- 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
- Pivot OnSite Innovations (Lithia, FL)
- …the Physician Assistant provides patient care that includes but not limited to case management , physicals and clearance exams, injury assessment and minor ... splinting, joint injection, trigger finger injection, arthrocentesis, x-ray interpretation Case management of workman?s compensation claims in conjunction… 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
- 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
- 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
- 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
- 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
- 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
- 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
- HCA Healthcare (Brandon, 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
- ChenMed (Lakeland, FL)
- …position towards becoming a center clinical P&L leader (ie, Senior Medical Director [SMD]) in the organization. The incumbent Center Medical Director ... may be simultaneously completing PCP Black Belt Training and Mastering the Medical Director Essentials within a combined and accelerated PCP and medical director … 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
