NewRN Case Manager - Facilities Team Hospice of Marion CountyRN Case Manager - Facilities TeamBradenton, FLEmpath Health is a not-for-profit healthcare organization providing Full Life Care through a connected network of services across Florida, including hospice, home health, grief care, geriatric primary care, elder care (PACE), HIV and sexual health (EPIC), and dementia support. Empath Health is a not-for-profit healthcare organization providing Full Life Care through a connected network of services across Florida-including hospice, home health, grief care, geriatric primary care, elder care (PACE), HIV and sexual health (EPIC), and dementia support.
NewFlorida Medical Management Nurse - Weekends Elevance HealthFlorida Medical Management Nurse - WeekendsTampa, FLThe Medical Management Nurse will be responsible for review of the most complex or challenging cases that require nursing judgment, critical thinking, and holistic assessment of member's clinical presentation to determine whether to approve requested service(s) as medically necessary. How you will make an impact: Utilizes nursing judgment and reasoning to analyze members' clinical information, interface with healthcare providers, make assessments based on clinical presentation, and apply clinical guidelines and/or policies to evaluate medical necessity.
Nurse Disease Management II Elevance HealthNurse Disease Management IITampa, FLThe Telephonic Nurse Disease Management II is responsible for participating in and delivery of more complex patient education and disease management interventions and performs health coaching for members, across multiple lines, for health improvement/management programs for chronic diseases. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
Utilization Management Assistant BayCare Health SystemUtilization Management AssistantClearwater, FLThe Utilization Management Assistant responsibilities include: Participating on the Utilization Management Team (UMT), serving as a Utilization Management liaison with managed care organizations, collaborating with Medical Staff, Business Office, Medical Records and other hospital staff. Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians.
Supervisor, Utilization Management TriWest Healthcare AllianceSupervisor, Utilization ManagementTampa, FLRemoteFull timeTechnical Skills: Thorough knowledge of policies and procedures, knowledge of managed care principles and methods; medical terminology; proficiency in the application of clinical criteria: InterQual, International Classification of Diseases, Diagnostic and Statistical Manual of Mental Disorders, current Procedural Terminology, and Healthcare Common Procedural Coding System, and American Dental codes; working knowledge with medical management systems; proficient with Microsoft Office; knowledge of UM Process; reporting techniques. • Prepares work schedules and monitors staff caseloads to ensure adequate staffing levels at all times and accurate data entry and application of the medical management system.
Executive Vice President of Account Management PerformcbExecutive Vice President of Account ManagementSarasota, FloridaThis leader will own the client services function end to end building a high-accountability team of Growth Managers (Account Managers), establishing rigorous operating cadences, and driving the proactive strategies required to maximize revenue across our most important accounts. Prior experience at a performance network, affiliate platform, DSP, mobile measurement partner, or comparable marketing technology company—including companies such as QuinStreet, MediaAlpha, EverQuote, Red Ventures, DMS, Fluent, Launch Potato, Liftoff, AppLovin, Moloco.
RN Care Management AdventHealthRN Care ManagementRiverview, FL$33.08–$58.04 / hourCommunicates with and educates patients and families regarding emotional, social, and financial impacts of illness and mobilizes family/community resources to meet identified needs while advocating for patient and family empowerment in making health care decisions and accessing needed services. Develops discharge plans with appropriate contingency plans throughout the hospital stay to ensure timely care coordination and progression of care, making arrangements for post-acute care services and facilities as well as community care for social needs.
Pain Management Specialist PhysmedPain Management SpecialistSarasota, FloridaWe excel in personal injury recovery by leveraging an integrated approach that includes advanced interventional procedures, detailed case documentation, and proactive collaboration with legal and medical teams to support our patients’ needs fully. At PhysMED, our mission is to provide best-in-class treatment, combining interventional pain management techniques with a robust case management model to ensure our patients receive the highest quality of care.
Medical Management Nurse Elevance Health IncMedical Management NurseTampa, FL$75,772–$113,658 / yearHow you will make an impact: Utilizes nursing judgment and reasoning to analyze members' clinical information, interface with healthcare providers, make assessments based on clinical presentation, and apply clinical guidelines and/or policies to evaluate medical necessity. The Medical Management Nurse is responsible for review of the most complex or challenging cases that require nursing judgment, critical thinking, and holistic assessment of member's clinical presentation to determine whether to approve requested service(s) as medically necessary.
Senior Consultant, Claims Consulting Practice – Liability/Workers’ Compensation & Project Management Marsh McLennanSenior Consultant, Claims Consulting Practice – Liability/Workers’ Compensation & Project ManagementTampa, FloridaAs a senior individual contributor and project manager, you will work closely with clients, carriers, TPAs, consultants, and Marsh leadership to drive engagement execution, maintain accountability to timelines and financial goals, and ensure clients receive clear, strategic guidance backed by strong analysis. This hybrid role (three days per week in-office) blends deep claims expertise in liability and/or workers’ compensation with strong project management, client-facing consulting, and data-driven program oversight capabilities.
