- Centene Corporation (Tallahassee, FL)
- …medical appropriateness in accordance with regulatory guidelines and criteria + Performs concurrent review of behavioral health (BH) inpatient to determine ... outlined by the applicable state required. Master's degree for behavioral health clinicians required. Clinical knowledge and...health and substance abuse preferred. Knowledge of mental health and substance abuse utilization review… more
- Centene Corporation (Tallahassee, FL)
- …experience in applied behavioral analytics (ABA). Additional Details: * Department: Behavioral Health Utilization Management * Business Unit: Corporate / ... health clinicians preferred. Behavioral health clinical knowledge and ability to review ...Treatment Plans required. Knowledge of ABA services and BH utilization review process required. Experience working with… more
- HCA Healthcare (Panama City, FL)
- **Description** **Introduction** Do you have the career opportunities as a Utilization Review Services RN you want with your current employer? We have an ... for a low copay. Plans include prescription drug and behavioral health coverage as well as free...of colleagues. Do you want to work as a Utilization Review Services RN where your passion… more
- HCA Healthcare (Gainesville, FL)
- **Description** **Introduction** Do you have the career opportunities as a Utilization Review Services Coordinator you want with your current employer? We have ... for a low copay. Plans include prescription drug and behavioral health coverage as well as free...of colleagues. Do you want to work as a Utilization Review Services Coordinator where your passion… more
- Monte Nido (Miami, FL)
- …lives while providing the opportunity for people to realize their healthy selves. ** Utilization Review Clinician** **Monte Nido** **Remote - EST or CST hours** ... strategies to provide comprehensive care within an intimate home setting. The Utilization Review **Clinician** is responsible for conducting daily administrative… more
- Elevance Health (Miami, FL)
- …employment, unless accommodation is granted as required by law. **Work Shift:** 8AM -5PM CST ** Behavioral Health Care Manager l** The ** Behavioral Health ... or substance abuse disorder facility-based and outpatient professional treatment health benefits through telephonic or written review ....Requires MA/MS in social work counseling or a related behavioral health field or a degree in… more
- Actalent (Sunrise, FL)
- Actalent is Hiring a Behavioral Health Care Coordinator // Hybrid!Job Description The Behavioral Health Care Coordinator plays a pivotal role as a core ... mental and physical health care of enrollees within an assigned behavioral health population caseload. The coordinator collaborates with medical providers… more
- CenterWell (Tallahassee, FL)
- …best care, when needed most, and for the lowest cost. We go beyond physical health - addressing the social, emotional, behavioral and financial needs that can ... part of our caring community and help us put health first** Healthcare isn't just about health ...medical care and services against established CMS Coverage Guidelines/NCQA review criteria and who is interested in being part… more
- CVS Health (Tallahassee, FL)
- …- 1+ years' current or previous experience in **Medical/Surgical,** **Oncology, Transplant, Behavioral Health or Specialty Pharmacy.** - 1+ years' experience ... At CVS Health , we're building a world of health ...lower levels of care - 1+ years' experience in Utilization Review - CCM and/or other URAC recognized… more
- MyFlorida (Tallahassee, FL)
- …of Reactive Strategies, census of behavioral residential services, Local Review Committee productivity, service utilization and costs associated with ... analytic information, related to requirements for the appropriate implementation of behavioral assessment, intervention methods, program review and approval, as… more