• 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 ... care + Formulates and presents cases in staffing and integrated rounds + Performs other duties as assigned +...outlined by the applicable state required. Master's degree for behavioral health clinicians required. Clinical knowledge and… more
    Centene Corporation (06/01/25)
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  • Care Review Clinician , Inpatient Review…

    Molina Healthcare (Miami, FL)
    …and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care, for members with high need potential. ... HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of illness and the site of service. **KNOWLEDGE/SKILLS/ABILITIES** + Assesses inpatient services… more
    Molina Healthcare (05/24/25)
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  • Care Review Clinician , PA (RN) (Must work…

    Molina Healthcare (FL)
    …and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. HCS ... staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of illness and the site of service. **KNOWLEDGE/SKILLS/ABILITIES** + Assesses services for members to… more
    Molina Healthcare (05/11/25)
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  • Care Review Clinician , PA (RN)…

    Molina Healthcare (FL)
    …and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. HCS ... staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of illness and the site of service. **KNOWLEDGE/SKILLS/ABILITIES** + Assesses services for members to… more
    Molina Healthcare (03/07/25)
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  • Licensed Mental Health Professional…

    OptiMindHealth (FL)
    …on team approaches. Join OMH to perfect your skills in the emerging field of integrated behavioral health care. The interdisciplinary health care team ... towards every clinician 's needs. Join a leading clinician -led behavioral health company today!... integrated care team model at OMH. Outpatient behavioral health practices like OMH are getting… more
    OptiMindHealth (03/26/25)
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  • VP, Centerwell PCO, IPA CMO

    CenterWell (Tallahassee, FL)
    …impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more ... part of our caring community and help us put health first** The Primary Care Organization (PCO), is looking...patients at national scale. S/he will be a proven clinician , leader, and strategist capable of driving the highest… more
    CenterWell (05/28/25)
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  • Divisional Director of Care Management, Strategy…

    CenterWell (Tallahassee, FL)
    …impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more ... part of our caring community and help us put health first** The Divisional Director is responsible for building...credible leader with deep understanding and empathy for the clinician and patient pain points in day-to-day panel management… more
    CenterWell (05/23/25)
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  • Center Administrator

    CenterWell (Kissimmee, FL)
    …impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more ... **Become a part of our caring community and help us put health first** The Manager, Clinic/Center Administration, is a healthcare professional who leads the daily… more
    CenterWell (05/23/25)
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