NewTrainer, Clinical Services Molina HealthcareTrainer, Clinical ServicesMiami Gardens, FL$29.05–$56.64 / hourSee Molina Healthcare Privacy Policy at https://www.molinahealthcare.com/members/common/en-US/Pages/terms_privacy.aspx? and SonicJobs Privacy Policy at https://www.sonicjobs.com/us/privacy-policy and Terms of Use at https://www.sonicjobs.com/us/terms-conditions. REQUIRED QUALIFICATIONS: • At least 2 years of experience in care management, utilization management, behavioral health, long-term care, or experience in a clinical delivery setting, and at least 1 year of training delivery and/or development experience, or equivalent combination of relevant education and experience.
NewClinical Care Manager - Catholic Home Health Catholic Health ServicesClinical Care Manager - Catholic Home HealthHialeah Lakes, FLReviews electronically submitted documentation and provides feedback to clinicians regarding deficiencies or corrections to ensure the medical records reflect compliance with medical necessity, homebound status, and visit utilization and are supported by individual patient assessment/ documentation support and transition (discharge) planning. Clinical Care Manager Home Health Summary & Objective The Clinical Manager is responsible for the oversight of all personnel and all patient care services provided by the home health agency to meet patient care needs.
NewNurse Manager- CICU (Full Time, Nights) Nicklaus Children's HospitalNurse Manager- CICU (Full Time, Nights)Miami, FLOversees and supervises day to day service operations, reacting effectively to unplanned circumstances, demands and challenges of respective areas of responsibility, assuring quality services and patient directed care. Oversees and supervises day to day operations, reacting effectively to unplanned circumstances, demands and challenges of respective areas of responsibility, assuring quality services, and patient directed care.
NewSupervisor, Healthcare Services (Remote in FL - Weekends) Molina HealthcareSupervisor, Healthcare Services (Remote in FL - Weekends)Miami, FLRemote$66,456–$129,590 / yearRegistered Nurse (RN), Licensed Vocational Nurse (LVN), Licensed Practical Nurse (LPN), Licensed Clinical Social Worker (LCSW), Licensed Marriage and Family Therapist (LMFT), Licensed Professional Clinical Counselor (LPCC), or Licensed Master of Social Work (LMSW). • At least 5 years health care experience, and at least 2 years of managed care experienced in one or more of the following areas: utilization management, care management, care transitions, behavioral health, long-term services and supports (LTSS), or equivalent combination of relevant education and experience.
NewCM Delegation Liaison (Case Manager Education Liaison) Molina HealthcareCM Delegation Liaison (Case Manager Education Liaison)Fort Lauderdale, FL$54,922–$107,099 / yearServes as subject matter expert for local health plan state provider agreements, National Committee for Quality Assurance (NCQA), Centers for Medicare and Medicaid Services (CMS), policies and procedures, quick reference guides (QRGs), audit tools and additional requirements during implementations; attends all implementation meetings and actively participates for seamless launch. See Molina Healthcare Privacy Policy at https://www.molinahealthcare.com/members/common/en-US/Pages/terms_privacy.aspx? and SonicJobs Privacy Policy at https://www.sonicjobs.com/us/privacy-policy and Terms of Use at https://www.sonicjobs.com/us/terms-conditions.
NewCare Manager, LTSS - Miami Molina HealthcareCare Manager, LTSS - MiamiMiami, FL$24–$46.81 / hourAt least 2 years health care experience, including at least 1 year of experience working with persons with disabilities/chronic conditions long-term services and supports (LTSS), and 1 year of experience in care management, or experience in a medical and/or behavioral health setting, or equivalent combination of relevant education and experience. See Molina Healthcare Privacy Policy at https://www.molinahealthcare.com/members/common/en-US/Pages/terms_privacy.aspx? and SonicJobs Privacy Policy at https://www.sonicjobs.com/us/privacy-policy and Terms of Use at https://www.sonicjobs.com/us/terms-conditions.
