- Select Medical (Gainesville, FL)
- …care and doing well by doing what is right. As the Director of Case Management **,** you will use your clinical knowledge and contribute to the overall ... **Overview** **Critical Illness Recovery Hospital** **Director of Case Management ** **$10,000 Sign On Bonus** **_Clinical license as...they do. Minimum requirements: + Current licensure in a clinical or a related discipline. + Minimum three (3)… more
- CVS Health (Tallahassee, FL)
- …opportunities + Design and manage cross-functional initiatives, coordinating between clinical teams, data engineering, operations, and external partners ... Manager will play a pivotal role in leading and supporting strategic, data -driven initiatives across CVS Health's PBM Caremark ecosystem. You will collaborate with… more
- Humana (Tallahassee, FL)
- …understanding of healthcare operations, particularly around claims processing, enrollment, provider data management and clinical operations; Medicaid ... + Experience with Jira Align, ADO, SNOW, and SmartSheets + Project Management Professional (PMP), Lean Six Sigma, or other relevant certifications are advantageous… more
- AdventHealth (Tampa, FL)
- …UM RN leverages the algorithmic logic of the XSOLIS Cortex platform, utilizing key clinical data points to assist in status and level of care recommendations. ... the Utilization Management (UM) Registered Nurse (RN) is to use clinical expertise by analyzing patient records to determine legitimacy of hospital admission,… more
- Community Health Systems (Naples, FL)
- …Management & Compliance** + Design and implement a comprehensive risk management program addressing clinical , operational, and facility-related risks. + ... in healthcare risk management (required) + 5 years of acute care clinical experience (required) + Proven knowledge of healthcare law, risk management , and… more
- Bristol Myers Squibb (Tampa, FL)
- …leading and participating on cross-functional and/or global teams. + Internal stakeholder management , data /information management , category management , ... the position of Senior Manager, Procurement, Third Party Risk Management . The Senior Manager will perform duties within the...+ SMEs from Risk Areas supporting TPRM program. (IT Data Privacy & Cyber, Quality, BCM, EOHSS, Corporate Security,… more
- Humana (Tallahassee, FL)
- …first** The UM Administration Coordinator contributes to administration of utilization management . The UM Administration Coordinator 2 performs varied activities and ... at Humana. Join Us!** The UM Administration Coordinator provides non- clinical support for the policies and procedures ensuring best...and Excel with the ability to type and enter data accurately + Ability to quickly learn new systems… more
- HCA Healthcare (Tampa, FL)
- …you want to join an organization that invests in you as a Director Case Management ? At HCA Florida South Tampa Hospital, you come first. HCA Healthcare has committed ... difference. We are looking for a dedicated Director Case Management like you to be a part of our...external agencies to ensure continuity of care and optimal clinical resource utilization. The Director has oversight for all… more
- HCA Healthcare (Kissimmee, FL)
- …We care like family! Jump-start your career as a Director Case Management today with HCA Florida Osceola Hospital. **Benefits** HCA Florida Osceola Hospital ... location._** Come join our team as a(an) Director Case Management . We care for our community! Just last year,...external agencies to ensure continuity of care and optimal clinical resource utilization. The Director has oversight for all… more
- University of Miami (Miami, FL)
- …IT Department has an exciting opportunity for a Full-time Manager, Digital Product Management . The Manager, Digital Product Management oversees the design and ... pain points and communicates your in-depth customer knowledge. + Analyzes quantitative data to determine which plans are most successful and identifies new product… more