• Clinical Services Coordinator - Brevard…

    Community Based Care of Brevard, Inc. (Brevard, FL)
    …payments and alternative funding sources whenever possible. The position facilitates Team Review Meetings and the utilization review process, reviews ... the county and other locations for client and other meetings. Counseling, Therapy, Behavioral or Mental Health Experience: This position requires a background in… more
    Community Based Care of Brevard, Inc. (10/04/25)
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  • Mental Health Prof III Lic PRN

    HCA Healthcare (Fort Walton 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 ... an organization that invests in you as a Mental Health Prof III Lic PRN? At HCA Florida Fort...in developing department goals and clinical programming. + Performs utilization review as assigned. + Helps with… more
    HCA Healthcare (07/18/25)
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  • Medical Director - Medical Policy

    Elevance Health (Miami, FL)
    …must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US ... + Supports coordination with external entities that develop clinical utilization management guidelines used by Company Plans (eg, MCG...For Health Solutions and Carelon organizations (including behavioral health ) only, minimum of 5 years… more
    Elevance Health (10/04/25)
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  • Chief Medical Officer

    HCA Healthcare (Port St. Lucie, 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...of quality and cost improvement and develops systems to review utilization of resources and objectively measure… more
    HCA Healthcare (08/26/25)
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  • RN Case Manager Part Time

    HCA Healthcare (Tallahassee, 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 ... and compliant** + **Certification in Case Management, Nursing, or Utilization Review , preferred** + **Three years of...Leon and Gadsden Counties. Our facilities include a state-of-the-art Behavioral Health Center, Cancer Center, Chest Pain… more
    HCA Healthcare (10/05/25)
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  • Medical Director-PSCCR

    Elevance Health (FL)
    …The **Medical Director-PSCCR** is responsible for the administration of physical and/or behavioral health medical services, to ensure the appropriate and most ... directs, and implements clinical and non-clinical activities that impact health care quality cost and outcomes. + Identifies and...state or territory of the United States when conducting utilization review or an appeals consideration and… more
    Elevance Health (09/10/25)
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  • RN Case Manager

    HCA Healthcare (Tallahassee, FL)
    …position if current and compliant** + **Certification in Case Management, Nursing, or Utilization Review , preferred** + **Three years of nursing experience in ... include: + **Comprehensive benefits** for medical, prescription drug, dental, vision, behavioral health and telemedicine services + **Wellbeing support,**… more
    HCA Healthcare (09/21/25)
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  • Medical Director-Dermatology Appeals

    Elevance Health (Miami, FL)
    …must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US ... law. The **Medical Director-Dermatology Appeals** is responsible for the review of appeals for physical health medical...For Health Solutions and Carelon organizations (including behavioral health ) only, minimum of 5 years… more
    Elevance Health (10/01/25)
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  • Senior Architect - Cloud

    Highmark Health (Tallahassee, FL)
    **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This role is responsible for designing, developing, implementing, supporting, and optimizing ... stakeholder concerns. **Key Responsibilities:** + Lead and participate in Architecture Review Board processes, providing expert guidance on cloud-based solutions and… more
    Highmark Health (07/22/25)
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  • Placement Stabilization Clinician - Orange…

    Community Based Care of Brevard, Inc. (Orlando, FL)
    …Clinical Review - Essential Function: In partnership with the Behavioral Health and MDT coordinators, jointly reviews clinical service intervention, ... utilization . The Placement Stabilization Clinician works closely with the Behavioral Health Unit to coordinate timely and clinically appropriate mental… more
    Community Based Care of Brevard, Inc. (10/04/25)
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