- Elevance Health (Tampa, 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
- Elevance Health (Miami, FL)
- …care. The **Medical Director** is responsible for the administration of physical and/or behavioral health medical services, to ensure the appropriate and most ... - FEP** , a proud member of the Elevance Health , Inc. family of companies, it is a powerful...state or territory of the United States when conducting utilization review or an appeals consideration and… 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
- HCA Healthcare (Fort Pierce, 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 ... 156,000 hours volunteering in our communities. As a(an) Mental Health Prof III Lic PRN with HCA Florida Lawnwood...in developing department goals and clinical programming. + Performs utilization review as assigned. + Helps with… more
- 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
- 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...of quality and cost improvement and develops systems to review utilization of resources and objectively measure… more