NewSenior Director of Pharmacy Operations Vaco LLCSenior Director of Pharmacy OperationsMiramar, FL$150,000–$180,000The Senior Director of Pharmacy Operations is a key leader responsible for ensuring that the company delivers high-quality, patient-centered home infusion therapy services including specialty drugs, maintains regulatory compliance, ensures accreditation requirements, and achieves financial performance targets. Determining compensation for this role (and others) at Vaco by Highspring depends upon a wide array of factors including but not limited to: the individual’s skill sets, experience and training; licensure and certification requirements; office location and other geographic considerations; other business and organizational needs.
NewRisk Manager - Villa Maria Nursing Center Catholic Health ServicesRisk Manager - Villa Maria Nursing CenterNorth Miami, FLThe Risk Manager serves as the facility's designated Patient/Resident SafetyOfficer and is responsible for coordinating and implementing risk managementprograms designed to identify, analyze, and reduce risks to residents,patients, employees, and the organization. Catholic Health Services (CHS), one of South Florida's leading faith-based healthcareorganizations, is seeking an experienced and highly motivated Risk Manager to join our leadership team.
NewOccupational Therapist (OT) Powerback RehabilitationOccupational Therapist (OT)Hialeah, FL$39.02–$41.60Powerback Rehabilitation (Powerback) is a new way of delivering recovery, rehabilitation, respiratory, and wellness services to patients across the nation. Our reimagined approach to rehabilitation connects directly to the patient experience, which is centered on transforming the road to recovery for everyone and helping patients get their power back.
NewManager, Advanced Practice Practitioner (Remote FL) Molina HealthcareManager, Advanced Practice Practitioner (Remote FL)Miami Beach, FLRemote$107,028–$208,705 / yearSee Molina Healthcare Privacy Policy at https://www.molinahealthcare.com/members/common/en-US/Pages/terms_privacy.aspx? and SonicJobs Privacy Policy at https://www.sonicjobs.com/us/privacy-policy and Terms of Use at https://www.sonicjobs.com/us/terms-conditions. • At least 7 years of experience in health care, including 5 or more years as a physician assistant or nurse practitioner working with the geriatric and/or disabled populations, or equivalent combination of relevant education and experience.
NewSocial Worker - FT - 8AM-5PM -Broward & Miami Dade - Catholic Hospice Catholic Health ServicesSocial Worker - FT - 8AM-5PM -Broward & Miami Dade - Catholic HospiceMiami, FLOther DutiesApply concepts of agency’s infection control plan and universal precaution in coordination/performing client cares activities to protect both patient and staff (OSHA).Demonstrates knowledge of hospice levels of care, Medicare and Medicaid Hospice Benefits by providing appropriate documentation when the need arises. Supervisory ResponsibilityMay serve as an interim department leader depending on needPhysical RequirementsMust be able to lift and/or move up to 50 pounds and push/pull up to 250+ pounds, walk, climb stair or ladders, stand on feet for extended periods of time, etc.
Clinical Services Manager Stanton OpticalClinical Services ManagerCoral Springs, FLYou will ensure that patients receive quality care by ensuring the store team that provides clinical services follow operational processes and meets their goals daily. Duties & Responsibilities: As a Clinical Services Manager, you will work closely with the Brand Manager to provide supervision and support to the store team to meet clinical goals with guidance from the Clinical Operations Department.
RN Clinical Services Group Manager Becton Dickinson and CoRN Clinical Services Group ManagerMiami, FLMaster's Degree in Nursing (MSN), including Advanced Practice Registered Nurse (APRN), Nurse Practitioner (NP), or Physician Assistant (PA) with Critical Care experience in Intensive Care Unit (ICU), Operating Room (OR), Emergency Room (ED) or related field with equivalent to 6 years of experience of previous related experience with direct healthcare management within large clinical organizations preferred. Bachelor's Degree in Nursing (BSN), with Critical Care experience in Intensive Care Unit (ICU), Operating Room (OR), Emergency Room (ED) or related field with 8 years of previous related experience with direct healthcare management within large clinical organizations required.
