- Monogram Health (Tampa, FL)
- … case -by- case ? Roles & Responsibilities? Collaborate with market Medical Director and the care team to proactively identify patients who qualify for ... Care physician will be integrated into their local market with the pod Medical Director and primarily renders care in the home and through telemedicine visits. Your… more
- HCA Healthcare (Bradenton, FL)
- …**Introduction** Do you want to join an organization that invests in you as a Director Case Management ? At HCA Florida Blake Hospital, you come first. ... 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
- HealthTrust Workforce Solutions (Bradenton, FL)
- …access to more than 200,000 jobs nationwide. **_JOB SUMMARY_** The Interim Leader of Case Management Services is a Registered Nurse who participates as an active ... administrative member of the Nursing Management Team. The Case Management ...and tracking logs is also a responsibility of this director . Other Duties, as assigned **_EDUCATION & EXPERIENCE_** +… more
- HCA Healthcare (St. Petersburg, FL)
- …care team + Collaborating closely with the Rehab Program Director , Facility Case Management Director , and interdisciplinary team to ensure seamless, ... We care like family! Jump-start your career as a(an) Case Manager RN PRN today with HCA Florida St....vary by location._** Come join our team as a(an) Case Manager RN PRN. We care for our community!… more
- HCA Healthcare (Brandon, FL)
- …care team + Collaborating closely with the Rehab Program Director , Facility Case Management Director , and interdisciplinary team to ensure seamless, ... **Introduction** Do you have the career opportunities as a(an) Case Manager RN you want with your current employer?...of colleagues. Do you want to work as a(an) Case Manager RN where your passion for creating positive… 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)
- …region. + Provides psychiatric leadership and clinical expertise for utilization management , case management , and integrated behavioral health/chemical ... a medical director in a managed care setting supporting utilization management and quality initiatives. + At least 3 years management /leadership experience.… 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
- Elevance Health (Tampa, FL)
- **Appeals Medical Director - Medicare** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person training ... required by law. Alternate locations may be considered. The **Appeals Medical Director ** is responsible for the appeal reviews for physical health medical services,… 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
- Molina Healthcare (St. Petersburg, FL)
- …gaps and barriers in implementation and compliance to AVP, VP and senior management + Consultative role, develops business case methodologies for programs, ... **JOB DESCRIPTION** **Job Summary** Responsible for the Management of internal business projects and programs involving department or cross-functional teams of… 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
- 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
- Elevance Health (Tampa, FL)
- **Medical Management Clinician** - Licensed Nurse **Locations:** Tampa, FL **Hybrid 1** : This role requires associates to be in-office 1-2 days a month, fostering ... : Monday - Friday, 8:00AM - 5:00PM Eastern Time The **Medical Management Clinician** is responsible for ensuring appropriate, consistent administration of plan… more
- CenterWell (Bradenton, FL)
- …performance review and outcomes of care analysis to determine efficiency, the efficacy of case management system as well as any other systems and process. ... the delivery of care to all patients served by the location. Receives case referrals. Reviews available patient information related to the case , including… 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
- Elevance Health (Tampa, FL)
- …responsible for Behavioral Health Utilization Management (BH UM), or Behavioral Health Case Management (BH CM) or a combination of both functions (integrated ... and/or outpatient psychiatric and chemical dependency treatment and extensive experience in case management and telephonic coaching with members with a broad… more
- MyFlorida (Tampa, 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...courtroom. The incumbent also performs other duties assigned by management . + Incumbents in this class report directly to… more
- HCA Healthcare (Bradenton, FL)
- …care issues. Offers clinical support for appeals and denials process, discharge planning, case management , and utilization review/ management . + Consults with ... payer denials and in the denial and appeals process, as requested by the Case Management Department and Patient Accounting Services. + Attends corporate, group,… more
