NewLTSS Service Coordinator - Case Manager (Region C: Pasco/Pinellas) Elevance HealthLTSS Service Coordinator - Case Manager (Region C: Pasco/Pinellas)Saint Petersburg, FloridaIn collaboration with the person supported, facilitates the Person Centered Planning process that documents the member's preferences, needs and self-identified goals, including but not limited to conducting assessments, development of a comprehensive Person Centered Support Plan (PCSP) and backup plan, interfacing with Medical Directors and participating in interdisciplinary care rounds to support development of a fully integrated care plan, engaging the member's circle of support and overall management of the individuals physical health (PH)/behavioral health (BH)/LTSS needs, as required by applicable state law and contract, and federal Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. 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.
Telephonic Nurse Case Manager II Elevance Health IncTelephonic Nurse Case Manager IITampa, FL$79,464–$119,196 / yearThe Telephonic Nurse Case Manager II is responsible for care management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing, coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum. 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.
Major Case Specialist, Construction Defect The Travelers Companies IncMajor Case Specialist, Construction DefectTampa, FL$104,000–$171,700 / yearDirectly investigate each claim through prompt and strategically-appropriate contact with appropriate parties such as policyholders, accounts, claimants, law enforcement agencies, witnesses, agents, medical providers and technical experts to determine the extent of liability, damages, and contribution potential. Actively engage in the identification, selection and direction of appropriate internal and/or external resources for specific activities required to effectively evaluate claims, such as Subrogation, Risk Control, nurse consultants nurse consultants, and fire or fraud investigators, and other experts.
Case Aide - Full Time GULF COAST JEWISH FAMILY AND COMMUNITY SERVICES, INC.Case Aide - Full TimeClearwater, FLGulf Coast JFCS is a Florida Care Provider of the Department of Children and Families (DCF), Agency for Health Care (AHCA), and the Department of Elder Affairs (DOEA), which requires all candidates to undergo fingerprinting through the Florida Care Provider Background Screening Clearinghouse. Our programs span a broad spectrum of human services, including behavioral and mental health, child welfare and adoption, family support, job and employment transition, housing, food, transportation, and home care assistance for the elderly.
Hospice RN Case Manager - Home Team Hospice of Marion CountyHospice RN Case Manager - Home TeamPalm Harbor, 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. Demonstrates the ability to obtain patient history, perform an age-specific physical, psychosocial and spiritual assessment and initiates appropriate referral, intervention and collaboration between the patient, family, Interdisciplinary team (IDT), physician and partnering facility (as applicable) following policy and practice guidelines.
Hospice RN Case Manager Hospice of Marion CountyHospice RN Case ManagerBrandon, 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. Demonstrates the ability to obtain patient history, perform an age-specific physical, psychosocial and spiritual assessment and initiates appropriate referral, intervention and collaboration between the patient, family, Interdisciplinary team (IDT), physician and partnering facility (as applicable) following policy and practice guidelines.
Construction Defect Major Case Specialist TravelersConstruction Defect Major Case SpecialistTampa, FloridaDirectly investigate each claim through prompt and strategically-appropriate contact with appropriate parties such as policyholders, accounts, claimants, law enforcement agencies, witnesses, agents, medical providers and technical experts to determine the extent of liability, damages, and contribution potential. Actively engage in the identification, selection and direction of appropriate internal and/or external resources for specific activities required to effectively evaluate claims, such as Subrogation, Risk Control, nurse consultants nurse consultants, and fire or fraud investigators, and other experts.
Home Health Clinician Case Manager - Sarasota BayCare Health SystemHome Health Clinician Case Manager - SarasotaSarasota, FLSarasota Memorial Home Care, facilitated by BayCare Health System and awarded the government's highest 5-Star rating for quality by the Centers for Medicare & Medicaid Services (CMS), is seeking for its newest full time Home Health Registered Nurse in beautiful North Port, FL. Inform the scheduler of any schedule changes and communicates caseload and patient care issues to Home Care Supervisor.
Home Health Clinician Case Manager BayCare Health SystemHome Health Clinician Case ManagerSarasota, FLSarasota Memorial Home Care, facilitated by BayCare Health System and awarded the government's highest 5-Star rating for quality by the Centers for Medicare & Medicaid Services (CMS), is seeking for its newest full time Home Health Registered Nurse in beautiful Sarasota, FL. Inform the scheduler of any schedule changes and communicates caseload and patient care issues to Home Care Supervisor.
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.