Sr. Business Analyst - Workforce Management & HCM BeallsSr. Business Analyst - Workforce Management & HCMBradenton, FLThe primary responsibility of the Senior Business Analyst – Workforce Management & HCM is configuration, support, optimization, and continuous improvement of the Bealls Workforce Management and Oracle Fusion Absence Management platforms. Here you'll find a blend of tenured individuals with deep company knowledge working alongside talents from national and international retailers, various industries, and recent graduates, all united by a shared vision.
Director Account Management Paradigm Management Services LLCDirector Account ManagementTampa, FLRemoteThey will be responsible for developing, executing and fostering a collaborative business partnership between customers and Paradigm that delivers high customer service across multiple product lines. Build lasting customer relationships at multiple levels of the client organization, particularly with senior claims, product, divisional managers, and contacts who have influence or authority over purchasing decisions.
Intensive Community Manager, Complex Care (RN) ChenMed LLCIntensive Community Manager, Complex Care (RN)Largo, FL$36.90–$52.70 / hourThe Intensive Community Care Manager (ICCM) is a Registered Nurse (RN) who works with our highest complexity patients, their primary care physicians, and other members of the care team that provides hyperfocus case management and field nursing interventions to prevent unnecessary hospital arrivals, keep patients engaged in our intensive primary care model and maximize their healthy time at home. They will assess, evaluate, and coordinate the team's efforts to stabilize our highest risk patients, with special areas of focus including safe transitions of care from facilities back to our primary care teams, stabilization of our highest risk ambulatory patients and outreach to patients who are assigned to us but are not engaged in care.
Intensive Community Manager, Complex Care (RN) ChenMedIntensive Community Manager, Complex Care (RN)Largo, FloridaThe Intensive Community Care Manager (ICCM) is a Registered Nurse (RN) who works with our highest complexity patients, their primary care physicians, and other members of the care team that provides hyperfocus case management and field nursing interventions to prevent unnecessary hospital arrivals, keep patients engaged in our intensive primary care model and maximize their healthy time at home. They will assess, evaluate, and coordinate the team’s efforts to stabilize our highest risk patients, with special areas of focus including safe transitions of care from facilities back to our primary care teams, stabilization of our highest risk ambulatory patients and outreach to patients who are assigned to us but are not engaged in care.
Social Services Specialist II BayCare Health SystemSocial Services Specialist IISt Petersburg, FLThe Social Services Specialist responsibilities include: Being a member of a collaborative practice model that includes patients, nurses, hospital care coordinators, physicians, and other practitioners, caregivers, and the community. Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians.
Manager Hospital Care Coordination - SJH BayCare Health SystemManager Hospital Care Coordination - SJHTampa, FLPartners with highly specialized clinical programs, including the Left Ventricular Assist Device (LVAD), Transplant, and LifeLink programs, to facilitate complex patient care coordination, ensure compliance with program-specific requirements, and support timely transitions of care. Collaborates with multidisciplinary teams to coordinate organ donor referrals, transplant evaluations, transplant candidate management, post-transplant discharge planning, and specialized post-acute care arrangements, ensuring continuity of care for these medically complex populations.
Care Manager Independent Living Systems LLCCare ManagerLutz, FLThe Care Manager collaborates closely with multidisciplinary teams, including healthcare providers, social workers, and community resources, to facilitate access to Medicaid and other support services. ILS, along with its affiliated health plans known as Florida Community Care and Florida Complete Care, is committed to promoting a higher quality of life and maximizing independence for all vulnerable populations.
NewHospice Social Worker Gulfside Healthcare Services, Inc.Hospice Social WorkerClearwater, FLPart timeThe Hospice Social Worker utilizes clinical assessment and intervention and education to maximize patient comfort to enhance the quality of life for the patient/family through psychosocial support, pre-bereavement, resource identification, and education and serves as an advocate for patients/families and their profession. The Hospice Social Worker functions under the direct supervision of the Social Work Manager and/or Director of Clinical Social Work and assists and/or facilitates all initial and on-going social services/social work contacts in the field.
GUARDIAN AD LITEM OFFICE, 13TH CIRCUIT- CHILD ADVOCATE MANAGER - 21014010 Government of FloridaGUARDIAN AD LITEM OFFICE, 13TH CIRCUIT- CHILD ADVOCATE MANAGER - 21014010TAMPA, FLSome examples of a "typical" working day may include the following: Collaborate with the Guardian ad Litem Office multidisciplinary team, management, Department of Children and Families, contracted service providers, Department of Juvenile Justice, Department of Education, Law Enforcement, etc. The Statewide Guardian ad Litem Office is Florida's award-winning, state-funded child advocacy organization that provides independent legal representation to abused, abandoned and neglected children in Florida's dependency court proceedings.
GUARDIAN AD LITEM OFFICE, 13TH CIRCUIT- CHILD ADVOCATE MANAGER - 21014060 Government of FloridaGUARDIAN AD LITEM OFFICE, 13TH CIRCUIT- CHILD ADVOCATE MANAGER - 21014060TAMPA, FLSome examples of a "typical" working day may include the following: Collaborate with the Guardian ad Litem Office multidisciplinary team, management, Department of Children and Families, contracted service providers, Department of Juvenile Justice, Department of Education, Law Enforcement, etc. The Statewide Guardian ad Litem Office is Florida's award-winning, state-funded child advocacy organization that provides independent legal representation to abused, abandoned and neglected children in Florida's dependency court proceedings.