- Molina Healthcare (Miami, FL)
- …health and chemical dependency services and assists with implementing integrated Behavioral Health care management programs. ... **JOB DESCRIPTION** **Job Summary** Molina's Behavioral Health function provides leadership and...clinical practice * 3 years' experience in Utilization/Quality Program Management * 2+ years HMO/Managed Care experience… more
- Molina Healthcare (Jacksonville, FL)
- …leadership for health plan and/or market specific utilization management and care management behavioral health programs and chemical dependency ... chemical dependency services, and assists with implementation of integrated behavioral health care programs within...- working closely with regional medical directors to standardize behavioral health utilization management policies… more
- Healthfirst (FL)
- …including child welfare and/or medically fragile/developmentally disabled populations + For Behavioral Health (BH) Care Management : + NYS RN or + LCSW, ... adequately addressed. + Coordinates and facilitates with the multi-disciplinary health care team as necessary to ensure...Additional duties as assigned. **Minimum Qualifications:** + For Medical Care Management : + NYS RN or +… more
- Humana (Tallahassee, FL)
- …relationships, value-based care , quality metrics, population health , and disease or care management . The Behavioral Health Medical Director may ... Health Medical Director is responsible for behavioral health care strategy and/or...managers or Care managers on complex case management , including familiarity with social determinants of health… more
- Humana (Tallahassee, FL)
- …degree in nursing (BSN) + Behavioral Health and/or Utilization Management experience + Acute care clinical setting experience + MCG or InterQual ... help us put health first** The Utilization Management Behavioral Health Nurse 2...millions of people we serve to achieve their best health - delivering the care and service… more
- CVS Health (Tallahassee, FL)
- …services that are evidence-based. * Work collaboratively with the Behavioral Health , Pharmacy, Member Outreach, Care Management , National Quality ... health outcomes. * Leverage extensive knowledge of health care delivery system, utilization management...Management , Compliance, and other departments to integrate social, behavioral , and physical health and improve clinical… more
- Humana (Tampa, FL)
- …performance scorecards), Clinical Insights (population health , SDOH, behavioral health , pharmacy strategy, care management strategy), and Quality ... Determinants of Health (SDOH) and behavioral health trends. + Guide pharmacy and care management strategies using data-driven insights to improve… more
- Elevance Health (FL)
- …specialty programs for autism and depression, and insightful analytics to improve the delivery of care . ** Behavioral Health Care Manager II - ABA** ... Health ** , offers superior clinical mental health and substance use disorder management , a...**Monday through Friday, 8:00 am to 5:00 pm** The ** Behavioral Health Care Manager II**… more
- Elevance Health (FL)
- **JR169828 Behavioral Health Care Manager II** Responsible for managing psychiatric and substance abuse or substance abuse disorder facility-based and ... benefits through telephonic or written review. The BH Care Manager (UM) job progression is primarily a provider-facing...Requires MA/MS in social work counseling or a related behavioral health field or a degree in… more
- Elevance Health (FL)
- ** Behavioral Health Case Manager II** **Location** **- Virtual:** This role enables associates to work virtually full-time, with the exception of required ... York, NY **Hours** : 8:00AM -5:00PM (local time) The ** Behavioral Health Case Manager II** is responsible... Case Manager II** is responsible for performing case management telephonically and/or by home visits within the scope… more