• 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 ... outlined by the applicable state required. Master's degree for behavioral health clinicians required. Clinical knowledge and...and Family Therapist (LMFT) required or + Licensed Mental Health Professional (LMHP) required or + RN… more
    Centene Corporation (07/31/25)
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  • Utilization Review Clinician - ABA

    Centene Corporation (Tallahassee, FL)
    …experience in applied behavioral analytics (ABA). Additional Details: * Department: Behavioral Health Utilization Management * Business Unit: Corporate / ... of care and services are medically appropriate related to behavioral health (BH) and/or autism spectrum disorder...and Family Therapist (LMFT) required or + Licensed Mental Health Professional (LMHP) required or + RN… more
    Centene Corporation (08/02/25)
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  • Behavioral Health Care Manager l

    Elevance Health (Miami, FL)
    …employment, unless accommodation is granted as required by law. **Work Shift:** 8AM -5PM CST ** Behavioral Health Care Manager l** The ** Behavioral Health ... Requires MA/MS in social work counseling or a related behavioral health field or a degree in...laws) LMFT or Clinical Psychologist to practice as a health professional within the scope of licensure… more
    Elevance Health (07/25/25)
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  • Utilization Review Clinician - EST/CST…

    Monte Nido (Miami, FL)
    …private payment. 9. Leverage understanding of medical necessity criteria and current behavioral health insurance landscape in verbal and written communications ... while providing the opportunity for people to realize their healthy selves. ** Utilization Review Clinician** **Monte Nido** **Remote - EST or CST hours** **Monte… more
    Monte Nido (06/21/25)
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  • Utilization Management Nurse

    CenterWell (Tallahassee, FL)
    …best care, when needed most, and for the lowest cost. We go beyond physical health - addressing the social, emotional, behavioral and financial needs that can ... part of our caring community and help us put health first** Healthcare isn't just about health ...to be happier, healthier, and more productive in their professional and personal lives. We encourage our people to… more
    CenterWell (08/02/25)
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  • Mental Health Professional III…

    HCA Healthcare (Gainesville, FL)
    …by case basis** **Introduction** Do you have the career opportunities as a(an) Mental Health Professional III Licensed you want with your current employer? We ... for a low copay. Plans include prescription drug and behavioral health coverage as well as free...colleagues. Do you want to work as a(an) Mental Health Professional III Licensed where your passion… more
    HCA Healthcare (06/21/25)
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  • Mental Health Professional III Lic…

    HCA Healthcare (Gainesville, FL)
    …intrinsic worth of each individual is recognized. Submit your application for our Mental Health Professional III Lic PRN opening with HCA Florida North Florida ... for a low copay. Plans include prescription drug and behavioral health coverage as well as free...may vary by location._** We are seeking a(an) Mental Health Professional III Lic PRN for our… more
    HCA Healthcare (06/21/25)
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  • Mental Health Professional LCSW

    HCA Healthcare (Orange Park, FL)
    **Description** **Introduction** Do you have the career opportunities as a(an) Mental Health Professional Licensed LCSW you want with your current employer? We ... for a low copay. Plans include prescription drug and behavioral health coverage as well as free...colleagues. Do you want to work as a(an) Mental Health Professional Licensed LCSW where your passion… more
    HCA Healthcare (06/21/25)
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  • Physician (Mental Health ) - Associate…

    Veterans Affairs, Veterans Health Administration (Miami, FL)
    Summary Miami VA Healthcare System's Mental Health / Behavioral Science Service is seeking an experienced and dynamic Physician (Mental Health ) - Associate ... standards, while improving the Veteran's experience and outcomes. Defines mental health policies, utilization management process and procedures, financial and… more
    Veterans Affairs, Veterans Health Administration (06/28/25)
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  • Telephonic Behavior Health Care Manager

    Humana (Hallandale Beach, FL)
    …ensure interaction between the company and members are optimized. The Telephonic Behavioral Health Care Manager Internship provides transitioning service members ... optimal wellness state in a remote telephonic environment. The Behavioral Health Care Manager guides members and/or...health issues. + Monitor and maintain awareness of utilization and conducts outreach based on acuity to assess… more
    Humana (07/15/25)
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