• Licensed Clinical Social Worker (LCSW Pcmhi)

    Valor Health (Vero Beach, FL)
    …Our comprehensive set of services includes primary care, diagnostics, laboratory, telehealth, behavioral health , and more. About Our Benefits Competitive Salary ... term needs specific to a range of physical and behavioral health issues, including but not limited...assessments and responds to psychiatric emergencies. + Provides case management to Veterans and families as needed throughout the… more
    Valor Health (07/08/25)
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  • National Accounts Medical Director

    Elevance Health (Miami, FL)
    …an equivalent background. + For Health Solutions and Carelon organizations (including behavioral health ) only, minimum of 5 years of experience providing ... or Surgery (surgical specialty). + Knowledge and experience with population or segment health management is a plus. + Knowledge of the health insurance… more
    Elevance Health (08/27/25)
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  • Value-Based Reimbursement Specialist

    Highmark Health (Tallahassee, FL)
    …matrixed teams in the use of predictive analytic tools, user interfaces, population health management tools and other data-based platforms endorsed by the ... care, or healthcare consulting in primary care or population health management . + 3 years of experience...job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
    Highmark Health (08/20/25)
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  • Case Manager, Registered Nurse - Fully Remote

    CVS Health (Tallahassee, FL)
    …experience in Oncology, Transplant, Specialty Pharmacy, Pediatrics, Medical/Surgical, Behavioral Health /Substance Abuse or Maternity/ Obstetrics experience ... schedule is 8:30am-5:00pm within time zone of residence.** American Health Holding, Inc (AHH) is a medical management... Health Holding, Inc (AHH) is a medical management company that is a division within Aetna/CVS … more
    CVS Health (08/15/25)
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  • Special Investigation Unit (SIU) Coding Review…

    CVS Health (Tallahassee, FL)
    …develop team members. + Registered Nurse (RN). + Previous experience with Behavioral Health coding/auditing of records. **Education:** + Bachelor's degree ... At CVS Health , we're building a world of health...with coding practices through comprehensive record reviews for medical, behavioral , transportation, and other healthcare providers. The CPC Manager… more
    CVS Health (08/08/25)
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  • Facility Coding Inpatient DRG Quality

    Banner Health (FL)
    …acuity and critical access facilities, as well as specialized services such as behavioral health , oncology, pediatric. Acts as subject matter expert regarding ... updates, and in all software used for coding, coding reviews and health information management for the operational group. Identifies and collects data to allow… more
    Banner Health (08/30/25)
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  • Behavior Technician

    Amergis (Dade City, FL)
    … Techs looking to work in mental health and detox facilities. Position Details: Mental Health Tech / Behavioral Health Tech + Shift Length: 8hr + Part / ... Date: ASAP + Requirements: Have 1+ years of recent direct patient care experience; behavioral or mental health experience. + License requirement: BLS + Location:… more
    Amergis (08/21/25)
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  • Director Reimbursement Design & Market Evaluation

    Highmark Health (Tallahassee, FL)
    …Provider support teams, Actuary, Finance, Highmark Health Solutions, Health Plan Operations. **ESSENTIAL RESPONSIBILITIES** + Perform management ... organizational programs and projects + 5 years Familiarity with health plan and provider contracting or revenue management...job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
    Highmark Health (07/30/25)
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  • Case Management Processor

    Molina Healthcare (Orlando, FL)
    …plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. ... telephone, clerical, and data entry support for the Case Management team. + Responsible for initial review of assigned...review of assigned case levels to assist in Case Management assignment. + Reviews data to identify principal member… more
    Molina Healthcare (08/30/25)
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  • Senior Risk & Compliance Analyst

    Highmark Health (Tallahassee, FL)
    **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This job works collaboratively riskacross Highmark Health clinical areas to support clinical ... Analyst is responsible for monitoring and analyzing medical and utilization management activities to ensure compliance with internal policies, state, CMS, and… more
    Highmark Health (07/04/25)
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