- Raymond James Financial, Inc. (St. Petersburg, FL)
- We are seeking a Project Management / Finance Technology Professional with Finance ERP and EPM as well as exposure to large development projects in support of ... + Provides a proactive interface between project stakeholders and senior management to ensure complete and accurate definitions of business requirements and… more
- Elevance Health (Miami, FL)
- …to clients/ members. The medical director provides clinical expertise in all aspects of utilization review and case management . Provides input on the ... means that the medical director is directly involved in Utilization Management and Case ...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Elevance Health (Tampa, FL)
- …clinical information regarding case and determines appropriate area to refer or assign case ( utilization management , case management , QI, Med ... reports and documents all actions. + Responsibilities exclude conducting any utilization management review activities which require interpretation of clinical… more
- Molina Healthcare (Jacksonville, FL)
- …(CPHM), Certified Professional in Health Care Quality (CPHQ), Commission for Case Manager Certification (CCMC), Case Management Society of America (CMSA) ... of health care services provided to plan members. * Supports plan utilization management program and accompanying action plan(s), which includes strategies… more
- Elevance Health (Lake Mary, FL)
- …critical thinking skills and nursing judgment and experience. + Collaborates with case management nurses on discharge planning, ensuring patient has appropriate ... about plan benefits and physicians and may assist with case management . + Collaborates with leadership in...experience and requires a minimum of 2 years clinical, utilization review, or managed care experience; or any combination… more
- AdventHealth (Orlando, FL)
- …Management Facility Director leads, manages, and supervises all activities of the Care Management Manager , Team Leads, Care Managers, Social Workers and Care ... level or above) in addition to 5 years of direct Care Management / Utilization Management experience and increasing leadership responsibility + RN-BC… more
- Sharecare (Tallahassee, FL)
- …change techniques, the nurse helps to drive cost effective and appropriate resource utilization and desired clinical outcomes. The Disease Management Nurse is ... disease management program intervention guidelines. A Disease Management Nurse is supervised by an Operations Manager...during the training period will be evaluated on a case by case basis and must be… more
- J&J Family of Companies (Palm Beach Gardens, FL)
- …governed by DePuy Synthes employment processes, programs, policies, and benefit plans. In that case , details of any planned changes would be provided to you by DePuy ... Engineering & Property Services (E&PS) is recruiting for a **Director Facilities Management ** **(FM) MedTech Make Orthopedics** , located in **Palm Beach Gardens,… more
- Highmark Health (Tallahassee, FL)
- …Highmark Inc. **Job Description :** **JOB SUMMARY** This job implements effective complimentary utilization and case management strategies for an assigned ... and federal law standards and are within the care manager 's professional discipline. + For assigned case ...**Required** + 7 years in any combination of clinical, case / utilization management and/or disease/condition … more
- Elevance Health (Tampa, FL)
- …a State agency. **Preferred Qualifications:** + Bilingual- Spanish speaking preferred. + Utilization Management case review experience strongly preferred. + ... and Optimum Healthcare Plans and will be responsible for utilization review case management for...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more