- 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
- 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
- CVS Health (Orlando, FL)
- …do it all with heart, each and every day. **Position Summary** : The Clinical Case Manager, Behavioral Health is a work from home field based role with up to 40% ... CCM , is responsible for driving and supporting care management and care coordination activities across the continuum of...activities with members to ensure that their medical and behavioral health needs are met and to… more