- Deloitte (Boca Raton, FL)
- …in these Lookback engagements, you will likely be involved in: + Performing case investigations + Assessing potential AML and sanctions risks as they arise ... throughout case investigations. + Making recommended decisions regarding ... investigations, as required. + Communicate regularly with Engagement Managers (Directors), project team members, and representatives from various… more
- Elevance Health (Tampa, FL)
- …Able to work independently on assignments and under minimal guidance from the manager . + Prepare detailed work papers and present findings in accordance with ... Reviews + Maintaining accurate records by updating all logs, case files, tracking systems + Participate in all team...to providers. + Assist Audit and Reimbursement Leads and Managers in training, and development of other associates. +… more
- Elevance Health (FL)
- …**How you will make an impact:** + Ensures timely completion of clinical case reviews for their board certified specialty. + Makes physician to physician calls ... making medical necessity decisions. + Brings to their supervisors attention, any case review decisions that require Medical Director review or policy interpretation.… more
- WestCare Foundation (Miami, FL)
- …assigned. Qualifications Essential Qualifications: Certifications/Licensures: + Certification as a certified case manager in good standing and recognized by the ... standards and agency policy and procedure + Conduct individual case management sessions + Provide vocational education and skills...the ability to work and cooperate with clients, co-workers, managers , the public and employees at all levels in… more
- Community Based Care of Brevard, Inc. (Rockledge, FL)
- …Medicaid and Federal/State Funds Maintains open communication with Protective Investigators and Case Managers responsible for supervising cases of children in ... systems to access specific information for distributing weekly/monthly reports to case management and senior management staff Performs routine data validation… more
- ChenMed (Lakeland, FL)
- …the CMD will engage with the transitional care team and others including case managers , acute and transitional-care physicians, and other resources that may ... Meeting (TCM) weekly care meetings, as well as support Center Manager /Center General Manager . The goal is for the CMD to increasingly assume responsibilities… more
- AdventHealth (New Smyrna Beach, FL)
- …management measures and departmental initiatives. Leads a care team as a clinic case manager , providing clear instructions to team members and delegating tasks ... allowing staff to leave at the direction of the case manager . Utilizes efficient and effective communication...outside the department, such as home health nurses, insurance case managers , and referring physicians. Manages assigned… more
- Datavant (Tallahassee, FL)
- …CCS HIM director. + Review disagreements on APC/DRG changes with the appropriate manager . + Prepare the final reports for the coding audit and actively participates ... multiple cases concurrently to ensure departmental workflow and prompt case resolution. + Demonstrate versatility and exceptional work across...coding staff as needed and provides reports to the manager as directed. + Handle a high complexity of… more
- Huntington Ingalls Industries (Altoona, FL)
- …Job Description The East Coast Quality Assurance and Safety Manager assists management in establishing, developing, implementing, and maintaining an ... to the NITE Quality Assurance/Safety, Health and Environmental Operations Manager + Provides guidance to the Program Management Office...elements as needed. + Provides direction to the site managers in all areas of quality assurance and compliance… more
- Datavant (Tallahassee, FL)
- …& Development_ + Lead, mentor, and develop a team of managers , supervisors, analysts, and system administrators responsible for forecasting, planning, scheduling, ... years of leadership experience managing large, multi-layered WFM teams ( managers , analysts, supervisors, administrators). + Demonstrated expertise in Director-level… more