• Behavioral Health Utilization Review…

    Actalent (Sunrise, FL)
    …present reports on department activities as assigned. Essential Skills + Experience in utilization management , behavioral health, and mental health. + ... Job Title: Behavioral Health Utilization Review NurseJob Description The Utilization Management Nurse (UMN) plays a crucial role in reviewing requests… more
    Actalent (10/02/25)
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  • Behavioral Health Care Manager II

    Elevance Health (FL)
    …services only, and there is licensed staff supervision. + Previous experience in case management / utilization management with a broad range of experience with ... ** Behavioral Health Care Manager II** A...offers superior clinical mental health and substance use disorder management , a comprehensive employee assistance program, work/life support, specialty… more
    Elevance Health (09/30/25)
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  • Clinical Learning Facilitator - Utilization…

    Molina Healthcare (St. Petersburg, FL)
    …or state board licensing mandate. + At least 2 years in case, disease or utilization management ; managed care; or medical/ behavioral health settings. + One ... unrestricted State RN or Clinical Social Worker/Counseling License. + Certified Case Manager (CCM), Utilization Management Certification (CPHM), Certified… more
    Molina Healthcare (09/17/25)
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  • Medical Director, Behavioral Health (NE)

    Molina Healthcare (St. Petersburg, 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 (10/03/25)
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  • Manager of Case Management

    HCA Healthcare (Brandon, 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 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 (07/18/25)
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  • Manager , Healthcare Services

    Molina Healthcare (St. Petersburg, FL)
    …performing one or more of the following activities: care review/ utilization management (prior authorizations, inpatient/outpatient medical necessity, etc.), ... of illness and the site of service. **KNOWLEDGE/SKILLS/ABILITIES** The Manager , Healthcare Services provides operational management and...years in one or more of the following areas: utilization management , case management , care… more
    Molina Healthcare (09/27/25)
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  • RN Case Manager PRN

    HCA Healthcare (Tallahassee, FL)
    …and assess observation patients for appropriateness in observation status + Performs utilization management reviews and communicates information to third party ... organization that invests in you as a(an) RN Case Manager PRN? At HCA Florida Capital Hospital, you come...position if current and compliant** + **Certification in Case Management , Nursing, or Utilization Review, preferred** +… more
    HCA Healthcare (09/19/25)
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  • RN Case Manager

    HCA Healthcare (Tallahassee, FL)
    …and assess observation patients for appropriateness in observation status + Performs utilization management reviews and communicates information to third party ... you have the career opportunities as a RN Case Manager you want in your current role? We invest...position if current and compliant** + **Certification in Case Management , Nursing, or Utilization Review, preferred** +… more
    HCA Healthcare (09/21/25)
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