- Centene Corporation (Tallahassee, FL)
- … behavioral health utilization data, KPI review and monitoring of behavioral health utilization management metrics. Participates with development of ... PCP's) and groups identified that are participating in Physical/ Behavioral integration activities. + Works with utilization ,...Physical/ Behavioral integration activities. + Works with utilization , case and disease management teams to… more
- Centene Corporation (Tallahassee, FL)
- …abuse across the continuum of care. Experience with managed care, case management , utilization management , or quality improvement. **License/Certification:** ... review of member clinical records and services related to behavioral health and substance use. + Interpret and present...member satisfaction + Serve as resource and liaison on utilization , quality improvement and case management activities… more
- University of Miami (Miami, FL)
- … Sciences generates, manages, and interprets strategic information; provides financial management and accountability for all Psychiatry & Behavioral Sciences ... opportunity for a Full-time Sr. Administrative Officer, Psychiatry & Behavioral Health Sciences to work in Miami. The Sr....the business of the Department. + Oversees the administrative management of clinical programs to include analysis … more
- HCA Healthcare (Jacksonville, FL)
- …review/ management + You will consult with facility-level staff regarding delegated utilization management and disease management operations under managed ... ongoing in-service programs to facility medical staff regarding clinical resource management , appropriate documents standards, utilization and quality issues,… more
- Health First (Rockledge, FL)
- …with accuracy and completeness to support accurate claim payments and collaborates with Utilization Management team to assure appropriate care. All case ... Bachelors Degree in Nursing Two years previous experience to include Utilization Management , Managed Care, and/or Workers Compensation/Disability Medical … more
- HCA Healthcare (Tampa, FL)
- …multiple (typically 30-40) engagements concurrently, including: on site interviews, utilization analysis , current state/future state proforma and staffing ... for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services...requirements, on call requirements for multiple services, OR room utilization , provider utilization , billing analysis ,… more
- HCA Healthcare (Largo, FL)
- …staffing requirements/expectations. This individual should possess excellent communication, change management , and data analysis skills and a demonstrated ... 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 medical… more
- University of Florida (Sumter County, FL)
- …no: 533426 Work type: Staff Full-Time Location: Sumter Categories: Social/ Behavioral Science, Grant or Research Administration, Artificial Intelligence Department: ... and ensuring the collection of high-quality data. + Data Management :Support the development and maintenance of databases for research...Ensure data is stored securely and is accessible for analysis . + Data Collection and Analysis :Oversee the… more
- Veterans Affairs, Veterans Health Administration (Gainesville, FL)
- …including scope, duration, and treatment. Through the use of activity/task analysis , behavioral interventions, and therapeutic procedures, the therapist designs ... relationships; motor learning and training strategies; anger and pain management ; identify risks; recovery support; lifestyle adjustment; conflict/problem resolution;… more
- Highmark Health (Tallahassee, FL)
- …delivery models. This is completed via baseline provider performance/practice analysis , gap assessment, team facilitation, transformation plan development, fostering ... business problems that require risk assessment, sound business judgment and change management skills. + Provide solid, actionable recommendations as to what he/she… more
- MyFlorida (Gainesville, FL)
- …and low vision clients, through proper training and supervision. This includes the utilization of workforce data and tools such as Labor Market Information (LMI), ... duties as requested. Preferred Qualifications: + A Bachelor's Degree in Social, Behavioral or Rehabilitative Science, Education, or Visual Disabilities. + An ability… more
- MyFlorida (Tampa, FL)
- …principles and practices. Prepare and present reports and findings, to include an analysis of opportunities for improvement and strategies to address them. + Manage ... college or university (with a degree in human services, behavioral health, social work, social sciences, public health, or...access to a vehicle. Knowledge, skills and abilities, including utilization of equipment, required for the position : +… more
- MyFlorida (West Palm Beach, FL)
- …and low vision clients, through proper training and supervision. This includes the utilization of workforce data and tools such as Labor Market Information (LMI), ... duties as requested. Preferred Qualifications: + A Bachelor's Degree in Social, Behavioral or Rehabilitative Science, Education, or Visual Disabilities. + An ability… more
- HCA Healthcare (Ocala, FL)
- …no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as telemedicine services and free AirMed medical transportation. ... and after the patient has been offered a choice of providers by Case Management staff. 2. Perform on-site and off-site clinical evaluation to assist Rehab Medical… more
- NASCO (Tallahassee, FL)
- …general supervision, the System Engineer II is responsible for the analysis , construction, testing and implementation of changing business needs (requirements) and ... wide (or Plan Enterprise) implementation of product capabilities related to data management and membership or billing processing subsystems. This role aids Plan… more
- HCA Healthcare (Ocala, FL)
- …labor management , including position control, scheduling excellence, productivity management , and premium pay utilization . Maintains staffing to ensure ... 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 medical… more
- HCA Healthcare (Tallahassee, FL)
- …opportunities, strategic planning, revenue and reimbursement enhancement, cost and utilization management , and improved operational performance. The Assistant ... for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services...The Division Assistant Controller provides timely information and financial analysis to senior management for the purpose… more
- Humana (Tallahassee, FL)
- …Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable ... Professional's primary role is to develop organized analytics, reports and data management to support the market's Quality team within the Medicaid product line.… more
- ChenMed (Fort Myers, FL)
- …DUTIES/RESPONSIBILITIES:** + Directs accountability for clinical outcomes and day-to-day management of Medical Directors in multiple centers within assigned market, ... with regular presence in the centers under direct management , and under the supervision of the Regional President. + Ensures successful clinical operations and… more
- Highmark Health (Tallahassee, FL)
- …to deliver financial results to the Enterprise. **ESSENTIAL RESPONSIBILITIES** + Perform management responsibilities to include, but are not limited to: involved in ... termination decisions, coaching and development, rewards and recognition, performance management and staff productivity.Plan, organize, staff, direct and control the… more