• Medical Director - Care Plus - Florida

    Humana (Tallahassee, FL)
    …as a focus on collaborative business relationships, value based care , population health , or disease or care management . Medical Directors support Humana ... Experience working with Case managers or Care managers on complex case management , including familiarity with social determinants of health . + The curiosity… more
    Humana (06/28/25)
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  • Care Manager, Bilingual Spanish/English

    Healthfirst (FL)
    …systems, including child welfare and/or medically fragile/developmentally disabled populations + For Behavioral Health (BH) Care Management : + NYS RN or + ... adequately addressed. + Coordinates and facilitates with the multi-disciplinary health care team as necessary to ensure...Additional duties as assigned. **Minimum Qualifications:** + For Medical Care Management : + NYS RN or +… more
    Healthfirst (07/15/25)
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  • Clinical Quality Director - Stars/HEDIS

    Elevance Health (Tampa, FL)
    …The **Clinical Quality Director** is responsible for working with the regional head of health care management to direct the clinical quality initiatives, ... health care field (ie nursing, epidemiology, health sciences) and 5 years progressively responsible management experience in a health care more
    Elevance Health (07/18/25)
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  • Sr. Manager, Risk Management (H)

    University of Miami (Miami, FL)
    …a plus + RN Training and licensure is a plus + Certified Professional in Health Care Risk Management (CPHRM), Certified Professional in Patient Safety (CPPS) ... UHealth-University of Miami Health System, South Florida's only university-based health system, provides leading-edge patient care powered by the ground… more
    University of Miami (06/24/25)
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  • Nurse Care Coordinator

    Community Based Care of Brevard, Inc. (Orlando, FL)
    …3 years of nursing experience, preferably in the child welfare or behavioral/medical health care setting. Strong time- management and organizational skills: ... those covered individuals who may need physical or behavioral healthcare management , health coaching or care coordination. Advocacy and Training-Essential… more
    Community Based Care of Brevard, Inc. (07/12/25)
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  • Behavioral Health Care Coordinator

    Actalent (Sunrise, FL)
    …to coordinate care and resolve authorization issues. Essential Skills + Case management + Behavioral health + Care coordination + Chronic disease ... Actalent is Hiring a Behavioral Health Care Coordinator // Hybrid!Job Description... management . + Engage with Medical Directors and care management staff to direct appropriate utilization… more
    Actalent (07/30/25)
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  • Director of Facilities Management

    HCA Healthcare (Plantation, FL)
    …+ Bachelor's degree from an accredited school preferred + Five (5) years previous health care experience in management of Plant Operations + Construction ... in a new era as a Director of Facilities Management where building a healthier tomorrow is more than...Comprehensive Stroke Center is certified by the Agency for Health Care Administration (ACHA). We are certified… more
    HCA Healthcare (07/14/25)
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  • Medical Director - Dsnp/MMP

    CVS Health (Tallahassee, FL)
    …managed to improve health outcomes. * Leverage extensive knowledge of health care delivery system, utilization management , reimbursement methods and ... that are evidence-based. * Work collaboratively with the Behavioral Health , Pharmacy, Member Outreach, Care Management...with the Behavioral Health , Pharmacy, Member Outreach, Care Management , National Quality Management ,… more
    CVS Health (07/18/25)
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  • RN Team Lead - Suncoast Cardiology

    BayCare Health System (St. Petersburg, FL)
    …and protocols + Delegates appropriate patient care activities to other members of the health care team. + Using management skills + Acts as a ... amazing team and a great place to work!** **Responsibilities:** + Supports the health care team. + Independently cares for a group of patients consistently using… more
    BayCare Health System (06/11/25)
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  • RN Case Manager - Case Management , PRN

    Mayo Clinic (Jacksonville, FL)
    …RN. The American Case Manager Association Standards of Practice and Scope of Services for Health Care Delivery System Case Management and Transitions of ... plan of care throughout the continuum of care by ensuring appropriate utilization management , ...state requirements. Maintains Basic Life Support (BLS) competency for Health Care Providers from one of the… more
    Mayo Clinic (07/31/25)
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