Case Management Director jobs in Saint Petersburg, FL

Case Management Director oversees a staff of case managers responsible for patient care coordination. Develops and implements case management programs, including utilization review, intake or discharge planning, and managed care contracting or negotiation. Being a Case Management Director evaluates patient care data to ensure that care is provided in accordance with clinical guidelines and organizational standards. Seeks treatments that balance clinical and financial concerns with the family's needs and the patient's quality of life. Additionally, Case Management Director contributes to the development and improvement of clinical care pathways that enhance cost effectiveness while providing quality care. Typically requires a bachelor's degree. Typically reports to top management. May require Registered Nurse (RN). The Case Management Director typically manages through subordinate managers and professionals in larger groups of moderate complexity. Provides input to strategic decisions that affect the functional area of responsibility. May give input into developing the budget. Capable of resolving escalated issues arising from operations and requiring coordination with other departments. To be a Case Management Director typically requires 3+ years of managerial experience. (Copyright 2024 Salary.com)

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Manager - Family Case Management
  • Suncoast Center
  • Petersburg, FL FULL_TIME
  • Job Duties:

     

    1. Oversees and directs the development of policies and procedures for assigned programs to ensure quality care and compliance with funder/payer and accreditation body.  Supervises, is accessible to and provides direction to staff.  Provides leadership and guidance to staff through appropriate utilization and implementation of the policies and procedures.  Ensures programs are operating according to funding, licensing and accreditation guidelines.  Monitors documentation compliance with internal procedures, contract requirements, payer requirements, accrediting standards, and Florida Statutes and Administrative Rules.
    2. Supervises Family Case Management staff to ensure they are complying with all required reporting and tasks as assigned for their role.  
    3. Develops, constantly improves, implements, and monitors systems to ensure the smooth operation of program managed, ultimately resulting in excellent customer service, the timely and accurate completion of clinical documentation, outcome data, and service event entry.
    1. Lead day to day operations of all aspects of the family case managers.
    2. Provides outreach and presentations internally and in the community for programs supervised.  
    3. Remain current in the general knowledge of psychotropic medication, side effects, and DSM-V

             diagnoses, and recognize when medical services are appropriate.

    1. Respond to customer (internal & external) complaints and concerns. 
    1. Participate in or lead Suncoast Center committees, group supervision and meetings as needed.  
    2. Follows Florida Statutes and Florida Administrative Codes, 65E-15, Case Management Regional Operating Policy and Florida Medicaid Manual.
    3. Use appropriate crisis intervention skills to anticipate and prevent crises where possible.
    4. Provide services in a way that utilizes the principles of recovery, and treat every client as a partner in a process to better their lives.
    5. Complete treatment plans/reviews, progress notes and other documentation within agency guidelines.
    1. Provide management oversight during hours of operation including evenings and on call as needed.
    1. Monitor revenue and expense reports of programs, and institutes corrective action to ensure compliance with budgetary goals.
    2. Monitor the productivity of the programs and individual staff on an ongoing basis.  Makes recommendations and implements processes to improve productivity as needed. Regularly utilizes reports in the EMR to assess program and staff effectiveness.

      Minimum Qualifications: 
      Education and Experience:   
      A Bachelor’s degree from an accredited university or college, and 2 years of related case management experience to either the adult or child population. 
      Additional Requirements:
      Must be 21 years of age.
      Negative Drug Screening prior to hire and throughout employment.
      Clear Criminal Background Check throughout employment with Suncoast Center and local checks prior to hire and annually along with DCF Level II prior to hire and as required by DCF, and Must have valid Florida Driver’s License Motor Vehicle checks prior to hire and annually with acceptable driving record maintained throughout employment along with reliable vehicle, valid registration, and valid vehicle insurance. (must be in compliance with Florida Laws and Administrative Codes with fingerprinting and determined to be of good moral character).
       
      Working Conditions:  Provide services both in-agency and in the community as required. Schedule may be irregular as emergencies arise.
       
