- Molina Healthcare (St. Petersburg, 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
- HCA Healthcare (Largo, FL)
- …care team + Collaborating closely with the Rehab Program Director , Facility Case Management Director , and interdisciplinary team to ensure seamless, ... over 156,000 hours volunteering in our communities. As a(an) Case Manager RN with HCA Florida Largo Hospital you...in our organization. We are looking for an enthusiastic Case Manager RN to help us reach our goals.… 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 (St. Petersburg, 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 (St. Petersburg, 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 (St. Petersburg, 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
- HCA Healthcare (St. Petersburg, FL)
- …clinical screenings and assessments in collaboration with both the hospital case management team and the Rehab Medical Director + Work closely with the ... duties and responsibilities may include: + .Establishing relationships with case managers, physicians, payers and other referral sources +...hospital case management team to ensure a responsive and smooth-flowing referral… 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
- HCA Healthcare (Largo, FL)
- …screenings and assessments in collaboration with both hospital Case Management and the Rehab Medical Director . The Clinical Rehabilitation Specialist ... works closely with hospital case management to ensure a responsive and...on-site and off-site clinical evaluation to assist Rehab Medical Director in determining appropriateness of patient for admission. +… 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
