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... a complete continuum of specialized healthcare programs that meet the healthcare needs of residents and businesses ... the nation's leading provider of healthcare services. The mission of St. .....
Manager of Case Management - Registered ... the Florida Bariatric Centers. The Manager of Case Management assists in ... services by maintaining appropriate resources, staffing levels, competency of staff, maintenance/and..
Director of Behavioral Health - Registered Nurse RN','00144-11409','United States-Florida-Largo-Largo Medical Center - Indian Rocks','Full-time','Directors & Managers','!*!Largo Medical Center is an all private room, 425-bed statutory teaching hospital serving Tampa Bay area ..
Description The Director of Health Services for National Medicaid Clinical Operations utilizes clinical skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Director, Health ..
... commitment to the Quality Enhancement Program (QEP) and CQI Activities, including ... requirements of the FMCNA Compliance Program, and FMS patient care and ... Clearance Monitoring (OLC), Adequacy Monitoring..
Job Information Humana Care Manager, Telephonic Behavioral Health 2 - ... to administer the TRICARE health program for military members, retirees and ... through TRICARE and other military healthcare programs...
... section 4. Responsibilities The UM Manager will lead a team of ... guiding clinical decisions. The UM Manager will be responsible for workload ... distribution of the team. The..
Director of Case Mangement - Registered Nurse RN','01385-8862','United States-Florida-St Petersburg-Northside Hospital & Tampa Bay Heart Institute','Full-time','Directors & Managers','!*!Serving the community since 1976, Northside Hospital is a 288-bed facility, offering a full ..
Description The Director, Provider Reimbursement is responsible for the leadership, strategy development and execution of Humana Military's provider reimbursement methodologies. This leader is responsible for timely and accurate implementation of Government ..
Director of Diagnostic Imaging/Neuro','01385-8905','United States-Florida-St Petersburg-Northside Hospital & Tampa Bay Heart Institute','Full-time','Directors & Managers','!*!Serving the community since 1976, Northside Hospital is a 288-bed facility, offering a full range of services including ..
Job Information Humana Associate Director Utilization Management in Tampa Florida Description Come join our team. We are looking for an Associate Director, Utilization Management to utilize clinical nursing skills to support ..
Description The Manager, Utilization Management Nursing utilizes clinical ... and/or benefit administration determinations. The Manager, Utilization Management Nursing works within ... schedules and goals. Responsibilities The Manager, Utilization Management Nursing..
... Humana Clinical Analytics and Trend Program Manager in Tampa Florida Description The ... The Clinical Analytics & Trend Program Manager role designs, communicates, and implements ... managers across the..
... exceptional results to the TRICARE Program. In this role you will: ... requirements related to the TRICARE Program related to claims processing. Ensure ... support compliance with the TRICARE..
Description The Associate Director, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Associate Director, Utilization Management Nursing ..
Description As Humana's Medicaid membership continues to grow, the National Medicaid Clinical Operations team is expanding our shared services organization to enhance the clinical delivery process. The National Medicaid Director of ..
... acumen to solve for the healthcare challenges of today. The Clinical ... home anywhere The Clinical Trend Program Manager (PM) role designs, communicates, and ... team Low Value Care..
Job Information Humana Clinical Provider Quality Improvement Field RN - Orange, Osceola, Polk County, FL in Tampa Florida Description The Senior Stars Improvement, Clinical Professional responsible for the development, implementation and ..
... compliance, and quality performance and staffing management. Detailed Responsibilities include: Leads ... Support development of national clinical staffing models and work with Medicaid ... with Medicaid markets to support..
... for Change Orders, for ACD Program Integrity Audit; driving to operational ... team to work with ACD Program Integrity leadership, develop new, or ... leadership, develop new, or change..
... to administer the TRICARE health program for military members, retirees and ... through TRICARE and other military healthcare programs. High-quality service, cost-effective platforms, ... Discharge Call (PDC) Telephonic Care..
... your background and experience in program management to lead and manage ... of the segment PMO, ensuring staffing is appropriate to meet program and project needs, mitigating overall .....
Description The Wellness Coach 2 supports health promotion and disease prevention and care management services. The Wellness Coach 2 work assignments are varied and frequently require interpretation and independent determination of ..