- 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
- 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
- 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
- BluePearl (Brandon, FL)
- …in hospitalleadershipmeetings. + MentorERClinicians and newER/ICU support staff. OverseeERClinician case management and providing guidance as needed on ... case management decisions. + Integrate the emergency and specialty services...Specialty Clinicians and discuss any concerns with the Medical Director as they arise. + Assist in implementation and… more
- Edwards Lifesciences (Tampa, FL)
- …**How you will make an impact:** + Working independently in the areas of valve crimping, case management , pre- case planning, post- case management , 3 ... positive patient outcomes. This role reports to an assigned Regional Director and will collaborate with multiple departments including Sales, Clinical Affairs,… more
- MyFlorida (Tampa, FL)
- …The BHC works directly with Child Protective Investigators (CPIs) and dependency case managers to enhance recognition of behavioral health concerns, improve family ... Responsibilities include: + Consult and collaborating with CPI and dependency case managers to help frontline staff identify behavioral health disorders particularly… more
- ChenMed (Tampa, FL)
- …developing a plan of care, providing health education, specialty referrals and case management referrals, providing follow-up care and applying clear, in-depth ... cardiovascular care as well as, care coordination, echocardiogram reading, population management of market's members, and oversight of PCP's cardiovascular skills. +… more
