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Utilization Manager Jobs in Tampa

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Search Results - Utilization Manager Jobs in Tampa
GuideWell Mutual Holding Corporation-Tampa
Locations United States FL, United States (Remote) Job Description The Medical Director will work closely with the team to perform all types of utilization management (UM) reviews, including but not limited to Pre-service, Post-service...
appcast.io -
Randstad-Tampa
in Florida! Save time and money by ditching the daily commute and working comfortably from your own home office. In this vital role, you will serve as a key resource in the utilization management process, ensuring authorization requests are handled...
randstadusa.com -
Centene Management Company LLC-Tampa
Centene Management Company LLC is seeking a Medical Director to lead medical management, quality improvement, and credentialing for the unit. The role provides medical leadership for utilization management, cost containment and quality initiatives...
appcast.io -
Black Book-Tampa
advisor to payer and healthcare leaders, helping them address challenges across care management, utilization management, member administration, pharmacy, quality, compliance, complaints, appeals and grievances, interoperability, workflow automation...
Centene Management Company LLC-Tampa
Position Purpose Assist the Chief Medical Director to direct and coordinate the medical management, quality improvement and credentialing functions for the business unit. Provides medical leadership of all for utilization management, cost...
appcast.io -
Tampa
Qualifications  •  Utilization Management (UM) experience.  •  Experience utilizing InterQual Criteria.  •  Medical record abstracting skills. Why us? We are a team of experienced and caring leaders, clinicians, pioneering technologists, and industry professionals...
acentra.com -
StaffMED Health Partners, LLC-Tampa
StaffMed Health Partners seeks a board certified Physician Advisor to join the leadership team in Southeast Florida. This is a non-clinical, on-site, full-time role influencing utilization management, documentation integrity, and physician education...
appcast.io -
MyCare-Tampa
improvement initiatives focused on clinical excellence and value-based care.  •  Population Health: Support proactive management of high-risk patients and chronic conditions.  •  Utilization Management: Drive initiatives to reduce avoidable hospital admissions...
appcast.io -
Staffmed Healthcare Staffing & Recruiting (Medical Edge Recruitment)-Tampa
that has a major impact and influence over utilization management, documentation integrity, and physician education to improve patient care and hospital performance. Roles and Responsibilities  •  Review cases for appropriate Level of Care and monitor...
appcast.io -
AdventHealth-Tampa
initiatives, ensuring these functions deliver measurable value, operational excellence, and high-quality clinical outcomes. In collaboration with Utilization Management, Hospitalist Medicine, Physician Advisors, Care Management, and campus clinical leaders...
appcast.io -
CO010 Memorial Healthcare System-Tampa
It is the foundation of The Memorial Experience. Summary: The Medical Director of Case Management and Utilization Review leads the hospital specific execution of the Case Management (CM) and Utilization Management (UR) and related activities. The Medical Director...
appcast.io -
CMP01 Mount Sinai Medical Center of Florida, Inc.-Tampa
living facilities, participants’ homes, and other settings. Support timely discharge planning, medication reconciliation, post‑discharge follow‑up, and safe transitions of care. Utilization and Medicare Risk Management: Support appropriate utilization...
appcast.io -

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