- Centene Corporation (Tallahassee, FL)
- …as experience in applied behavioral analytics (ABA). Additional Details: * Department: Behavioral Health Utilization Management * Business Unit: ... million members as a clinical professional on our Medical Management / Health Services team. Centene is a diversified,...of care and services are medically appropriate related to behavioral health (BH) and/or autism spectrum disorder… more
- CVS Health (Tallahassee, FL)
- …appropriate member care. . Attends and participates in case rounds, including utilization management rounds for behavioral health and physical health ... Mileage is reimbursed per our company expense reimbursement policy **Preferred Qualifications:** . Behavioral Health Experience . Case management in an… 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 ... be located in eastern or central time zone with experience in utilization management .** **Education/Experience:** Requires Graduate of an Accredited School… more
- CenterWell (Tallahassee, FL)
- …RN experience; + Prior clinical experience, managed care experience, **OR** utilization management experience + Demonstrates Emotional Maturity + Ability ... DME, Cardiac or Orthopedic procedures + Previous experience in utilization management within Insurance industry + Previous...and for the lowest cost. We go beyond physical health - addressing the social, emotional, behavioral … more
- CenterWell (Tallahassee, FL)
- …+ Prior clinical experience, managed care experience, DME, Florida Medicaid **OR** utilization management experience + Demonstrates Emotional Maturity + Ability ... procedures + Compact License preferred + Previous experience in utilization management within Insurance industry + Previous...and for the lowest cost. We go beyond physical health - addressing the social, emotional, behavioral … more
- Humana (Tallahassee, FL)
- …value-based care, quality metrics, population health , and disease or care management . The Behavioral Health Medical Director may develop procedures, ... part of our caring community and help us put health first** The Behavioral Health ...management , utilization management , case management , discharge planning and/or home health or… more
- Monte Nido (Miami, FL)
- …private payment. 9. Leverage understanding of medical necessity criteria and current behavioral health insurance landscape in verbal and written communications ... the opportunity for people to realize their healthy selves. ** Utilization Review Clinician** **Monte Nido** **Remote - EST or...Assistance Program (EAP) + Flexible Spending Account (FSA) + Health Savings Account (HSA) + Paid time off +… more
- HCA Healthcare (Fort Walton Beach, FL)
- …eligible. **Introduction** Are you ready to manage in a new era as a Director Behavioral Health where building a healthier tomorrow is more than a job? Our ... for a low copay. Plans include prescription drug and behavioral health coverage as well as free... management , including position control, scheduling excellence, productivity management , and premium pay utilization . Maintains staffing… more
- Veterans Affairs, Veterans Health Administration (Miami, FL)
- …quality standards, while improving the Veteran's experience and outcomes. Defines mental health policies, utilization management process and procedures, ... Summary Miami VA Healthcare System's Mental Health / Behavioral Science Service is seeking an...goals for eligibility, referral and authorization, care coordination, and utilization management to ensure improved Veteran experience.… more
- CenterWell (Tampa, FL)
- …a remote position_** **)** is responsible for managing a team of nurses, community health workers, and behavioral health resources who engage high risk/high ... part of our caring community and help us put health first** The Manager Care/Case Management in... health outcomes. + Accountability to key population health metrics, including quality, utilization and financial… more