- AssistRx (Orlando, FL)
- …initiatives, to pharmacy client implementations. We are looking for an Manager of Project Management to assist the Director of Project Management with ... staffing ratios and workflows within the Implementation team in conjunction with Director of Project Management + Participate in resource planning process… more
- Carnival Cruise Line (Miami, FL)
- This role reports to the Senior Manager of Case Management and oversees the daily operations of crew case management . The Manager leads a team of specialists to ... return-to-work planning. The Manager also escalates high-risk cases, conducts utilization reviews, and represents the company in arbitration when needed.… more
- Carnival Cruise Line (Miami, FL)
- This role reports to the Senior Manager of Case Management and oversees the daily operations of crew case management . The Manager leads a team of associates and ... Manager also escalates high-risk cases, conducts care coordination and utilization reviews. Operationally, the role supports shipboard medical teams, participates… more
- Elevance Health (Miami, FL)
- **Medical Management Nurse** **Location:** Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training ... - 6pm EST and will include weekends. The **Medical Management Nurse** will be responsible for review of the...to approve requested service(s) as medically necessary. Works with healthcare providers to understand and assess a member's clinical… more
- ChenMed (Pembroke Pines, FL)
- …the patient care, discharge, and home planning processes with hospital case management departments, and other healthcare facilities. + In conjunction with ... reports adverse occurrences, and performs staff education related to resource utilization , discharge planning and psychosocial aspects of healthcare delivery.… more
- RWE Clean Energy (Tampa, FL)
- …as soon as possible, full time, permanent** **Functional area:** Project Management **Remuneration:** Exempt The **Senior Manager, Project and Construction ... Management ** is responsible for overseeing all of the Energy...is responsible. The Manager will provide assistance to the Director , Development & Performance Assurance, and the Director… more
- Elevance Health (Tampa, FL)
- …in multiple states. **Preferred Skills, Capabilities and Experience:** + Experience in Utilization Management and/or Long Term Care Services Strongly Preferred. ... Simply Healthcare Plans, Inc. is a proud member of...enrolled in Medicaid and/or Medicare programs in Florida. **Medical Management Clinician Associate** **Location:** The candidate must reside in… more
- CVS Health (Tallahassee, FL)
- …screening and supporting the implementation of care plans to promote effective utilization of healthcare services. Promotes/supports quality effectiveness of ... once they are out of training). As a Care Management Associate you will be supporting comprehensive coordination of...service delivery under the direction of nurse or medical director in the most appropriate setting at the most… more
- ChenMed (Oakland Park, FL)
- …the patient care, discharge and home planning processes with hospital case management departments, and other healthcare facilities. + In conjunction with ... reports adverse occurrences, and performs staff education related to resource utilization , discharge planning and psychosocial aspects of healthcare delivery.… more
- AdventHealth (Orlando, FL)
- …and serves as a resource to Medical Staff colleagues regarding best practices, Utilization Management and Care Management structures, and functions and ... facilitates productive internal/external relationships with all physicians and constituents of Utilization Management , Care Management and CDI departments.… more