NewClinical Manager - Perioperative Services - FT - Days - $20K sign-on bonus - MHM South Broward Hospital DistrictClinical Manager - Perioperative Services - FT - Days - $20K sign-on bonus - MHMMiramar, FLEducation and Certification Requirements: Accredited Program: Nursing (Required)ACLS American Heart E-Card (ACLS AHA ECARD) - American Heart Association (AMERICAN HEART), ACLS American Heart RQI E-Card (ACLS AHA-RQI ECARD) - American Heart Association (AMERICAN HEART), ACLS Certification_non ecard (ACLS AHA) - American Heart Association (AMERICAN HEART), ACLS Certification (ACLS RC) - Red Cross (RED CROSS), ACLS Certification Grace (ACLS GRACE) - Employee Grace Period for Essential Credential (GRACE), BLS American Heart E-Card (BLS AHA ECARD) - American Heart Association (AMERICAN HEART), BLS American Heart RQI E-Card (BLS AHA-RQI ECARD) - American Heart Association (AMERICAN HEART), BLS Cert American Heart_non ecard (BLS AHA) - American Heart Association (AMERICAN HEART), BLS Certification Grace (BLS GRACE) - Employee Grace Period for Essential Credential (GRACE), BLS Cert Red Cross (BLS RC) - Red Cross (RED CROSS), Registered Nurse Compact License (RN LICENSE COMPACT) - Compact RN Multistate, Registered Nurse License (RN LICENSE) - State of Florida (FL). Other Information: Department specific credentials - See belowONCC Chemotherapy and Biotherapy Provider Certificate Required for those RN''s administering chemotherapy.
NewClinical Manager - Perioperative Services - FT - Days - $20K sign-on bonus - MHM Memorial Healthcare SystemClinical Manager - Perioperative Services - FT - Days - $20K sign-on bonus - MHMMiramar, FloridaAccredited Program: Nursing (Required)ACLS American Heart E-Card (ACLS AHA ECARD) - American Heart Association (AMERICAN HEART), ACLS American Heart RQI E-Card (ACLS AHA-RQI ECARD) - American Heart Association (AMERICAN HEART), ACLS Certification_non ecard (ACLS AHA) - American Heart Association (AMERICAN HEART), ACLS Certification (ACLS RC) - Red Cross (RED CROSS), ACLS Certification Grace (ACLS GRACE) - Employee Grace Period for Essential Credential (GRACE), BLS American Heart E-Card (BLS AHA ECARD) - American Heart Association (AMERICAN HEART), BLS American Heart RQI E-Card (BLS AHA-RQI ECARD) - American Heart Association (AMERICAN HEART), BLS Cert American Heart_non ecard (BLS AHA) - American Heart Association (AMERICAN HEART), BLS Certification Grace (BLS GRACE) - Employee Grace Period for Essential Credential (GRACE), BLS Cert Red Cross (BLS RC) - Red Cross (RED CROSS), Registered Nurse Compact License (RN LICENSE COMPACT) - Compact RN Multistate, Registered Nurse License (RN LICENSE) - State of Florida (FL). Other Information: Department specific credentials - See belowONCC Chemotherapy and Biotherapy Provider Certificate Required for those RN's administering chemotherapy.
Sr. Manager, Ophthalmic Clinical Service - Full Time Bascom Palmer Eye Institute Doral, FL University of MiamiSr. Manager, Ophthalmic Clinical Service - Full Time Bascom Palmer Eye Institute Doral, FLDoral, FLUHealth-University of Miami Health System, South Florida's only university-based health system, provides leading-edge patient care powered by the ground breaking research and medical education at the Miller School of Medicine. Current Employees: If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process.
Client Service Specialist / Account Manager (Clinical Laboratory) ANALYZE PATHOLOGY IncClient Service Specialist / Account Manager (Clinical Laboratory)DEERFIELD BEACH, FLThis role is responsible for managing client relationships, supporting day-to-day operations, and ensuring a high level of service for our physician partners. We are seeking a Client Service Specialist / Account Manager with proven experience in a clinical laboratory environment.