      Computer Literate:   Must have experience working in an electronic medical record.
  • 9 Days Ago

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Director of Nursing (DON)
  • HCO Management
  • Saint Petersburg, FL FULL_TIME
  • Looking to give back? Interested in helping those most in need? We want to hire YOU. We are looking for individuals who want to support our residents & who complement our hardworking and dedicated tea...
  • 1 Day Ago

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Director, Risk Management
  • Raymond James Financial, Inc.
  • Saint Petersburg, FL FULL_TIME
  • Director, Risk Management-2401329 Description Job Summary: Under limited direction, uses extensive knowledge and skills obtained through education and experience to set the strategic direction of assi...
  • 8 Days Ago

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Director, Wealth Management Technology
  • Raymond James Financial, Inc.
  • Saint Petersburg, FL FULL_TIME
  • Director, Wealth Management Technology-2400819 Description This position will follow our hybrid work model; we expect the selected candidate to work 2-3 days a week at our St. Petersburg, FL, corporat...
  • 1 Month Ago

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Director of Facility Management
  • HCA Florida St. Petersburg Hospital
  • Saint Petersburg, FL FULL_TIME
  • This position is incentive eligible. Introduction Do you want to join an organization that invests in you as a(an) Director of Facility Managment? At HCA Florida St. Petersburg Hospital, you come firs...
  • 1 Month Ago

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Community Director
  • LURIN Management Services LLC
  • ST. PETERSBURG, FL FULL_TIME
  • DescriptionPosition SummaryThe Community Director is responsible for the successful day-to-day financial, administrative, sales, marketing, and maintenance operations of the community while ensuring c...
  • 8 Days Ago

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0 Case Management Director jobs found in Saint Petersburg, FL area

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Salesforce Delivery Manager/Director
  • ProV International, Inc.
  • Tampa, FL
  • Job Description Job Description Salary: Company Description: ProV International Inc. is a global consulting firm based i...
  • 4/25/2024 12:00:00 AM

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Case Manager RN PRN
  • HCA Florida St. Petersburg Hospital
  • St Petersburg, FL
  • Description Introduction Do you have the PRN career opportunities as a(an) Case Manager RN PRN you want with your curren...
  • 4/24/2024 12:00:00 AM

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REMOTE: Medical Director, Utilization Management and Medical Policy
  • Evry Health
  • Tampa, FL
  • About the Role Evry Health is hiring a tech-savvy Medical Director to lead medical policy and utilization management. As...
  • 4/24/2024 12:00:00 AM

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Assistant Nurse Manager Weekend Only Worker Med Surg Medical Nights
  • AdventHealth
  • Riverview, FL
  • **All the benefits and perks you need for you and your family:** + Benefits from Day One + Paid Days Off from Day One + ...
  • 4/24/2024 12:00:00 AM

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A Youth Development Program Director Starkey Elementary
  • YMCA of the Suncoast
  • Clearwater, FL
  • Title: Youth Development Program Director - Starkey Elementary Reports to: Youth Development Program Management Director...
  • 4/24/2024 12:00:00 AM

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SVP - Senior Audit Manager - Wealth Lending (Hybrid)
  • Citigroup, Inc.
  • Tampa, FL
  • The Senior Audit Manager is a senior level management position responsible for managing a complex and critical unit with...
  • 4/24/2024 12:00:00 AM

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Senior Audit Manager - IA Treasury
  • Citigroup, Inc.
  • Tampa, FL
  • The Senior Audit Manager is a senior level management position responsible for managing a complex and critical unit with...
  • 4/22/2024 12:00:00 AM

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Tax Professionals - Senior, Supervisor, Manager, Director and Partner level - REMOTE / Great Work-li
  • Taurus Search
  • Tampa, FL
  • Tax Professionals Wanted! ???? Are you a Tax Professional looking for a career that combines expertise with flexibility?...
  • 4/21/2024 12:00:00 AM

St. Petersburg is a city in Pinellas County, Florida, United States. As of the 2015 census estimate, the population was 257,083, making it the fifth-most populous city in Florida and the largest in the state that is not a county seat (the city of Clearwater is the seat of Pinellas County). St. Petersburg is the second-largest city in the Tampa Bay Area, after Tampa. Together with Clearwater, these cities comprise the Tampa–St. Petersburg–Clearwater Metropolitan Statistical Area, the second-largest in Florida with a population of around 2.8 million. St. Petersburg is located on the Pinellas pen...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Case Management Director jobs
$142,820 to $200,558
Saint Petersburg, Florida area prices
were up 1.1% from a year ago

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