Director of Utilization Management

Overview: ​PURPOSE STATEMENT:  ​Direct and manage the day-to-day operations of the Utilization Review department.  Responsibilities: ​ESSENTIAL FUNCTIONS:  ​Monitor utilization of services and optimize reimbursement for the facility while maximizing use of the patient’s provider benefits for their needs.    ​Conducts and oversees...

Overview Shift: 7am - 3:30pm PURPOSE STATEMENT: Proactively monitor utilization of services for patients to optimize reimbursement for the facility. Responsibilities ESSENTIAL FUNCTIONS: * Act as liaison between managed care organizations and the facility professional clinical staff. * Conduct reviews, in accordance with certification requirements, of...

Overview: Shift: 7am - 3:30pm PURPOSE STATEMENT: Proactively monitor utilization of services for patients to optimize reimbursement for the facility. Responsibilities: ESSENTIAL FUNCTIONS: Act as liaison between managed care organizations and the facility professional clinical staff. Conduct reviews, in accordance with certification requirements, of...

Shift: 7am - 3:30pm PURPOSE STATEMENT:Proactively monitor utilization of services for patients to optimize reimbursement for the facility.ESSENTIAL FUNCTIONS:Act as liaison between managed care organizations and the facility professional clinical staff.Conduct reviews, in accordance with certification requirements, of insurance plans or other managed care...

Overview: Shift: 7am - 3:30pm   PURPOSE STATEMENT: Proactively monitor utilization of services for patients to optimize reimbursement for the facility. Responsibilities: ESSENTIAL FUNCTIONS: Act as liaison between managed care organizations and the facility professional clinical staff. Conduct reviews, in accordance with certification requirements, of...

Are you a hard-working people person that is driven to succeed?Are you looking to progress in your career with a company that is able to do well by doing good in the community?We want to hear from youWe're looking for a Community Outreach Associate for our progressive marketing & public relations firm in the Tampa area. Our firm conducts tailored public...

Overview: ?PURPOSE STATEMENT: ?As a key member of the leadership team, the HR Director will lead the Human Resource initiatives to provide an employee oriented, high-performance culture that emphasizes empowerment, quality, productivity and standards, goal attainment and organizational growth. Responsibilities: ?ESSENTIAL FUNCTIONS: ?Contribute as a...

Job Details Description Are you looking to work for a practice that offers stability and operates with integrity? Would you like to work for a dentist with an excellent reputation in the community and among dental peers? Look no further. Coast Dental & Orthodontics follows COVID-19 CDC Guidelines and ADA recommendations and makes every effort to...

Position Summary: Sales Associates are responsible for selling new homes to prospective buyers by using our Model homes and our many GL Homes marketing tools; and maintaining relationships with home buyers. Key Duties and Responsibilities: Develop relations with real estate brokers, employment directors, and community leaders, inviting them to visit the...

Position Summary:Sales Associates are responsible for selling new homes to prospective buyers by using our Model homes and our many GL Homes marketing tools; and maintaining relationships with home buyers.Key Duties and Responsibilities:Develop relations with real estate brokers, employment directors, and community leaders, inviting them to visit the...

Responsibilities:Site Coordinators needed to provide a safe, fun and educational environment for the school-age program, Before and after school program participants.Must be able to manage large groups of students and have knowledge of school-aged programming.Strong communication, supervisory and organizational skills.Plans weekly program of activities that...

Familiarity in developing Epic Healthy Planet related applications for Care Managers, clinically integrated networks (CINs), Population Health Management, HEDIS/NCQA Based quality measures, and Accountable Care organizations (ACO). Certification or familiarity with modules of Healthy Planet (Epic) and EpicCare Ambulatory (Epic). Familiarity with deploying...

Familiarity in developing Epic Healthy Planet related applications for Care Managers, clinically integrated networks (CINs), Population Health Management, HEDIS/NCQA Based quality measures, and Accountable Care organizations (ACO). Certification or familiarity with modules of Healthy Planet (Epic) and EpicCare Ambulatory (Epic). Familiarity with deploying...

We are looking for a Receptionist to manage our front desk on a daily basis and to perform a variety of administrative and clerical tasks. As a Receptionist, you will be the first point of contact for our company. Our Receptionist’s duties include offering administrative support across the organization. You will welcome guests and greet people who visit...

We are looking for a Receptionist to manage our front desk on a daily basis and to perform a variety of administrative and clerical tasks. As a Receptionist, you will be the first point of contact for our company. Our Receptionist’s duties include offering administrative support across the organization. You will welcome guests and greet people who visit...

Job DescriptionJob DescriptionWe are looking for a Receptionist to manage our front desk on a daily basis and to perform a variety of administrative and clerical tasks. As a Receptionist, you will be the first point of contact for our company. Our Receptionists duties include offering administrative support across the organization. You will welcome guests...

Job DescriptionJob DescriptionDuties and Responsibilities:We are currently looking to hire an extremely motivated and highly qualified salesperson with previous New Homes Sales experience.The salesperon will be responsible for managing a smooth sales process, while providing excellent customer service.The New Home Sales Representative will work out of our...

Job DescriptionJob DescriptionSERVPRO of West Pasco is hiring a Project Coordinator!BenefitsSERVPRO of West Pasco offers:Competitive compensationSuperior benefitsCareer progressionProfessional developmentAnd more!The Project Coordinator will work as a liaison for the customer to identify project requirements and specifications as well as administer and...

Job DescriptionJob DescriptionTampa Bay’s newest Volkswagen dealership, Volkswagen of Wesley Chapel, is seeking energetic, motivated individuals to join our Sales Department representing our dealership and the Volkswagen product in a positive, professional manner. Automotive sales experience is not necessary. Customer service experience is preferable. This...

ABA Behavior Technician ABA Behavior Technician / RBT- Part Time Butterfly Effects' Mission is to make a socially meaningful change in the lives of children and families. Children and families are at the heart of our work, and we take care of the people who make all the difference - People like You! We have a welcoming environment with a leadership team...