Director of Clinical Services / Full-Time Employment / Coral Gables Harmony United Psychiatric CareDirector of Clinical Services / Full-Time Employment / Coral GablesCoral Gables, FLFull timeQualifications:Candidate must have a master’s degree in psychology or counselling or social work that includes coursework for licensure by the Florida Department of Health Professions as a Licensed Mental Health Counselor / Licensed Clinical Social Worker / Licensed Marriage and Family Therapist. Our team of mental health professionals includes psychiatrists, clinical psychologists/neuropsychologists, board-certified psychiatric nurse practitioners, certified physician assistants, and licensed therapists.
Director of Clinical Services / Full-Time Employment / Fort Lauderdale Harmony United Psychiatric CareDirector of Clinical Services / Full-Time Employment / Fort LauderdaleFort Lauderdale, FLFull timeQualifications:Candidate must have a master’s degree in psychology or counselling or social work that includes coursework for licensure by the Florida Department of Health Professions as a Licensed Mental Health Counselor / Licensed Clinical Social Worker / Licensed Marriage and Family Therapist. Our team of mental health professionals includes psychiatrists, clinical psychologists/neuropsychologists, board-certified psychiatric nurse practitioners, certified physician assistants, and licensed therapists.
Associate Director Clinical Pharmacy Services Mount Sinai Medical Center of FloridaAssociate Director Clinical Pharmacy ServicesMiami Beach, FloridaFollows Patient Safety goals as established by the department; supports effective responses to adverse and sentinel events; provides an on-going proactive approach to reduce risk; integrates patient safety as a priority into new and existing processes. Responsible for managing and monitoring the hospital drug formulary: completing drug class reviews, minimizing non-formulary procurements, suggesting appropriate, cost-effective therapeutic alternatives to medical staff, and implementing automatic therapeutic substitutions when appropriate.
Nurse Manager Emergency Services (Full Time, Days) Nicklaus Children's HospitalNurse Manager Emergency Services (Full Time, Days)Miami, FLProvides timely mentoring and coaching to clinical staff and support staff to ensure quality of care, fosters staff empowerment, open communication, leads, and guides staff to build an engaged team. Ensures department meets, exceeds, and sustains Service & Clinical Index scores and metrics; conducts huddles and communicates Hospital Consumer Assessment of Healthcare Providers (HCAHPS) results.
Manager, Clinical Staff Performance & Professional Development (Corporate) Carnival Corp LtdManager, Clinical Staff Performance & Professional Development (Corporate)Miami, FLAbout Us Carnival Corporation & plc is the worlds largest leisure travel company, our mission to deliver unforgettable happiness to our guest through our diverse portfolio of leading cruise brands and island destinations, including Carnival Cruise Line, Holland America Line, Princess Cruises, and Seabourn in North America and Australia; P&O Cruises and Cunard Line in the United Kingdom; AIDA in Germany; Costa Cruises in Southern Europe. Leveraging their nursing background, shipboard healthcare experience, and clinical quality improvement expertise, the Manager conducts clinical record reviews, documentation audits, and quality analyses to inform performance decisions, strengthen clinical governance, and support targeted improvement initiatives aligned with Clinical Services priorities.
NewClinical Account Manager FL Cleerly IncClinical Account Manager FLBoca Raton, FL$130,000–$140,000 / yearWhile we are mostly a remote company, travel is required for some team meetings and cross function projects typically once per month or once per quarter, for some roles like sales or external facing roles travel could be up to 90% of the time. Total Target Compensation (TTC): Total Cash Compensation (including base pay, variable pay, commission, bonuses, etc.) Additionally, stock options, paid benefits, and employee perks are part of your total rewards.
Clinical Client Success Manager MPOWERHealthClinical Client Success ManagerFort Lauderdale, FloridaFull timeThe Clinical Client Success Manager is responsible for routinely managing client accounts, proactively communicating with all clients, and providing day-to-day management and operational support of clinical services. · Perform regular calls or face-to-face meetings with assigned clients to review reporting, additional training needs, project status, review outstanding issues and any new opportunities to integrate additional services.
