- HCA Healthcare (Tallahassee, FL)
- …position is incentive eligible. **Introduction** Do you have the career opportunities as a(an) Director Case Management you want with your current employer? ... colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no...of colleagues. Do you want to work as a(an) Director Case Management where your… more
- Humana (Tallahassee, FL)
- … Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members ... caring community and help us put health first** The Medical Director actively uses their medical...in teams focusing on quality management , utilization management , case management , discharge planning… more
- Humana (Tallahassee, FL)
- … medical management operational improvements, including those within the medical director area + Participate in call rotation + Develop collaborative ... in teams focusing on quality management , utilization management , case management , discharge planning...on size of region or line of business. The Medical Director conducts Utilization Management … more
- Humana (Tallahassee, FL)
- …and experience with national guidelines such as NCD/LCD, MCG(R) or InterQual The Medical Director conducts clinical case reviews of requests received ... reports to the Lead Medical Director . **Other duties:** + Identify medical management operational improvements, including those within the medical … more
- Highmark Health (Tallahassee, FL)
- **Company :** Endorsed **Job Description :** **GENERAL OVERVIEW** The Medical Director will provide qualified medical direction and consultation for care ... delivery and complex case management for our community-based palliative care...leadership and guidance to the regional interdisciplinary team. The medical director collaborates clinically with the APP… more
- CVS Health (Tallahassee, FL)
- …a Florida medical license or be willing to obtain one. * In the Medical Director role you will provide oversight for medical policy implementation. *You ... clinical / medical programs and expand Aetna's medical management programs to address member needs...and consistent responses to members and providers. *As a Medical Director you will focus primarily on… more
- CVS Health (Tallahassee, FL)
- …will provide clinical, coding, and reimbursement expertise as well as directing case management when necessary. The Medical Director will act as a ... have Internal Medicine or Internal Medicine/Pediatrics (Med/Peds) Board Certification. In the Medical Director role, you will provide oversight for medical… more
- HCA Healthcare (Tallahassee, FL)
- …patient. The CM collaborates with the Rehab Program Director and Facility Case Management Director regarding departmental functions. The CM coordinates ... and inclusion thrive? Submit your application for our RN Case Manager opening with HCA Florida Capital Hospital today...colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no… more
- HCA Healthcare (Tallahassee, FL)
- …patient. The CM collaborates with the Rehab Program Director and Facility Case Management Director regarding departmental functions. The CM coordinates ... an organization that invests in you as a(an) RN Case Manager PRN? At HCA Florida Capital Hospital, you...colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no… more
- Highmark Health (Tallahassee, FL)
- …URAC, CMS, DOH, and DOL regulations, etc.). Ensure that all aspects of the medical management process are consistent with community standards of care. + ... outpatient, or private practice) **Preferred** + 1 year in Medical Management in a Health Insurance Plan;...need. **Preferred** + None **SKILLS** + Critical Thinking + Case Management + Customer Service + Oral… more
- Sumitomo Pharma (Tallahassee, FL)
- …dynamic, highly motivated, and experienced individual for the position of **Associate Director , Strategic Sourcing - R&D and Supply Chain/TOQ.** The Associate ... Director Strategic Sourcing R&D and Supply Chain/Technical Operations &...opportunities. They must provide active category leadership and change management support that challenges traditional spending behavior, service level… more
- Caris Life Sciences (Tallahassee, FL)
- …laboratory companies, or extensive experience working in health plan contracting, coverage or case management + 5+ years of reimbursement programs in pharma, ... **Position Summary** The Director of Market Access drives medical ...Ability to develop a value proposition and effective business case that will influence medical policy +… more
- Trustmark (Tallahassee, FL)
- …experts in building partnerships with customers and with our employees. Regional Sales Director - Southern California We currently have a position open the in the ... Southern California Market for a Regional Sales Director (RSD). The Regional Sales Director (RSD) for Trustmark Voluntary Benefit Solutions division increases… more
- SitusAMC (Tallahassee, FL)
- …global but act local - come join our team! Job Profile Summary As the Sr Director of the Innovation team you will be at the forefront of developing cutting edge ... of industry and/or relevant experience, typically with 2+ years in a Senior Director level role or external equivalent. + Experience with the most current… more
- CDM Smith (Tallahassee, FL)
- …their needs and seek full range of business solutions. * Provides senior management with advice on the financial implications of business activities. * Provides ... are followed. * Performs other duties as assigned. **Job Title:** Director , Finance (Nationwide hybrid work options) **Group:** HQG **Employment Type:** Regular… more
- Verint Systems, Inc. (Tallahassee, FL)
- …covering the four pillars. + Responsible for all aspects of leave management , 401(k), tuition reimbursement, paid time off, annual holiday schedules and worker's ... meetings with immigration counsel to review latest legal updates, trends and case highlights/movement. + Effectively manage a team of two senior benefits analysts… more
- MyFlorida (Tallahassee, FL)
- …position that reports to the Director of the Healthcare Quality and Clinical Management Unit for the Office of Children's Medical Services Managed Care Plan. ... Plan Program initiatives and activities including, but not limited to Care Coordination/ Case Management , Behavioral Health, Behavioral Health Network (BNET), and… more
- University of Florida (Leon County, FL)
- …testing/ hospital services/record reviews and in conjunction with supervisors and medical director . + Takes patient histories, conduct physical examinations, ... abused and neglected children under the direction of the Medical Director . + Performs physical examinations and/or...appropriate medical service for the child Prepares medical reports. + Consults with Case Coordinators,… more
- CenterWell (Tallahassee, FL)
- …times including receiving calls from the field staff and assisting with weekly case conferences. Refers clinical questions to Branch Director as necessary. + ... The role also assists with day-to-day office and staff management . + Manages schedules for all patients. Edits schedule...of lab to doctor, make a copy for the Case Manager, and route to Medical Records… more
- MyFlorida (Tallahassee, FL)
- …of the same, as needed. Case Management Provide in-person and remote case management for students' medical management plans, ensuring physicians' ... (DOH) in Leon, the school, the student, the parent/guardian, and the medical community. Inventory Management Ensure subordinates accurately inventory all… more