Current jobs related to Managed Care Coord - Tampa - Elevance Health

  • Clin Nurse Coord SP

    1 month ago

    Tampa, FL, United States HCA Florida West Tampa Hospital Full time

    Description IntroductionDo you have the career opportunities as a(an) Clin Nurse Coord SP you want in your current role? We invest in what matters most to nurses like you – at home, at work, and at every stage in your career. We have an exciting opportunity for you to join HCA Florida West Tampa Hospital which is a part of the nation’s leading provider...

  • Medical Staff Coordinator RN Quality

    4 weeks ago

    Tampa, Florida, United States HCA Florida West Tampa Hospital Full time

    Join Our Team as a Clin Nurse Coord SPWe are seeking a dedicated and compassionate Clin Nurse Coord SP to join our team at HCA Florida West Tampa Hospital. As a Clin Nurse Coord SP, you will play a vital role in ensuring the delivery of high-quality patient-centered care and coordination of all functions in the unit/department during the designated shift.Key...

  • Care Manager

    4 weeks ago

    Tampa, Florida, United States Aging Life Care Association Full time

    Job Title: Care ManagerJoin our team of dedicated professionals as a Care Manager at Aging Life Care Association. As a Care Manager, you will play a vital role in providing holistic, client-centered care to older adults or others facing ongoing health challenges.Our Care Managers offer a unique approach to caring for our clients, providing guidance and...

  • Clinical Nurse Coordinator PACU

    1 week ago

    Tampa, United States HCA Florida West Tampa Hospital Full time

    Description IntroductionDo you have the career opportunities as a(an) Clin Nurse Coord SP you want in your current role? We invest in what matters most to nurses like you - at home, at work, and at every stage in your career. We have an exciting opportunity for you to join HCA Florida West Tampa Hospital which is a part of the nation's leading provider of...

  • Clinical Nurse Coordinator PACU

    4 weeks ago

    Tampa, United States HCA Florida West Tampa Hospital Full time

    Description IntroductionDo you have the career opportunities as a(an) Clin Nurse Coord SP you want in your current role? We invest in what matters most to nurses like you at home, at work, and at every stage in your career. We have an exciting opportunity for you to join HCA Florida West Tampa Hospital which is a part of the nations leading provider of...

  • Clinical Nurse Coordinator PACU

    4 weeks ago

    Tampa, United States HCA Florida West Tampa Hospital Full time

    Introduction Do you have the career opportunities as a(an) Clin Nurse Coord SP you want in your current role? We invest in what matters most to nurses like you - at home, at work, and at every stage in your career. We have an exciting opportunity for you to join HCA Florida West Tampa Hospital which is a part of the nation's leading provider of healthcare...

  • Manager Care Management

    4 weeks ago

    Tampa, United States AdventHealth Carrollwood Full time

    All the benefits and perks you need for you and your family: · Paid Days Off from Day One · Student Loan Repayment Program · Career Development · Whole Person Wellbeing Resources · Mental Health Resources and Support Our promise to you: Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in...

  • Manager Care Management

    2 months ago

    Tampa, United States AdventHealth Full time

    **All the benefits and perks you need for you and your family:**· Paid Days Off from Day One· Student Loan Repayment Program· Career Development· Whole Person Wellbeing Resources· Mental Health Resources and Support**Our promise to you:**Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in...

  • Manager Care Management

    4 weeks ago

    Tampa, United States AdventHealth Carrollwood Full time

    All the benefits and perks you need for you and your family: Paid Days Off from Day One Student Loan Repayment Program Career Development Whole Person Wellbeing Resources Mental Health Resources and Support Our promise to you: Joining AdventHealth is about being part of something bigger. Its about belonging to a community that believes in the wholeness...

  • Manager Care Management

    2 months ago

    Tampa, United States AdventHealth Full time

    **All the benefits and perks you need for you and your family:** Paid Days Off from Day One Student Loan Repayment Program Career Development Whole Person Wellbeing Resources Mental Health Resources and Support **Our promise to you:** Joining AdventHealth is about being part of something bigger. Its about belonging to a community that believes in the...

  • Care Manager

    4 weeks ago

    Tampa, Florida, United States Gracepoint Full time

    Job SummaryWe are seeking a highly skilled and compassionate Care Manager to join our team at Gracepoint. As a Care Manager, you will play a critical role in providing advocacy, coordination, and continuity of evidence-based care for individuals and families in need.Key ResponsibilitiesConduct thorough assessments and coordinate community resources based on...

  • Care Manager

    2 weeks ago

    Tampa, Florida, United States Gracepoint Full time

    Job SummaryWe are seeking a highly skilled and compassionate Care Manager to join our team at Gracepoint. As a Care Manager, you will play a critical role in providing advocacy, coordination, and continuity of evidence-based care for individuals and families in need.Key ResponsibilitiesConduct thorough assessments and coordinate community resources based on...

  • Care Manager

    2 days ago

    Tampa, Florida, United States Gracepoint Full time

    Job Title: Care ManagerJob Summary:At Gracepoint, we are seeking a dedicated and compassionate Care Manager to join our team. As a Care Manager, you will play a vital role in providing advocacy, coordination, and continuity of evidence-based care for individuals and families in need.Key Responsibilities:Completion of thorough assessments and coordination of...