Director of Nursing/Clinical Manager General AccountsDirector of Nursing/Clinical ManagerBoca Raton, FloridaAbout the Role: As a Director of Nursing/Clinical Manager you provide overall planning, direction, coordination, management and supervision of all nursing and professional services in conjunction with the Administrator. Minimum of 3+ years of experience as a Director of Nursing or Clinical Manager in a Medicare home healthcare setting.
NewManager, Inpatient and Post Acute Services PacificSource Health PlansManager, Inpatient and Post Acute ServicesFL$91,587.15–$160,277.52 / yearThe Manager of Utilization Management (UM) for Inpatient, Post-Acute and Dual Eligible Special Needs (DSN oversees and directs the utilization management process for inpatient admissions, post-acute care services, and DSNP members). Develop and track metrics to evaluate utilization trends, authorization outcomes, readmission rates, and other key performance indicators, presenting monthly/quarterly dashboards and reports to senior leadership with actionable insights for continuous improvement.
RN Nurse Manager Surgical Services HCA HealthcareRN Nurse Manager Surgical ServicesTamarac, FLThese responsibilities may include but are not limited to; planning, preparation and oversight of staff schedules; providing input into employee decisions related to hiring, performance assessment and disciplinary actions; The Operating Room Manager develops collaborative working relationships with hospital leadership, physicians, and staff, both internal and external to the department and to accomplish these responsibilities in an effective and efficient manner. Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
Director of Nursing/Clinical Manager COMFORT CARE HOMECARE INCDirector of Nursing/Clinical ManagerBoca Raton, FL$75,000–$90,000 / yearAbout the Role: As a Director of Nursing/Clinical Manager you provide overall planning, direction, coordination, management and supervision of all nursing and professional services in conjunction with the Administrator. Minimum of 3+ years of experience as a Director of Nursing or Clinical Manager in a Medicare home healthcare setting.
Lead Contract Services Manager Confidential - Staffing and RecruitingLead Contract Services ManagerMiami, FL$100,000–$110,000 / yearThe work requires some physical exertion, such as long periods of standing, walking, and/or jogging unaided over rough, uneven, or rocky surfaces; recurring bending, crouching, stooping, stretching, reaching, or similar activities; or recurring lifting of moderately heavy patients or equipment. The LCSM also works closely with Government Technical Monitors (GTMs), Contracting Officers (COs), and other leadership to ensure coordination and effective management of staffing and resources.
Manager of Clinical Care Coordination, DME Respiratory Integrated HomeManager of Clinical Care Coordination, DME RespiratoryMiramar, FloridaThe Manager of Clinical Care Coordination, DME Respiratory is responsible for leading clinical care coordination and utilization management functions for the Durable Medical Equipment (DME) division, with a primary focus on CPAP, non-invasive ventilation (NIV), and invasive ventilator services. Provider, Vendor & Stakeholder Collaboration: Facilitates effective communication with providers, DME vendors, home health agencies, and payers regarding authorizations, denials, documentation requests, and care coordination needs.
RN Nurse Manager Emergency Services HCA HealthcareRN Nurse Manager Emergency ServicesAventura, FLAdditional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. HCA Healthcare Co-FounderJoin our family of over 180 hospitals and about 2,000 sites of care to drive excellence and raise the bar for our over 35 million annual patient encounters.
NewClinical Sales Manager Skilled Wound CareClinical Sales ManagerMiami, FL$90,000–$130,000 / yearSNF Partnership Development: Build meaningful relationships with skilled nursing facility administrators, directors of nursing, and regional leaders to introduce and grow Skilled Wound Care's physician-led model. Clinical Conversations: Use your nursing background to speak confidently about wound care outcomes, treatment protocols, and the clinical and financial value our services bring to SNF partners.
Supervisor Rehab Clinical Services, Outpatient Rehabilitation, FT, 9A-5:30P Baptist Health South Florida IncSupervisor Rehab Clinical Services, Outpatient Rehabilitation, FT, 9A-5:30PMiami, FL$50.06–$65.08 / hourOur approach is rooted in a "grow our own" philosophy, designed to help our team members build meaningful, long-term careers with us, supported by benefits that make a real difference, including: Career growth and development opportunities, with clear pathways and ongoing support. Baptist Health is the region''s largest not-for-profit healthcare organization, with 12 hospitals, over 29,000 employees, 4,500 physicians and 200 outpatient centers, urgent care facilities and physician practices across Miami-Dade, Monroe, Broward and Palm Beach counties.
