- CVS Health (Tallahassee, FL)
- …in medical management, including Utilization Management (UM) and Case Management ( CM ). + Strong understanding of healthcare quality, accreditation processes, and ... NCQA standards. + Licensed clinical professional ( RN preferred). + Excellent analytical, organizational, and communication skills. + Proficiency in audit… more
- Highmark Health (Tallahassee, FL)
- …experience + 1 year in a clinical setting **Preferred** + 5 years in UM/ CM /QA/Managed Care + 1 year in advanced training and experience in cognitive behavioral ... in addressing targeted populations **LICENSES or CERTIFICATIONS** **Required** + RN license in PA or WV or DE or...or WV or DE or NY is required. Other RN license(s), if applicable, must be obtained within the… more