- CenterWell (Tallahassee, FL)
- …short-term interventions, and connection to community-based resources. This role brings behavioral health expertise and addresses social determinants of ... of an interdisciplinary team-particularly in partnership with primary care teams, community health workers, pharmacists, and behavioral health specialists.… more
- HCA Healthcare (Gainesville, FL)
- …services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed ... Hospital, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The...management . + Consults with facility-level staff regarding delegated utilization management and disease management … more
- Elevance Health (Tampa, FL)
- …an equivalent background. + For Health Solutions and Carelon organizations (including behavioral health ) only, minimum of 5 years of experience providing ... work East Coast time zone hours.** The **Medical Director** will be responsible for utilization review case management for Commercial business in the New England… more
- MyFlorida (Tallahassee, FL)
- PROJECT MANAGEMENT LEAD - 72003890 Date: Aug 5, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... (http://www.dms.myflorida.com/workforce\_operations/human\_resource\_management/for\_job\_applicants/e\_verify) . Requisition No: 858235 Agency: Management Services Working Title: PROJECT MANAGEMENT LEAD… more
- HCA Healthcare (Ocala, FL)
- …services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed ... you have the career opportunities as a(an) Manager Case Management you want with your current employer? We have...Hospital, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The… more
- Molina Healthcare (FL)
- …Masters Degree in Behavior Analysis or a related field. **Preferred Experience** Utilization Management experience Health Plan/MCO work experience To ... an integrated delivery of care across the continuum, including behavioral health and long term care, for...requested treatments and/or procedures. * Works collaboratively with the Utilization and Case Management departments to provide… more
- AdventHealth (Altamonte Springs, FL)
- …base development. + Clinical leadership skills encompass quality and utilization management , clinical effectiveness, outcomes programs, clinical staff ... acting as a vital liaison between physicians and Case Management staff to optimize resource utilization , ultimately...track record of excellence in physician leadership roles within health systems or prominent medical groups. + Business acumen… more
- Elevance Health (Miami, FL)
- … health care program in which members' needs are identified, including physical health , behavioral health , social services for a special product/program ... include, but are not limited to: + Manages resource utilization to ensure appropriate delivery of care to members,...and Experiences:** + Service delivery coordination, discharge planning or behavioral health experience in a managed care… more
- Highmark Health (Tallahassee, FL)
- …terms through regular on-site audits. Apply an active role in network management , training, monitoring and enforcement of company policies and procedures while ... confidentiality agreements. Monitor financial performance of contracts by tracking utilization and competitive environment, including group specific performance guarantees.… more
- Veterans Affairs, Veterans Health Administration (Gainesville, FL)
- …to veteran patients according to the North Florida/South Georgia VA Health System mission and the Physical Medicine and Rehabilitation guidelines. Employees ... therapy interventions for treating patients with complex medical or mental health issues, such as polytrauma, traumatic brain injury (TBI), posttraumatic stress… more