- MyFlorida (Bradenton, FL)
- PUBLIC HEALTH SERVICES MANAGER B - SES - 64080284 Date: Aug 5, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... Agency: Department of Health Working Title: PUBLIC HEALTH SERVICES MANAGER B - SES - 64080284 Pay Plan: SES...improve the overall performance of the STD Field Operations case management activities. + Responsible for overseeing the management… more
- University of Miami (Miami, FL)
- …staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The ... Palmetto Bay has an exciting opportunity for a Nurse Manager . The Manager , Nursing promotes and restores...to provide safe, quality care. + Responsible for the utilization and maintenance of appropriate nursing care plans, and… more
- Humana (Hallandale Beach, FL)
- …company and members are optimized. The Telephonic Behavioral Health Care Manager Internship provides transitioning service members that are eligible to participate ... state in a remote telephonic environment. The Behavioral Health Care Manager guides members and/or families towards and facilitates interaction with resources… more
- Sysco (Riviera Beach, FL)
- **JOB SUMMARY** The District Sales Manager (DSM) role requires exceptional management of sale performance among Sales Consultants (SCs). This position is responsible ... developing the talent of their sales consultants to achieve profitable planned case and GP growth **RESPONSIBILITIES** + Manages the performance and development of… more
- Brunswick (Edgewater, FL)
- …will help transform vision into reality:** **Position Overview** The Customer Experience Manager role will lead the charge in overseeing customer service as well ... resolution + Deploy strategies to drive customer loyalty, performance, and utilization rates, NPS, and customer advocacy rates, while maintaining an industry-leading… more
- AdventHealth (Land O' Lakes, FL)
- …patient care outcomes within effective time frames on a specific group of patients.The Case Manager is responsible for utilization reviews and resource ... Awards, TWCE as Nice **The role you'll contribute:** The Case Manager is accountable for the organization,...another and respect for each persons unique contributions, provides utilization review care that is non-judgmental and… more
- Evolent (Tallahassee, FL)
- …the support services review process. Responsible for the quality of utilization review determinations, including appeals. + Provides input into audit ... member of the Medical leadership team, providing timely medical review of service requests. Oversees the Surgery Field Medical...and findings with matrixed Physician Business Manager . + Provides medical direction to… more
- Elevance Health (Tampa, FL)
- …appropriate area to refer or assign case ( utilization management, case management, QI, Med Review ). + Provides information regarding network providers or ... clinical information regarding case and determines...and documents all actions. + Responsibilities exclude conducting any utilization management review activities which require interpretation… more
- Elevance Health (Tampa, FL)
- …to work East Coast time zone hours.** The **Medical Director** will be responsible for utilization review case management for Commercial business in the New ... and external physicians. + May conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering providers...state or territory of the United States when conducting utilization review or an appeals consideration and… more
- Molina Healthcare (Tampa, FL)
- …Managed Care Experience in the specific programs supported by the plan such as Utilization Review , Medical Claims Review , Long Term Service and Support, ... unrestricted Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager + Certified Professional Healthcare Management + Certified… more