- Molina Healthcare (Tampa, FL)
- …health oversight and clinical leadership for health plan and/or market specific utilization management and care management behavioral health programs ... - working closely with regional medical directors to standardize behavioral health utilization management policies and procedures to improve quality outcomes and… more
- Battelle Memorial Institute (Tampa, FL)
- …and Analytics (HRA) business line is seeking a highly motivated, full-time **Nurse Case Manager ** to join our team in support of our government customer, US Special ... support for those who serve. As a Nurse Case Manager , you will contribute to impactful research and analytics...by a recognized certifying organization, ie, Commission for Case Management Certification or American Nurse Credentialing Center + At… more
- UnitedHealth Group (Riverview, FL)
- …difference? Join us to start Caring. Connecting. Growing together. As part of a Care Management team who will manage complex members, the Field Case Manager will ... member's medical, behavioral, and socioeconomic needs to promote appropriate utilization of services and improved quality of care. In...and improved quality of care. In this Field Case Manager role, will be an essential element of an… more
- Vector Solutions (Tampa, FL)
- …technology. Vector's unique product set aims at training and learning management , continuing education (CE), compliance, workforce scheduling, safety management , ... in strong satisfaction with our web-based programs. The Customer Success Manager oversees a larger territory focusing on implementation, customer engagement and… more
- Battelle Memorial Institute (Tampa, FL)
- …(HP) program supporting SOF personnel in locations or units without a HP Manager or Coordinator. The HPA is responsible for planning, developing, and overseeing all ... aspects of HP services, including training, readiness enhancement, equipment management , data collection, and documentation, while providing ongoing feedback and… more
- Baker Construction (Tampa, FL)
- …Baker. **Summary** The **Project Executive** is accountable to the Regional Operations Manager /VP for the financial results and client satisfaction on a large ... Process + Develops Project Functions and Processes + Maximizes Utilization of Project Resources + Accountable for All Facets...Accountable for Project and BURG Safety and for Risk Management Process + Accountable for Meeting and Exceeding Client… more
- Elevance Health (Tampa, FL)
- …is granted as required by law. *Must reside in the state of Florida* The ** Manager of Utilization Management ** is responsible for managing a team of ... physical and/or behavioral health practitioners responsible for coordinating member service, utilization , access, care management and/or concurrent review to… more
- BayCare Health System (St. Petersburg, FL)
- …experience includes 3 years of Case Management or 3 years of Utilization Management or 6 years of clinical nursing **Certifications and Licensures:** + ... Required RN (Registered Nurse) + Preferred ACM (Case Management ) + Preferred CCM (Case Manager ) **Education:**...Bachelors in Nursing **Experience:** + Required 3 years in Utilization Management or + Required 3 years… more
- BayCare Health System (Tampa, FL)
- …and Licensures:** + Required RN (Registered Nurse) + Preferred ACM (Case Management ) + Preferred CCM (Case Manager ) **Education:** + Required Associates ... of trust, dignity, respect, responsibility and clinical excellence. **The Utilization Review Specialist Senior/RN responsibilities include:** + Functions as the… more
- RWE Clean Energy (Tampa, FL)
- …start as soon as possible, full time, permanent** **Functional area:** Project Management **Remuneration:** Exempt The **Senior Manager , Project and Construction ... responsibilities of RWE while developing or executing a major project. In addition, this Manager may function as the lead project manager on some key projects… more
- Wolters Kluwer (Tampa, FL)
- …efforts, prioritizing efforts and resources for assigned customer portfolio. + **Ongoing Utilization Management ** + Oversee and analyze customer utilization ... (see locations listed on the posting) **OVERVIEW** The Customer Success Engagement Manager plays a high-impact role in managing strategy and product utilization… more
- Cherry Bekaert (Tampa, FL)
- …domain, an opportunity has been created for a Manager with a key focus on grants management ... Join the Firm that recognizes the power of the individual. **As a GPS Manager , you will:** Grow the practice through expansion of services to existing clients and… more
- ZOLL Medical Corporation (Tampa, FL)
- …and sales support responsibilities. The ATM will work collaboratively with Territory Manager (s) to support sales activities and territory management tasks that ... and conferences, enabling prescribing entities to become self-sufficient through enrollment and utilization of ZOLL Patient Management (ZPM), with an added focus… more
- Molina Healthcare (Tampa, FL)
- …retrieving specified information from data sources. + Knowledge of healthcare operations ( utilization management , disease management , HEDIS quality measures, ... **Job Summary** The Manager , Medical Economics provides support and consultation to...team through analyzing key business issues related to cost, utilization and revenue for multiple Molina Healthcare products. Analyzes… more
- Elevance Health (St. Petersburg, FL)
- …associates, and may be involved in process improvement initiatives. + Submits utilization /authorization requests to utilization management with documentation ... integrated care plan, engaging the member's circle of support and overall management of the individuals physical health (PH)/behavioral health (BH)/LTSS needs, as… more
- BayCare Health System (Wesley Chapel, FL)
- … II is responsible for: + In a minimally complex practice, oversees the utilization management and daily business operations of the physician practice at the ... + Responsible for patient access to services, insurance contract verification, utilization management , charge entry, collections, clinical support management… more
- Zelis (St. Petersburg, FL)
- …documentation of capabilities, integrations, and AI features to ensure full utilization and informed decision-making. Webinar Management : Oversee the ... you are. Position Overview As the Marketing Process Optimization Manager , you will play a critical role in optimizing...and optimization of the marketing webinar platform, ensuring full utilization of its capabilities by the team while supporting… more
- Regeneron Pharmaceuticals (Tampa, FL)
- …highly challenging for HCPs and Patients. Payer Formularies and restrictive Utilization Management Criteria including: Prior Authorization Processes, Step Edits, ... knowledge on the local and national payer landscape, including Specialty Pharmacy and Utilization Management criteria for assigned products **This role may be a… more
- ERP International (Macdill AFB, FL)
- …algorithms, CM software, and databases for community resources. * Integrate CM and utilization management (UM) and integrating nursing case management with ... certifications: o Commission for Case Manager Certification Certified Case Manager (CCM) o Certification of Disability Management Specialists Commission:… more
- Colliers Engineering & Design (Tampa, FL)
- … for the project design team. Responsibilities include accountability to Project Manager in the areas of project management , financial performance, preparation ... Overview Colliers Engineering & Design is seeking an Assistant Project Manager to join our Civil/Site team in Tampa, FL. The Assistant Project Manager will… more