Clinical Services Group Mananger Becton Dickinson and CoClinical Services Group ManangerMiami, FLJob Category*Select a FunctionHealth Economics & Outcomes ResearchProfessional Services GroupBusiness Development - M&A GroupGeneral Management GroupLaw GroupCommunications & Public RelationsRegulatory AffairsShared Service Management & Business ProcessMedical / Clinical AffairsAdministrative Services & TransportationEnvironmental, Health, Safety & SustainabilityCustomer ServiceHuman ResourcesProcurement GroupResearch & DevelopmentSoftware EngineeringInformation TechnologyProject ManagementFinanceSupply ChainQualityMarketingSales SupportEngineeringSalesOperations. BD and its affiliates and subsidiaries (BD) do not accept any liability for fees for resumes from recruiters or employment agencies ("Agency"), without a binding, written recruitment agreement between BD and Agency describing the services and specific job openings ("Agreement").
RN Manager Emergency Services HCA Healthcare IncRN Manager Emergency ServicesTamarac, FLWhat qualifications you will need:Current Florida license as Registered Nurse or Recognized Compact Licensure (subject to Florida State Licensing Requirements, including/not limited to ongoing eligibility and duration provisions) Graduate from an accredited School of Nursing Current Basic Cardiac Life Support (BLS) certification or must be obtained within 30 days of employment start date Current Advanced Cardiac Life Support (ACLS) certification or must be obtained within 30 days of employment start date Current Pediatric Advance Life Support (PALS) certification or must be obtained within 30 days of employment start dateCurrent Nonviolent Crisis Intervention (CPI) certification or must be obtained within 90 days of employment start date(RN) Registered NurseMinimum 3 years of clinical Emergency Room (ER) nursing experience in an acute care setting Minimum 1 year of experience as a full time Charge Nurse/ Coordinator, Nursing Administrative Supervisor, or Nursing Management Founded in 1974, HCA Florida Woodmont Hospital is a 317-bed acute care hospital. Referral services for child, elder and pet care, home and auto repair, event planning and moreConsumer discounts through Abenity and Consumer DiscountsRetirement readiness, rollover assistance services and preferred banking partnershipsEducation assistance (tuition, student loan, certification support, dependent scholarships)Colleague recognition programTime Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.
Sterile Processing and Distribution Manager - Surgical Services - FT - Days - JDCH South Broward Hospital DistrictSterile Processing and Distribution Manager - Surgical Services - FT - Days - JDCHHollywood, FLOther Information: Additional Information: Must be certified as CPSDT or any other Healthcare Sterile Processing Association (HSPA, formerly IAHCSMM) certifications listed:Certified Sterile Processing and Distribution Manager (CSPDM), Certified Sterile Processing & Distribution Technician (CSPDT), Certified in Sterile Processing Management (CSPM), Certified Registered Central Service Technician (CRCST), Certified Healthcare Leader (CHL), Certified Surgical Technologist (CST), Certified Instrument Specialist (CIS), Certified Endoscope Preprocessor (CER), or Certified Central Service Vendor Partner (CCSVP). Education and Certification Requirements: Associates (Required)Certified Sterile Processing and Distribution Technician (CSPDT) - Certification Board for Sterile Processing and Distribution (CBSPD).
Clinical Nurse Manager Cath Lab Mount Sinai Medical Center of FloridaClinical Nurse Manager Cath LabMiami Beach, FloridaSupports MSMC's Performance Improvement Program to increase patient/family, physician and employee satisfaction by: a) Monitoring & Analyzing Performance Indicators b) Identifying improvement opportunities, understanding root causes, discussing/defining potential solutions and bringing them to the weekly Dialogue c) Implementing new concepts/cross-organizational initiatives and make changes with minimal inconvenience to patients, physicians and employees. We offer the latest in advanced medicine, technology, and comfort in 12 facilities across Miami-Dade (including our 674-bed main campus facility) and Monroe Counties, with 38 medical services, including cancer care, 24/7 emergency care, orthopedics, cardiovascular care, and more.
