- Elevance Health (Miami, FL)
- …clients/ members. The medical director provides clinical expertise in all aspects of utilization review and case management. Provides input on the clinical ... state or territory of the United States when conducting utilization review or an appeals consideration and...For Health Solutions and Carelon organizations (including behavioral health ) only, minimum of 5 years… more
- ChenMed (Tampa, FL)
- … Health Registry. + LCSWs will manage complex behavioral health patient issues by providing casework, utilization management and discharge planning ... we need great people to join our team. The LCSW/ Behavioral Health Specialist assists, coordinates and manages...maintains daily logs for reporting purposes and for weekly review . + Maintains Communication with Other Healthcare Team Members… more
- HCA Healthcare (Tamarac, 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 ... in developing department goals and clinical programming. + Performs utilization review as assigned. + Helps with...in our Orthopedic and Spine Institute. Our Center for Behavioral Health offers inpatient child, adolescent, adult,… more
- HCA Healthcare (West Palm Beach, 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 ... in developing department goals and clinical programming. + Performs utilization review as assigned. + Helps with...a 280-bed acute care facility. We have a 124-bed behavioral health unit. We are located in… more
- Ascension Health (Jacksonville, FL)
- …areas of responsibility, to include but not limited to; + Quality and Safety + Utilization Review + Peer Review and Credentialing + Growth and Strategic ... conduct. Ensures adherence and completion of medical staff decisions regarding peer review and physician behavioral issues. + Leads the development of… more
- Elevance Health (Miami, FL)
- …work East Coast time zone hours.** The **Medical Director** will be responsible for utilization review case management for Commercial business in the New England ... state or territory of the United States when conducting utilization review or an appeals consideration and...For Health Solutions and Carelon organizations (including behavioral health ) only, minimum of 5 years… more
- Highmark Health (Tallahassee, FL)
- …NCQA, URAC, CMS, DOH, and DOL regulations at all times. In addition to utilization review , the incumbent participates as the physician member of the ... **JOB SUMMARY** This job, as part of a physician team, ensures that utilization management responsibilities are performed in accordance with the highest and most… 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 ... in developing department goals and clinical programming. + Performs utilization review as assigned. + Helps with...growth, we encourage you to apply for our Mental Health Professional III Licensed opening. We promptly review… 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 ... in developing department goals and clinical programming. + Performs utilization review as assigned. + Helps with...Health Professional III Lic PRN opening. We promptly review all applications. Highly qualified candidates will be directly… more
- HCA Healthcare (Orange Park, FL)
- …interdisciplinary team members, payer representatives, and other parties as appropriate regarding behavioral services . Performs utilization review as ... for a low copay. Plans include prescription drug and behavioral health coverage as well as free...growth, we encourage you to apply for our Mental Health Professional Licensed LCSW opening. We promptly review… more