Licensed Utilization Review Ld** is responsible for collaborating with healthcare providers to… more
- Elevance Health (Tampa, FL)
- **Clinical Operations Associate Medical Director** **Carelon Health** **Genetics Testing Utilization Review** **Location** : The ideal candidate will live within 50 ... proud member of the Elevance Health family of companies, Carelon Medical Benefits Management , formerly AIM Specialty Health, is a benefit- management leader in… more
- AdventHealth (Land O' Lakes, FL)
- …specific group of patients. The Case Manager is responsible for utilization reviews and resource management , discharge planning, treatment plan management ... Service Awards, TWCE as Nice **The role you'll contribute:** The Case Manager is accountable for the organization, sequence of services and resources that… more
- AdventHealth (Zephyrhills, 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 (Tampa, FL)
- …to support a well-balanced work life balance **The role you'll contribute:** The Care Management Manager is under the general leadership of the Care ... daily operations and supervision of team members. The Care Management Manager is responsible for, but not...in related field. . 3 years in direct Care Management / Utilization Management experience in an… more
- AdventHealth (Tampa, FL)
- …**Location:** Tampa, FL area **The role you'll contribute:** The Clinical Resource Manager provides leadership and consultation to company facilities in the clinical ... of products and leads multi-disciplinary teams to decrease product variation, utilization and costs through the development of consensus supply utilization… more
- HCA Healthcare (Tampa, FL)
- …where diversity and inclusion thrive? Submit your application for our Performance Improvement Manager Labor opening with HCA Healthcare today and find out what it ... Eligibility for benefits may vary by location._** We are seeking a(an) Performance Improvement Manager Labor for our team to ensure that we continue to provide all… more
- BayCare Health System (New Port Richey, FL)
- … II is responsible for: + In a minimally 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
- 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
- AdventHealth (Tampa, 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
- 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
- Bristol Myers Squibb (Tampa, FL)
- …to measure the cost-of-service delivery and ongoing administration and vendor utilization . + Lead vendor management activities, contract renewals, ensuring ... more: careers.bms.com/working-with-us . **Position Summary** The Americas Benefits Strategy Delivery Manager (Benefits SDM) is a pivotal role focused on implementing… more
- The Cigna Group (Tampa, FL)
- …relationships in order to drive optimal performance on Stars, risk adjustment, utilization management , and overall financial performance. + Leading market level ... & Solutions). Reporting to the Provider Performance Director, the Provider Performance Manager ensures the effective management of the performance outcomes of… more
- MyFlorida (Clearwater, FL)
- PUBLIC HEALTH SERVICES MANAGER B-SES - 64084024 1 Date: Aug 21, 2024 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... Requisition No: 831805 Agency: Department of Health Working Title: PUBLIC HEALTH SERVICES MANAGER B-SES - 64084024 1 Pay Plan: SES Position Number: 64084024 Salary:… 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 (Tampa, FL)
- …RN Care Manager is under the general supervision of the Care Management Supervisor or Manager and is responsible for patient evaluations of post-hospital ... patient satisfaction, patient safety, readmission prevention and length of stay management .The RN Care Manager communicates daily with the interdisciplinary… 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