• Utilization Management (UM) Program…

    Community Based Care of Brevard, Inc. (Orlando, FL)
    …a web-based application for daily entry of case activity and the utilization management of service authorizations. Educational and Experience Requirements: MA/MS ... Salary: $65,000/year Position Summary: The UM Program Manager provides oversight and management of...the efficiency, appropriateness, and clinical necessity of mental health, behavioral health and substance abuse treatment services provided to… more
    Community Based Care of Brevard, Inc. (10/04/25)
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  • Behavioral Health Care Manager II…

    Elevance Health (FL)
    …or certification is a requirement for this position. + Previous experience in case management / utilization management with a broad range of experience with ... for autism and depression, and insightful analytics to improve the delivery of care. ** Behavioral Health Care Manager II - ABA** Location: **Virtual** - This… more
    Elevance Health (11/19/25)
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  • Behavioral Health Care Manager I

    Elevance Health (Tampa, FL)
    Behavioral Health Care Manager I is responsible for conducting utilization management reviews for mental health and substance use disorder inpatient and ... **JR168679 Behavioral Health Care Manager I** The...member needs to ensure access to medically necessary quality behavioral healthcare in a cost-effective setting in accordance with… more
    Elevance Health (11/08/25)
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  • Behavioral Health Care Manager II

    Elevance Health (FL)
    …Licensure is a requirement for this position. + Previous experience in case utilization management with a broad range of experience with complex ... **JR169828 Behavioral Health Care Manager II** Responsible for managing psychiatric and substance abuse or substance abuse disorder facility-based and outpatient… more
    Elevance Health (11/11/25)
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  • Medical Director, Behavioral Health (NE)

    Molina Healthcare (Orlando, FL)
    …and clinical leadership for health plan and/or market specific utilization management and care management behavioral health programs and chemical ... dependency services - working closely with regional medical directors to standardize behavioral health utilization management policies and procedures to… more
    Molina Healthcare (11/09/25)
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  • Behavioral Health Medical…

    Elevance Health (Tampa, FL)
    …Capabilities and Experiences:** + Child and Adolescent experience preferred. + Utilization Management experience. + Applied Behavior Analysis (ABA) experience. ... ** Behavioral Health Medical** **Director-Psychiatrist** **Appeals** **Location:** This role...Director Associates. + Works independently with oversight from immediate manager . + May be responsible for an entire clinical… more
    Elevance Health (11/19/25)
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  • Manager of Case Management

    HCA Healthcare (Inverness, FL)
    …and expertise! **Job Summary and Qualifications** We are currently looking for an ambitious Case Management Manager to help us reach our goals. As our Manager ... **Introduction** Do you have the career opportunities as a(an) Manager of Case Management you want with...for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services… more
    HCA Healthcare (09/09/25)
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  • Manager Case Management

    HCA Healthcare (Tallahassee, FL)
    **Description** **Introduction** Do you have the career opportunities as a(an) Manager Case Management you want in your current role? We invest in what matters ... for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services...career path, we encourage you to apply for our Manager Case Management opening. We review all… more
    HCA Healthcare (11/10/25)
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  • RN Case Manager Part Time

    HCA Healthcare (Tallahassee, FL)
    …and assess observation patients for appropriateness in observation status + Performs utilization management reviews and communicates information to third party ... like family! Jump-start your career as an RN Case Manager Part Time today with HCA Florida Capital Hospital....position if current and compliant** + **Certification in Case Management , Nursing, or Utilization Review, preferred** +… more
    HCA Healthcare (11/10/25)
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  • RN Case Manager Evenings

    HCA Healthcare (Tallahassee, FL)
    …and assess observation patients for appropriateness in observation status + Performs utilization management reviews and communicates information to third party ... to make a real impact. As a(an) RN Case Manager you can be a part of change. **Benefits**...position if current and compliant** + **Certification in Case Management , Nursing, or Utilization Review, preferred** +… more
    HCA Healthcare (11/10/25)
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