  • Care Manager

    2 days ago

    Tampa, Florida, United States Gracepoint Full time

    Job SummaryAt Gracepoint, we are seeking a skilled Care Manager to join our team. As a Care Manager, you will be responsible for providing advocacy, coordination, and continuity of evidence-based care for individuals and families in need. This will involve a collaborative process of triage, assessment, planning, and communication. You will participate as a...

  • Care Manager

    2 weeks ago

    Tampa, Florida, United States Gracepoint Full time

    Job Title: Care ManagerJob Summary:We are seeking a highly skilled Care Manager to join our team at Gracepoint. As a Care Manager, you will be responsible for providing advocacy, coordination, and continuity of evidence-based care for individuals and families in need.Key Responsibilities:Participate as a member of a multidisciplinary treatment team to...

  • Managed Care Contract Manager

    2 months ago

    Tampa, United States Moffitt Cancer Center Full time $94,000 - $120,000

    ***This is a hybrid roleManaged Care Contract ManagerPosition Highlights:The Managed Care Contract Manager is responsible for analyzing, negotiating and maintaining system-wide Managed Care agreements consistent with Moffitt Cancer Center Guidelines.The Managed Care Contract Manager is responsible for managing payer relationships, negotiation of...

  • Pharmacy Manager

    4 weeks ago

    Tampa, Florida, United States Option Care Health Full time

    Job Title: Pharmacy ManagerOption Care Health is seeking a highly skilled Pharmacy Manager to lead our infusion services team. As a Pharmacy Manager, you will be responsible for planning, organizing, and directing safe and appropriate pharmacy services to our patients.Key Responsibilities:Supervise and monitor the quality and effectiveness of patient care...

  • Care Manager

    1 month ago

    Tampa, Florida, United States Gracepoint Full time

    Job SummaryWe are seeking a highly skilled Care Manager to join our team at Gracepoint. As a Care Manager, you will play a critical role in providing advocacy, coordination, and continuity of evidence-based care for adults with mental illness on conditional release under F.S. 916.Key ResponsibilitiesParticipate as a member of a multidisciplinary treatment...

  • Medical Office Manager

    1 month ago

    Tampa, Florida, United States Complete Care Full time

    Job Title: Medical Front Office ManagerWe are seeking a highly skilled and experienced Medical Front Office Manager to join our team at Complete Care. As a key member of our administrative staff, you will be responsible for ensuring the smooth operation of our front desk and providing exceptional customer service to our patients.Key Responsibilities:Front...

  • Managed Care Contract Manager

    1 week ago

    Tampa, Florida, United States Moffitt Cancer Center Full time

    Job SummaryMoffitt Cancer Center is seeking a highly skilled Managed Care Contract Manager to join our team. As a key member of our Managed Care Department, you will be responsible for analyzing, negotiating, and maintaining system-wide Managed Care agreements consistent with Moffitt Cancer Center Guidelines.Key Responsibilities:Develops, negotiates,...

Managed Care Coord

3 months ago

Tampa, United States Elevance Health Full time

Managed Care Coord - RN Clinician

Description Location: The ideal candidate will live within 50 miles of a Florida Elevance Health Pulse Point office Shift: Monday - Friday; 8:00am - 7:00pm; some weekends; Schedule will flex The Managed Care Coordinator - RN Clinician is responsible for overall management of member's case within the scope of licensure; provides supervision and direction to non-RN clinicians participating in the member's case in accordance with applicable state law and contract; develops, monitors, evaluates, and revises the member's care plan to meet the member's needs, with the goal of optimizing member health care across the care continuum. How you will make an impact: Responsible for performing telephonic or face-to-face clinical assessments for the identification, evaluation, coordination and management of member's needs, including physical health, behavioral health, social services and long-term services and supports. Identifies members for high-risk complications and coordinates care in conjunction with the member and the health care team. Manages members with chronic illnesses, co-morbidities, and/or disabilities, to insure cost effective and efficient utilization of health benefits. Obtains a thorough and accurate member history to develop an individual care plan. Establishes short- and long-term goals in collaboration with the member, caregivers, family, natural supports, physicians; identifies members that would benefit from an alternative level of care or other waiver programs. The RN has overall responsibility to develop the care plan for services for the member and ensures the member's access to those services. May assist with the implementation of member care plans by facilitating authorizations/referrals for utilization of services, as appropriate, within benefits structure or through extra-contractual arrangements, as permissible. Interfaces with Medical Directors, Physician Advisors, and/or Inter-Disciplinary Teams on the development of care management treatment plans. May also assist in problem solving with providers, claims or service issues. Directs and/or supervises the work of any LPN/LVN, LSW, LCSW, LMSW, and other licensed professionals other than an RN, in coordinating services for the member by, for example, assigning appropriate tasks to the non-RN clinicians, verifying and interpreting member information obtained by these individuals, conducting additional assessments, as necessary, to develop, monitor, evaluate, and revise the member's care plan to meet the member's needs, and reviewing and providing input on the non-RN clinicians performance on a regular basis. Minimum Requirements: Requires an RN and minimum of 3 years of experience in working with individuals with chronic illnesses, co-morbidities, and/or disabilities in a Service Coordinator, Case Management, or similar role; or any combination of education and experience, which would provide an equivalent background. Current, unrestricted RN license in applicable state(s) required. Preferred skills, capabilities, and experiences: MA/MS in Health/Nursing preferred. May require state-specified certification based on state law and/or contract. Travels to worksite and other locations, as necessary. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. 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. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact assistance.