- Bank OZK (Apollo Beach, FL)
- …AML guidelines and OFAC requirements). + Knowledge of AML monitoring software and case management systems. + Ability to multi-task and prioritize work projects ... and refers the customer to AML Operations and Sanctions Director for inclusion on the high-risk customer list. +...needed. + Works closely with the Bank's Fraud Risk Management team to identify criminal and potential criminal activity… more
- HCA Healthcare (Tampa, FL)
- …**Introduction** Do you want to join an organization that invests in you as a Director Case Management ? At HCA Florida South Tampa Hospital, you come ... and you have the opportunity to make a difference. We are looking for a dedicated Director Case Management like you to be a part of our team. **Job Summary… more
- HCA Healthcare (Brandon, FL)
- …The Manager for Case Management Services reports to the Case Management Director and is responsible for promoting patient-centered care ... **What you will do in this role:** + You will report to the Case Management Director and be responsible for promoting patient-centered care by coordinating… more
- Elevance Health (Tampa, FL)
- …clinical responsibilities means that the medical director is directly involved in Utilization Management and Case Management . + Daily case reviews ... ** is responsible for serving as the Operational Medical Director for our care management models for...clinical expertise in all aspects of utilization review and case management . Provides input on the clinical… more
- AdventHealth (Tampa, FL)
- …leadership experience in care management or related healthcare field Required Case Management Certification Required This facility is an equal opportunity ... cancer and other diseases. **The role you'll contribute:** The Executive Director of Care Management WFD will be responsible for developing and executing the… more
- Raymond James Financial, Inc. (St. Petersburg, FL)
- …to mitigate operational and compliance risks. **Skill in** + Applying QA/QC tools, case management systems, and data analytics platforms to work processes. + ... The Director of Quality Assurance & Control covering Anti-Money...& Control covering Anti-Money Laundering (AML) & Financial Crimes Management (FCM) is responsible for leading a team of… more
- AdventHealth (Tampa, FL)
- …4. Faculty Oversight 5. Supervision of Residents and Fellows 6. Fellowship Program Management **Educational Requirement** Program Director must be a licensed and ... duty hours, work environment, and work intensity) + Program management (ie program evaluation and improvement, communications, accreditation as...will be addressed on a case by case basis. **Annual Evaluation** Program Director will… more
- Elevance Health (Tampa, FL)
- …Health, and Optimum Healthcare Plans and will be responsible for utilization review case management for these markets. May be responsible for developing and ... **Medical Director - Florida Medicare Plans** Location: This role enables...**Preferred Qualifications:** + Bilingual- Spanish speaking preferred. + Utilization Management case review experience strongly preferred. +… more
- AccentCare, Inc. (Tampa, FL)
- …policies and protocols + Pariticpates and promotes Back to Bedside efforts in reinforcing Case Management skills, and knowledge and attitude per protocol for all ... Overview Registered Nurse / RN Team Director , Hospice Location: Tampa FL Position: Registered...Location: Tampa FL Position: Registered Nurse / RN Team Director Remote/Virtual Position : No Coverage Area: Hillsborough County… more
- Molina Healthcare (St. Petersburg, FL)
- …Summary** Molina's Behavioral Health function provides leadership and guidance for utilization management and case management programs for mental health ... management programs. **Knowledge/Skills/Abilities** Provides Psychiatric leadership for utilization management and case management programs for mental… more
- Molina Healthcare (St. Petersburg, FL)
- …Management (CPHM), Certified Professional in Health Care Quality (CPHQ), Commission for Case Manager Certification (CCMC), Case Management Society of ... oversight and clinical leadership for health plan and/or market specific utilization management and care management behavioral health programs and chemical… more
- Elevance Health (Tampa, FL)
- **Plan Performance Medical Director ** Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, ... granted as required by law. The **Plan Performance Medical Director ** serves as a lead clinician and oversees the...you will make an impact:** + Supports the Medical Management staff to ensure timely and consistent responses to… more
- Molina Healthcare (St. Petersburg, FL)
- …in the performance of prior authorization, inpatient concurrent review, discharge planning, case management and interdisciplinary care team activities. + Ensures ... HMO/Managed Care experience **OR** 5 years experience as a Molina Medical Director + Demonstrated experience in Utilization/Quality Program management + Previous… more
- Molina Healthcare (St. Petersburg, FL)
- …leaders to support implementation of best practices for optimal performance. The Program Director , RQS HP Engagement ensures that all RQS action plans are complete, ... * Acts in a consultative role, supporting development of business case methodologies for incremental programs. Develops and coordinates implementation of business… more
- Raymond James Financial, Inc. (St. Petersburg, FL)
- …+ Provides a proactive interface between project stakeholders and senior management to ensure complete and accurate definitions of business requirements and ... of experience leading Finance Technology Transformation Initiatives including: project management , enterprise implementation, leadership experience, strategic planning, business acumen,… more
- Molina Healthcare (St. Petersburg, FL)
- …Escalates gaps and barriers in implementation and compliance to VP and senior management + Consultative role, develops business case methodologies for programs, ... COEs, Operating Domains, Med Econ, and Finance. Responsible for the Management of internal business projects and programs involving department or cross-functional… more
- GE HealthCare (Tampa, FL)
- …world-class commercial talent to execute on go-to-market strategy; drive performance management within the team, providing a regular operating mechanism of feedback, ... selling. + At least 5 years of prior sales management experience + At least 5 years of oncology...are dependent on the facts and circumstances of each case . The specific compensation offered to a candidate may… more
- Molina Healthcare (St. Petersburg, FL)
- …of programs and resolution of escalated issues. + Develop business case methodologies and support implementation of business strategies for VBC initiatives. ... of value-based care models, provider enablement strategies, and population health management . + Strong knowledge of data integration, EMR systems, and analytics… more
- HCA Healthcare (St. Petersburg, FL)
- …clinical screenings and assessments in collaboration with both the hospital case management team and the Rehab Medical Director + Work closely with the ... duties and responsibilities may include: + .Establishing relationships with case managers, physicians, payers and other referral sources +...hospital case management team to ensure a responsive and smooth-flowing referral… more
- AdventHealth (Tampa, FL)
- …for each position may vary based on geographical location. **Category:** Case Management **Organization:** AdventHealth Tampa **Schedule:** Full-time **Shift:** ... Manager is under the general leadership of the Care Management Facility Director and has the responsibility of the departmental daily operations and… more