Mgr Clinical Appeals and Grievances HealthfirstMgr Clinical Appeals and GrievancesFL$103,400–$149,430 / yearPreferred Qualifications: • Experience in clinical practice with a focus in appeals & grievances, claims processing, utilization review or utilization management/case management • Demonstrated understanding of Utilization Review Guidelines (NYS ART 44 and 49 PHL), InterQual, Milliman or Medicare local coverage guidelines • Extensive experience in healthcare appeals • MBA or master's degree from an accredited institution with focus in training & development, education, business, or healthcare administration • Management experience in an operational department within the healthcare industry focused on clinical leadership • Leadership experience in a focus area of operational excellence or audit • Experience developing strategy and processes for a department or function • Experience managing vendors as an extension of a core team • Familiar with creating accountable ownership of a vendor team. Minimum Qualifications: • Bachelor's degree from an accredited institution or equivalent work experience • RN • Experience with utilization management or appeals and grievance processing and compliance • Working experience in a fast-paced environment overseeing multiple priorities, tasks and/or teams • Proven track record of exercising independent thinking, ability to problem solve, understand process flows and correlating platforms to recommend and implement solutions • Experience preparing and delivering written and verbal information to multiple types of audiences • Demonstrated ability to build and foster effective relationships.
Manager, IT Clinical Information Systems, Full Time, Days Jackson Health SystemManager, IT Clinical Information Systems, Full Time, DaysMiami, FLProactively manages the department''s staffing plan assuring cost effective staffing that meet customer needs and system implementation timelines. Develops and implements effective quality improvement initiatives through written work plans to determine clinical information system''s impact on costs and quality of care.
Hospital & Patient Services Manager Fresenius Medical CareHospital & Patient Services ManagerSunrise, FloridaFacilitates the placement of all in-patient dialysis (FMCNA -affiliated AND non-affiliated) patients into the out-patient setting, coordinating with the patient and discharge planners to identify appropriate placement for outpatient dialysis services according to the patient preferences, physician orders, and capacity of outpatient dialysis facilities within the market. Utilizes knowledge of the clinics, the admissions process and the various supporting programs to promote these to the patient as well as to external customers, including hospital discharge planners, referring physicians and other personnel making decisions regarding patient placement within an assigned market geography.
NewClinical Account Manager (FL) CleerlyClinical Account Manager (FL)Miami, FL$130,000–$140,000 / yearWhile we are mostly a remote company, travel is required for some team meetings and cross function projects typically once per month or once per quarter, for some roles like sales or external facing roles travel could be up to 90% of the time. *Total Target Compensation (TTC): Total Cash Compensation (including base pay, variable pay, commission, bonuses, etc.) Additionally, stock options, paid benefits, and employee perks are part of your total rewards.
NewPatient Services Manager Mount Sinai Medical Center of FloridaPatient Services ManagerMiami Beach, FloridaWe offer the latest in advanced medicine, technology, and comfort in 12 facilities across Miami-Dade (including our 674-bed main campus facility) and Monroe Counties, with 38 medical services, including cancer care, 24/7 emergency care, orthopedics, cardiovascular care, and more. Ensure the use of established systems to track, manage, and validate staff competencies, including platforms such as Pineapple Academy, Jolt, CBORD (including tablet-based modules), and Volt, to support compliance, training completion, and ongoing staff development.
Social Services Case Manager - Adult Psychiatry - FT - Days - MRH South Broward Hospital DistrictSocial Services Case Manager - Adult Psychiatry - FT - Days - MRHHollywood, FLBLS American Heart E-Card (BLS AHA ECARD) - American Heart Association (AMERICAN HEART) BLS American Heart RQI E-Card (BLS AHA-RQI ECARD) - American Heart Association (AMERICAN HEART) BLS Cert American Heart_non ecard (BLS AHA) - American Heart Association (AMERICAN HEART) BLS Certification Grace (BLS GRACE) - Employee Grace Period for Essential Credential (GRACE) BLS Cert Red Cross (BLS RC) - Red Cross (RED CROSS). JDCH Specific: Licensed Clinical Social Worker license is required for the following areas: Dialysis, Transplant, Cystic Fibrosis and mental status exams in the Emergency Department.
