- Actalent (Sunrise, FL)
- …and present reports on department activities as assigned. Essential Skills + Utilization management + Behavioral Health + Mental Health + Clinical ... Job Title: Behavioral Health Utilization Review... Review NurseJob Description We are seeking a dedicated Utilization Management Nurse (UMN) who will work… more
- Actalent (Sunrise, FL)
- …and present reports on department activities as assigned. Essential Skills + Experience in utilization management , behavioral health , and mental ... Job Title: Behavioral Health Utilization Review NurseJob Description The Utilization Management Nurse (UMN) plays a crucial role in reviewing… more
- Molina Healthcare (St. Petersburg, FL)
- …chemical dependency services - working closely with regional medical directors to standardize behavioral health utilization management policies and ... and clinical leadership for health plan and/or market specific utilization management and care management behavioral health programs and… more
- Molina Healthcare (St. Petersburg, FL)
- …licensing mandate. + At least 2 years in case, disease or utilization management ; managed care; or medical/ behavioral health settings. + One year of ... Social Worker/Counseling License. + Certified Case Manager (CCM), Utilization Management Certification (CPHM), Certified Professional in Health Care Quality,… more
- Centene Corporation (Tallahassee, FL)
- …in accordance with regulatory guidelines and criteria + Performs concurrent review of behavioral health (BH) inpatient to determine overall health of ... licensure as outlined by the applicable state required. Master's degree for behavioral health clinicians required. Clinical knowledge and ability to review… more
- Molina Healthcare (St. Petersburg, FL)
- …proficiency. **Preferred Qualifications** * Utilization management , care management , behavioral health and/or long-term services and supports ... * At least 2 years health care experience, preferably in utilization management , care management , and/or managed care, or equivalent combination of… more
- Community Based Care of Brevard, Inc. (Orlando, FL)
- …This position evaluates the efficiency, appropriateness, and clinical necessity of mental health , behavioral health and substance abuse treatment services ... a web-based application for daily entry of case activity and the utilization management of service authorizations. Educational and Experience Requirements: MA/MS… more
- Elevance Health (Tampa, FL)
- …The Behavioral Health Care Manager I is responsible for conducting utilization management reviews for mental health and substance use disorder ... Behavioral Health Care Manager I**...Requires MA/MS in social work counseling or a related behavioral health field or a degree in...social work counseling or a related behavioral health field or a degree in nursing, and minimum… more
- Molina Healthcare (Tampa, FL)
- …with implementing integrated Behavioral Health care management programs. **Knowledge/Skills/Abilities** Provides Psychiatric leadership for utilization ... **JOB DESCRIPTION** **Job Summary** Molina's Behavioral Health function provides leadership and... Health function provides leadership and guidance for utilization management and case management … more
- Molina Healthcare (Orlando, FL)
- …**_Field travel in Detroit, MI_** **Job Summary** Molina's Behavioral Health function provides leadership and guidance for utilization management ... health and substance use services and assists with implementing integrated Behavioral Health care management programs. **Job Duties** * Serves as liaison… more