- ChenMed (North Miami Beach, FL)
- …+ A minimum of 1 year of utilization review and/or case management, home health , hospital discharge planning experience required. + A minimum of 1 year ... care providers, social workers, other case managers and nurses, acute and post-acute facilities, home health care companies, and health plans. He/She adheres… more
- Evolent (Tallahassee, FL)
- …selecting health plans or regions, assuming overall accountability for utilization management while working in conjunction with the Senior Medical Director. ... **Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health … more
- CVS Health (Tallahassee, FL)
- At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... health care. As the nation's leading health ...and consultative solutions tailored to client needs. * Analyze utilization and performance data to inform recommendations and interventions.… more
- Ascension Health (Jacksonville, FL)
- …FL This job location is not currently located in a Health Professional Shortage Area (HPSAs) and/or Medically Underserved Areas/Populations (MUA/P) Shortage ... Designation Type. **Benefits** Paid time off (PTO) Various health insurance options & wellness plans Retirement benefits including employer match plans Long-term &… more
- HCA Healthcare (Fort Walton Beach, FL)
- …**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 HCA Florida Fort ... Florida Fort Walton-Destin Hospital, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The available plans and… more
- Humana (Tallahassee, FL)
- …quality management, utilization management, case management, discharge planning and/or home health or post-acute services such as inpatient rehabilitation ... **Become a part of our caring community and help us put health first** The Behavioral Health Medical Director is responsible for behavioral health care… more
- Bluestone Physician Services (Orlando, FL)
- …collaborate to manage patients' chronic conditions, address social determinants of health , manage transitions to and from inpatient settings, provide behavioral ... health support and more. Under our model of care,...who reside in Assisted Living, Memory Care and Group Home communities throughout Minnesota, Wisconsin and Florida and are… more
- Evolent (Tallahassee, FL)
- …selecting health plans or regions, assuming overall accountability for utilization management while working in conjunction with the Senior Medical Director. ... **Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes...Director you will be a key member of the utilization management team. We can offer you a meaningful… more
- Evolent (Tallahassee, FL)
- …for select health plans or regions, assuming overall accountability for utilization management while working in conjunction with the SVP, CCO and/or CMO. + ... **Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes...support services review process. Responsible for the quality of utilization review determinations, including appeals. + Provides input into… more
- Elevance Health (Miami, FL)
- …or CST.** **Federal Employee Program - FEP** , a proud member of the Elevance Health , Inc. family of companies, it is a powerful combination, and the foundation upon ... our members, greater value for our customers, and greater health for our communities. Join us and together we...state or territory of the United States when conducting utilization review or an appeals consideration and cannot be… more