- Actalent (Sunrise, FL)
- Job Title: Behavioral Health Utilization Review NurseJob Description The Utilization Management Nurse (UMN) plays a crucial role in reviewing requests ... on department activities as assigned. Essential Skills + Experience in utilization management, behavioral health , and mental health . + Proficiency… more
- Molina Healthcare (St. Petersburg, FL)
- …dependency services - working closely with regional medical directors to standardize behavioral health utilization management policies and procedures to ... -related regional medical necessity reviews and cross coverage. * Standardizes behavioral health -related utilization management, quality, and financial… more
- Centene Corporation (Tallahassee, FL)
- …in accordance with regulatory guidelines and criteria + Performs concurrent review of behavioral health (BH) inpatient to determine overall health of ... licensure as outlined by the applicable state required. Master's degree for behavioral health clinicians required. Clinical knowledge and ability to review… more
- Humana (Tallahassee, FL)
- …a part of our caring community and help us put health first** The Utilization Management Behavioral Health Professional utilizes behavioral health ... and communication of medical services and/or benefit administration determinations. The Utilization Management Behavioral Health Professional work… more
- Elevance Health (FL)
- ** Behavioral Health Care Manager II** A proud member of the Elevance Health family of companies, Carelon Behavioral Health , formerly Beacon Health ... an accommodation is granted as required by law. The ** Behavioral Health Care Manager II** is responsible...is licensed staff supervision. + Previous experience in case management/ utilization management with a broad range of experience with… more
- Community Based Care of Brevard, Inc. (Orlando, FL)
- …This position evaluates the efficiency, appropriateness, and clinical necessity of mental health , behavioral health and substance abuse treatment services ... of the service authorization process and supports Children's Mental Health funding through (100/806) referrals from the Clinical Coordinators....summ ar ize d ata wit h in the Utilization M an agementSys tem to pr eparere por… more
- Molina Healthcare (Tampa, FL)
- **JOB DESCRIPTION** **Job Summary** Molina's Behavioral Health function provides leadership and guidance for utilization management and case management ... and chemical dependency services and assists with implementing integrated Behavioral Health care management programs. **Knowledge/Skills/Abilities** Provides… more
- Molina Healthcare (St. Petersburg, FL)
- …years in case, disease or utilization management; managed care; or medical/ behavioral health settings. + One year of training delivery experience, including ... or Clinical Social Worker/Counseling License. + Certified Case Manager (CCM), Utilization Management Certification (CPHM), Certified Professional in Health Care… more
- Cleveland Clinic (Vero Beach, FL)
- …career with one of the most respected healthcare organizations in the world. Our behavioral health professionals are here to support and help patients find ways ... in this role will: + Direct patient care of behavioral health patients under the supervision of...equipment as required. + Requires competency in initiation and utilization of special equipment. **Pay Range** Salaries [which may… more
- HCA Healthcare (Fort Walton Beach, FL)
- …eligible. **Introduction** Are you ready to manage in a new era as a Director Behavioral Health where building a healthier tomorrow is more than a job? Our ... services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed… more