- Highmark Health (Tallahassee, FL)
- …guidance to internal departments. The Analyst conducts audits of Medical Directors, Utilization Management (UM) and Case Management (CM) processes and files, ... Analyst is responsible for monitoring and analyzing medical and utilization management activities to ensure compliance with internal policies, state, CMS, and… more
- Highmark Health (Tallahassee, FL)
- …Analysis of business problems/needs + Analysis + Analytical Skills + Budget Management + Business Case Justification + Analytical and Logical Reasoning/Thinking ... met. Individual contributor roles as needed. **ESSENTIAL RESPONSIBILITIES** + Perform management responsibilities including, but not limited to: involved in hiring… more
- MetLife (Tampa, FL)
- …by delivering benefits, budget and timeline to meet the approved business case . * Demonstrates management rigor, data-driven decision-making and a spirit ... month. The Team You Will Join The Enterprise Program Management (EPM) Strategic Programs team you will join is...large programs/projects from the planning phase where the business case is approved and funding is secured through implementation… more
- Headquarters, Air Force Reserve Command (Patrick AFB, FL)
- …deploying force and timely medical care. Provides robust and comprehensive case management , care coordination, and discharge/disposition services. Exercises ... supervisory personnel management responsibilities less than 25% of the time. Requirements Conditions of Employment Qualifications In order to qualify, you must meet… more
- ChenMed (Tamarac, FL)
- …treatment, development of the plan of care, health education, specialty referrals, case management referrals, follow-up and clear documentation according to ... to ensure compliance with guidelines along with participating in risk and quality management programs, clinical meetings and other meetings as required. The PCP will… more
- Bank OZK (Apollo Beach, FL)
- …& Scope Responsible for performing complex fraud incident investigations and case management , including collaboration with internal and external stakeholders ... recover loss to the Bank. Essential Job Functions + Performs fraud incident management for instances described within the Bank's Fraud Risk Management Program.… more
- ChenMed (Orlando, FL)
- …developing a plan of care, providing health education, specialty referrals and case management referrals, providing follow-up care and applying clear, in-depth ... and care coordination b. Focused on early chronic disease detection & management , preventative care, leading to improved patient outcomes and reduced hospital… more
- Acosta Group (Jacksonville, FL)
- …DOL, EEOC, etc.) * Strong technical aptitude, including experience with HRIS and case management systems data and reporting required; experience with Oracle HCM ... with laws, policies and processes, and resolving disputes between employees and management by delivering a fair investigation process. Program Management :**… more
- BayCare Health System (Safety Harbor, FL)
- …requirement:** Occasional + **On Call:** No **Certifications and Licensures:** + Preferred ACM ( Case Management ) or + Preferred CCM ( Case Manager) ... **Education:** + Required Masters in Social Work, Sociology, or Related Field + Strongly Preferred Masters Degree in Social Work **Experience:** + Required 6 months Internship or + Required 1 year Social Work in an acute care or hospital setting **Benefits:**… more
- Deloitte (Miami, FL)
- …automated data ingestion, alert enrichment, and response. + Support the developments of case management solutions within Google SecOps SOAR to ensure strong ... role and compensation decisions are dependent on the facts and circumstances of each case . A reasonable estimate of the current range is $80,400 - $148,000 You may… more