RN, Case Manager (Pinellas County) Monday - Friday Chapters Health System IncRN, Case Manager (Pinellas County) Monday - FridayLargo, FL$61,860.66–$96,657.28 / yearCompletes initial and semi-annual assessment for all Company services including, but not limited to: Explains services to patients/families and addresses questions regarding patient needs, fears, physical limitations, while putting the patient/family at ease; presents services in an empathetic and compassionate manner. Role: The RN, Case Manager is responsible for assessing and identifying patient/family needs, utilizing the nursing process, coordinating the Plan of Care with the Interdisciplinary Team (IDT), and providing clinical, palliative and supportive care to the patient/family unit in order to keep the participant in their home environment as long as possible.
RN, Case Manager (South Tampa Territory) LifePath Hospice Chapters Health System IncRN, Case Manager (South Tampa Territory) LifePath HospiceTampa, FL$61,860.66–$96,657.28 / yearCompletes initial and semi-annual assessment for all Company services including, but not limited to: Explains services to patients/families and addresses questions regarding patient needs, fears, physical limitations, while putting the patient/family at ease; presents services in an empathetic and compassionate manner. Role: The RN, Case Manager is responsible for assessing and identifying patient/family needs, utilizing the nursing process, coordinating the Plan of Care with the Interdisciplinary Team (IDT), and providing clinical, palliative and supportive care to the patient/family unit in order to keep the participant in their home environment as long as possible.
RN, Case Manager (HPH Hospice) Chapters Health System IncRN, Case Manager (HPH Hospice)Largo, FL$61,860.66–$96,657.28 / yearCompletes initial and semi-annual assessment for all Company services including, but not limited to: Explains services to patients/families and addresses questions regarding patient needs, fears, physical limitations, while putting the patient/family at ease; presents services in an empathetic and compassionate manner. Role: The RN, Case Manager is responsible for assessing and identifying patient/family needs, utilizing the nursing process, coordinating the Plan of Care with the Interdisciplinary Team (IDT), and providing clinical, palliative and supportive care to the patient/family unit in order to keep the participant in their home environment as long as possible.
RN-Case Manager (HPH Hospice) Chapters Health System IncRN-Case Manager (HPH Hospice)Wesley Chapel, FL$61,860.66–$96,657.28 / yearCompletes initial and semi-annual assessment for all Company services including, but not limited to: Explains services to patients/families and addresses questions regarding patient needs, fears, physical limitations, while putting the patient/family at ease; presents services in an empathetic and compassionate manner. Role: The RN, Case Manager is responsible for assessing and identifying patient/family needs, utilizing the nursing process, coordinating the Plan of Care with the Interdisciplinary Team (IDT), and providing clinical, palliative and supportive care to the patient/family unit in order to keep the participant in their home environment as long as possible.
AI Use Case Business Lead - Trade and Working Capital - Vice President JPMorgan Chase & CoAI Use Case Business Lead - Trade and Working Capital - Vice PresidentTampa, FLAs the AI Use Case Business Lead (VP), within T&WC, you will serve as the owner of the AI use case book of work across Trade and Working Capital, responsible for interfacing with all business functions to enable product development, commercialization, and productivity AI applications. Our history spans over 200 years and today we are a leader in investment banking, consumer and small business banking, commercial banking, financial transaction processing and asset management.
NewNurse Case Mgr Sr Elevance HealthNurse Case Mgr SrTampa, FL$83,748–$125,622 / yearThe Nurse Case Mgr Sr 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. Assists with development of utilization/care management policies and procedures, chairs and schedules meetings, as well as presents cases for discussion at Grand Rounds/Care Conferences and participates in interdepartmental and/or cross brand workgroups.
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.
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.
Case Aide - Full Time Gulf Coast JFCSCase 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.
Home Health Clinician Case Manager BayCare Health SystemHome Health Clinician Case ManagerDunedin, FLOur network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians. BayCare HomeCare is seeing a skilled Home Health Field, RN to join our team who is passionate about providing outstanding customer service to our Community.
NewManager, Knowledge Management Services Alvarez & Marsal Holdings LLCManager, Knowledge Management ServicesTampa, FL$115,000–$145,000 / yearThe team is focused on building a mature knowledge management practice, including strengthening relationships with business stakeholders; breaking down siloes; and improving how consulting teams capture, organize, share, and find critical knowledge. The successful candidate will own the KM relationship for a portfolio of North American business units, partnering closely with those businesses to improve their existing KM processes, understand their evolving needs, and connect them to the global KM strategy and toolkit.
Utilization Management Clinical Reviewer TriWest Healthcare AllianceUtilization Management Clinical ReviewerTampa, FLRemoteFull timeApplies clinical knowledge to make determinations for preauthorization, inpatient and continued stay reviews for Behavioral Health and Medical/Surgical requests to establish medical necessity, benefit coverage, appropriateness of quality of care, and length of stay or care plan. The Utilization Management Clinical Review nurse reviews and makes decisions about the appropriateness and level of beneficiary care being provided in an effort to provide cost effective care and ensure proper utilization of resources.
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.
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.
RN Care Management - Nights AdventHealthRN Care Management - NightsWesley Chapel, 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.
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.
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.