- Humana (Tallahassee, FL)
- …Military Case Management team; providing a comprehensive, holistic approach for Behavioral Health Case Management throughout the continuum of care. ... year of hire. + Experience in Acute inpatient hospital case management . + Experience with Medical/ Behavioral Health Case Management Programs. + Direct… more
- HCA Healthcare (Fort Walton Beach, FL)
- …regulatory, and accreditation requirements; Qualifications Education + Bachelor's degree in healthcare management , Behavioral Health , or in related clinical ... in 21 states and the United Kingdom. We are looking for a(an) Behavioral Health Program Director for our HCA Florida Fort Walton-Destin Hospital team where… more
- CVS Health (Tallahassee, FL)
- …settlement negotiations of contracts, with large and complex, national, and market-based, behavioral health groups and facility providers. You will manage ... Health , a Fortune 4 company, as the Network Management Senior Manager. In this role, you will manage...traditional contracts and value-based relationships. Role is for national behavioral health contracting and strategic partnerships** Key… more
- CVS Health (Tallahassee, FL)
- …to evaluate opportunities for partner value optimization and strategic partnerships opportunities/ management . + Supports behavioral health strategic ... related to partnership development/ management and establishes strong partnerships with national behavioral health network team, behavioral health … more
- Humana (Tallahassee, FL)
- …value-based care, quality metrics, population health , and disease or care management . The Behavioral Health Medical Director may develop procedures, ... part of our caring community and help us put health first** The Behavioral Health ...quality management , utilization management , case management , discharge planning and/or home health or… more
- Florida Health Care Plans, Inc. (Daytona Beach, FL)
- …work in the United States. Position Details * Evaluation, assessment, and treatment of Behavioral Health patients * Case Management functions * Utilization ... a Psychiatric Mental Health Nurse Practitioner, (PMHNP) to join our Behavioral Health Team in our Edgewater facility located at 239 N. Ridgewood Avenue.… more
- CVS Health (Tallahassee, FL)
- …appropriate member care. . Attends and participates in case rounds, including utilization management rounds for behavioral health and physical health ... Mileage is reimbursed per our company expense reimbursement policy **Preferred Qualifications:** . Behavioral Health Experience . Case management in an… more
- Centene Corporation (Tallahassee, FL)
- …experience in applied behavioral analytics (ABA). Additional Details: * Department: Behavioral Health Utilization Management * Business Unit: Corporate / ... million members as a clinical professional on our Medical Management / Health Services team. Centene is a diversified,...of care and services are medically appropriate related to behavioral health (BH) and/or autism spectrum disorder… more
- Elevance Health (Tampa, FL)
- …preferred. + Experience in Utilization Management is preferred + Experience in Behavioral Health Case Management is preferred _For URAC accredited areas ... 8AM -5PM (CST) The **Nurse Case Manager I** is responsible for performing care management within the scope of licensure for members with complex and chronic care… more
- Community Based Care of Brevard, Inc. (Orlando, FL)
- …Sunshine Health Plan those covered individuals who may need physical or behavioral healthcare management , health coaching or care coordination. Advocacy ... of 3 years of nursing experience, preferably in the child welfare or behavioral /medical health care setting. Strong time- management and organizational… more
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