Social Services Case Manager - Outpatient Behavioral Health - FT - Days - MRH South Broward Hospital DistrictSocial Services Case Manager - Outpatient Behavioral Health - FT - Days - MRHHollywood, FLEducation and Certification Requirements: Masters: Social Work (Required)BLS American Heart E-Card (BLS AHA ECARD) - American Heart Association (AMERICAN HEART), BLS American Heart RQI E-Card (BLS AHA-RQI ECARD) - American Heart Association (AMERICAN HEART), BLS Cert American Heart_non ecard (BLS AHA) - American Heart Association (AMERICAN HEART), BLS Certification Grace (BLS GRACE) - Employee Grace Period for Essential Credential (GRACE), BLS Cert Red Cross (BLS RC) - Red Cross (RED CROSS). JDCH Specific: Licensed Clinical Social Worker license is required for the following areas: Dialysis, Transplant, Cystic Fibrosis and mental status exams in the Emergency Department.
Manager, Clinical Lab, Full Time Jackson Health SystemManager, Clinical Lab, Full TimeMiami, FLCreates validation checklists for all new tests and modification to existing tests Ability to work with different lab middleware systems to lead implementation and ongoing maintenance. Prepares and submits applications, surveys, reports, records, forms, and renewal questionnaires which precede inspections as necessary for maintenance and renewal of licensure and/or accreditation.
ConvergeHEALTH - Commercial Life Sciences, Delivery Manager - Managed Platform as a Services (MPaaS) - Innovation_Delivery_Transformation Deloitte Touche Tohmatsu LtdConvergeHEALTH - Commercial Life Sciences, Delivery Manager - Managed Platform as a Services (MPaaS) - Innovation_Delivery_TransformationFL$134,500–$265,100 / yearWithin IDT, our Life Sciences Cloud (LSC) practice is launching a Managed Platform as a Service (MPaaS) offering - a comprehensive solution that bundles our proprietary QuickStarts platform with ongoing managed services to deploy, run, maintain, and continuously evolve client CRM environments. Working knowledge of the broader Life Sciences commercial technology ecosystem, including platforms such as Veeva Vault PromoMats, MuleSoft integration tooling, Cvent, Knipper, and other populate CRM integrations a plus.
Manager, Clinical Staff Performance & Professional Development (Corporate) Carnival Global BrandManager, Clinical Staff Performance & Professional Development (Corporate)Miami, FLCarnival Corporation & plc is the world’s largest leisure travel company, our mission to deliver unforgettable happiness to our guest through our diverse portfolio of leading cruise brands and island destinations, including Carnival Cruise Line, Holland America Line, Princess Cruises, and Seabourn in North America and Australia; P&O Cruises and Cunard Line in the United Kingdom; AIDA in Germany; Costa Cruises in Southern Europe. Leveraging their nursing background, shipboard healthcare experience, and clinical quality improvement expertise, the Manager conducts clinical record reviews, documentation audits, and quality analyses to inform performance decisions, strengthen clinical governance, and support targeted improvement initiatives aligned with Clinical Services priorities.
NewAssistant Clinical Nurse Manager Operating Room Mount Sinai Medical Center of FloridaAssistant Clinical Nurse Manager Operating RoomMiami Beach, FloridaWe offer the latest in advanced medicine, technology, and comfort in 12 facilities across Miami-Dade (including our 674-bed main campus facility) and Monroe Counties, with 38 medical services, including cancer care, 24/7 emergency care, orthopedics, cardiovascular care, and more. Mount Sinai takes pride in being South Florida's largest private independent not-for-profit hospital, dedicated to continuing the training of the next generation of medical pioneers.