• Utilization Review Clinician - ABA

    Centene Corporation (Tallahassee, FL)
    …experience in applied behavioral analytics (ABA). Additional Details: * Department: Behavioral Health Utilization Management * Business Unit: Corporate / ... of care and services are medically appropriate related to behavioral health (BH) and/or autism spectrum disorder...Analyzes BH member data to improve quality and appropriate utilization of services + Interacts with BH healthcare providers… more
    Centene Corporation (08/02/25)
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  • Utilization Review Clinician…

    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
    Centene Corporation (07/31/25)
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  • Behavioral Health Medical Director…

    Humana (Tallahassee, FL)
    **Become a part of our caring community and help us put health first** The Behavioral Health Medical Director is responsible for behavioral health ... care strategy and/or operations. The Behavioral Health Medical Director work assignments involve moderately complex to complex issues where the analysis of… more
    Humana (08/09/25)
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  • Utilization Review Clinician - EST/CST…

    Monte Nido (Miami, FL)
    …private payment. 9. Leverage understanding of medical necessity criteria and current behavioral health insurance landscape in verbal and written communications ... the opportunity for people to realize their healthy selves. ** Utilization Review Clinician** **Monte Nido** **Remote - EST or...Assistance Program (EAP) + Flexible Spending Account (FSA) + Health Savings Account (HSA) + Paid time off +… more
    Monte Nido (06/21/25)
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  • Behavioral Health Technician

    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 ... do it with compassion, sensitivity, and respect. As a Behavioral Health Technician, you will provide direct...equipment as required. + Requires competency in initiation and utilization of special equipment. **Pay Range** Salaries [which may… more
    Cleveland Clinic (08/08/25)
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  • Utilization Management Nurse

    CenterWell (Tallahassee, FL)
    …best care, when needed most, and for the lowest cost. We go beyond physical health - addressing the social, emotional, behavioral and financial needs that can ... **Become a part of our caring community and help us put health first** Conviva Care Solutions is seeking a RN who will collaborate with other health care givers… more
    CenterWell (08/08/25)
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  • Utilization Management Nurse

    CenterWell (Tallahassee, FL)
    …best care, when needed most, and for the lowest cost. We go beyond physical health - addressing the social, emotional, behavioral and financial needs that can ... **Become a part of our caring community and help us put health first** Healthcare isn't just about health anymore. It's about caring for family, friends,… more
    CenterWell (08/02/25)
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  • Registered Nurse, Case Manager -…

    CVS Health (Tallahassee, FL)
    …- 1+ years' current or previous experience in **Medical/Surgical,** **Oncology, Transplant, Behavioral Health or Specialty Pharmacy.** - 1+ years' experience ... At CVS Health , we're building a world of health...is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical management services that… more
    CVS Health (08/13/25)
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  • Director Behavioral Health

    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
    HCA Healthcare (07/23/25)
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  • Nurse Manager Behavioral Health

    HCA Healthcare (Fort Walton Beach, FL)
    …**Introduction** Are you ready to manage in a new era as a Nurse Manager 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
    HCA Healthcare (07/23/25)
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