- 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
- Elevance Health (Tampa, FL)
- **Clinical Operations Associate Medical Director ** **Carelon Medical Benefits Management ** **Post Acute Care Benefit Utilization Management ** **Schedule: ... of care for the people we serve._ The **Clinical Operations Associate Medical Director ** is responsible for supporting the medical management staff ensuring… 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
- ChenMed (Largo, FL)
- …expanding and we need great people to join our team. The Clinical Director will directly supervise and train primary care providers (PCPs) in his/her assigned ... needs, size of centers, patient membership, and Market Clinical Director direction. **ESSENTIAL JOB DUTIES/RESPONSIBILITIES:** + Independently provides care for… more
- Molina Healthcare (Tampa, 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 (Tampa, 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
- Pegasystems (Tampa, FL)
- …and rethinking the way work gets done. As the industry leader in case management , real-time decisions, BPM, and leader in customer engagement, Pega's ... Director of Solutions Consulting Job Category: Pre-Sales Consulting...team of direct reports through coaching, goal-setting, and performance management **Who You Are:** + Passionate about people &… more
- Molina Healthcare (Tampa, 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
- US Foods (Tampa, FL)
- …Join Our Community of Food People! The Labor Relations, Sr Director is responsible for shaping and leading the company's labor relations ... partners with senior leadership to design strategies that foster positive labor- management relations, mitigate risk, and align with long-term business objectives.… more
- Sevita (Lutz, FL)
- …licensing requirements and all company policies and procedures + Supervise the Case Management department to include: + Admission process and resident ... services for infants, children, adolescents, Military Service Members and Veterans. ** Director of Nursing-** **_Adult Behavioral Health - Neuro_** Bring your passion… more
- Molina Healthcare (Tampa, 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
- Grifols Shared Services North America, Inc (St. Petersburg, FL)
- …solutions and services in more than 110 countries and regions. The Director , Pricing & Access Analytics is responsible for developing and applying advanced ... and competitive scenarios, rebate forecasts, evolving government legislation, and business case rationale + Track win/loss trends to refine pricing and contracting… 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
