- HCA Healthcare (Kissimmee, FL)
- …and integrity. We care like family! Jump-start your career as a Director Case Management today with HCA Florida Osceola Hospital. **Benefits** HCA Florida ... vary by location._** Come join our team as a(an) Director Case Management . We care ...continuity of care and optimal clinical resource utilization . The Director has oversight for all… more
- HCA Healthcare (Tampa, FL)
- …external agencies to ensure continuity of care and optimal clinical resource utilization . The Director has oversight for all aspects of daily hospital case ... our team. **Job Summary and Qualifications** The Facility Case Management Director has the overall responsibility for...(LMSW), required + 3+ years' experience in overall acute care Hospital Case Management , preferred + 2+… more
- AdventHealth (Altamonte Springs, FL)
- …you will contribute:** The Physician Advisor provides primary support for Utilization Management (UM) and secondary support for Care Management (CM) ... The Physician Advisor is responsible for educating, informing and advising members of the Utilization Management , Care Management , Managed Care … more
- Centene Corporation (Tallahassee, FL)
- …functions for the business unit. + Provides medical leadership of all for utilization management , cost containment, and medical quality improvement activities. + ... expertise in the operation of approved quality improvement and utilization management programs in accordance with regulatory,...coordinate care for high-risk patients, collaborating with care management teams to optimize outcomes. +… more
- Evolent (Tallahassee, FL)
- …meaningful impact on patient care in a non-clinical setting? Join our Utilization Management team as a Field Medical Director , Cardiovascular Specialist ... Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. +… more
- Molina Healthcare (St. Petersburg, FL)
- …adjustment, disease management , and evidence-based guidelines. + Experience in Utilization /Quality Program management + HMO/Managed care experience ... resource management . + Develops and implements a Utilization Management program and action plan, which...qualified medical personnel, not influenced by fiscal or administrative management considerations, and that the care provided… more
- BAYADA Home Health Care (Jacksonville, FL)
- …business operations. This individual will be responsible for overseeing the day-to-day management of the agency, ensuring high-quality patient care , regulatory ... lead with purpose in a dynamic and growing healthcare field? **Baptist Home Health Care by BAYADA** is seeking an experienced and compassionate ** Director ** to… more
- Humana (Tallahassee, FL)
- …Health Medical Director will attend and participate in meetings involving care management , provider relations, quality of care , audit, grievance ... metrics, population health, and disease or care management . The Behavioral Health Medical Director may...with prior experience participating in teams focusing on quality management , utilization management , case … more
- Humana (Tallahassee, FL)
- …The Director , Physician leadership will lead Medical Directors performing utilization management for inpatient authorizations training medical director ... role, you will be a key enterprise leader, with responsibility for evolving Humana's Utilization Management of medical review by physician or nurse, with a focus… more
- University of Miami (Miami, FL)
- …Department of SCCC Operations has an exciting opportunity for a Full Time Executive Director , Clinical Operations to work at the UHealth medical campus in Miami, FL. ... CORE JOB SUMMARYThe Executive Director , Clinical Operations assumes responsibility..., Clinical Operations assumes responsibility for the direction and management of the assigned clinical facilities. This position oversees… more