- Molina Healthcare (St. Petersburg, FL)
- …guidelines and medical necessity review criteria. * Tracks all clinical programs for behavioral health quality compliance with National Committee for ... procedures to improve quality outcomes and decrease costs. * Facilitates behavioral health -related regional medical necessity reviews and cross coverage. *… more
- MyFlorida (Tallahassee, FL)
- …the landscape of child and family well-being in Florida with an integrated focus around behavioral health . The Quality Review Manager will play a key role ... QUALITY REVIEW MANAGER - SES - 60071262 Date:...be made in advance to allow sufficient time to provide the accommodation. The State of Florida supports a… more
- Centene Corporation (Tallahassee, FL)
- …primarily mental and behavioral health needs members to provide high quality , cost-effective healthcare outcomes including personalized care plans and ... plan/service plan for the best outcome, which may include behavioral health and social determinant needs +...the member and/or family/caregivers, community resources, and the care provider team to ensure identified services are accessible to… more
- Centene Corporation (Fort Myers, FL)
- …primarily mental and behavioral health needs members to provide high quality , cost-effective healthcare outcomes including personalized care plans and ... plan/service plan for the best outcome, which may include behavioral health and social determinant needs +...the member and/or family/caregivers, community resources, and the care provider team to ensure identified services are accessible to… more
- Devereux Advanced Behavioral Health (Orlando, FL)
- …answered YES to any of these questions, then consider joining our Devereux Advanced Behavioral Health team! **Being a Quality Improvement Risk Manager has ... investigations, quality assurance, or compliance within a behavioral health setting. + Minimum of three...mindset is at the heart of the compassionate and high- quality programming we provide - every day… more
- Elevance Health (FL)
- …insightful analytics to improve the delivery of care. **Regional Vice President (RVP) Provider Solutions, Behavioral Health (East Region)** **Location:** May ... the provider experience, engagement and contracting for Behavioral Health business for east region. Responsible... business for east region. Responsible to align the provider strategy to achieve high quality access… more
- CenterWell (Apopka, FL)
- …advanced practice professionals, pharm D, care coach nurses, medical assistants, behavioral health , specialists, quality -based coders, referral coordinators ... our team-based care environment. We are a value-based care provider focused on quality of care for...well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up… more
- CenterWell (Apopka, FL)
- …Doctors, Advanced Practice professionals, Pharm D, Care Coach Nurses, Medical Assistants, Behavioral Health , Specialists, Quality Based Coders, Referral ... team-based care environment. We are a value based care provider focused on quality of care for...well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up… more
- CenterWell (Tamarac, FL)
- …Doctors, Advanced Practice professionals, Pharm D, Care Coach Nurses, Medical Assistants, Behavioral Health , Specialists, Quality Based Coders, Referral ... team-based care environment. We are a value based care provider focused on quality of care for...and for the lowest cost. We go beyond physical health - addressing the social, emotional, behavioral … more
- CenterWell (Okeechobee, FL)
- …advanced practice professionals, pharm D, care coach nurses, medical assistants, behavioral health , specialists, quality -based coders, referral coordinators ... our team-based care environment. We are a value-based care provider focused on quality of care for...and for the lowest cost. We go beyond physical health - addressing the social, emotional, behavioral … more