- Highmark Health (Tallahassee, FL)
- …the effective utilization management strategies including: review of appropriateness of health care services, application of criteria to assure appropriate ... of quality issues. Monitors and analyzes the delivery of health care services; educates providers and members...established industry and corporate standards and are within the care manager 's professional discipline. Effectively function in… more
- Evolent (Tallahassee, FL)
- …providing better health outcomes for this population. **What You'll Be Doing:** + The Behavioral Health Case Manager (LCSW or LMHC) will connect with the ... , we seek to connect the pieces of fragmented health care system and ensure people get...or Registered Nurse (RN), Required + 3-5 years of behavioral health experience, preferably in a hospital,… more
- Centene Corporation (Tallahassee, FL)
- …facilitates complex care management activities for primarily mental and behavioral health needs members to provide high quality, cost-effective healthcare ... plan/service plan for the best outcome, which may include behavioral health and social determinant needs +...to identify providers, specialists, and community resources needed for care including mental health and substance use… more
- Elevance Health (Miami, FL)
- …for autism and depression, and insightful analytics to improve the delivery of care ._ ** Behavioral Health Care Manager II - Applied Behavioral ... Business Standard Hours. Must have a Clinical License Or BCBA certification The ** Behavioral Health Care Manager II** is responsible for managing… more
- Elevance Health (FL)
- …initiatives. **Minimum Requirements:** + Requires MA/MS in social work counseling or a related behavioral health field or a degree in nursing, and minimum of 3 ... required (Florida). + Prior utilization management experience preferred. + Prior managed care experience preferred. + Experience with Applied Behavioral Analysis… more
- Elevance Health (Gainesville, FL)
- …and depression, and insightful analytics to improve the delivery of care . **Field Behavioral Health Case Manager II - Florida** $2,000 Sign On Bonus** ... Saturday (8 hours work shift) per month.** The **Field Behavioral Health Case Manager II**...Conducts assessments to identify individual needs and develops specific care plan to address objectives and goals as identified… more
- CVS Health (Miami, FL)
- …may be eligible for up to a $5,000 sign on bonus upon hire.** The Clinical Case Manager , Behavioral Health /SMI is a field based role with up to 40% travel ... Ability to speak to medical and behavioral health professionals to influence appropriate member care ....during transitions of care . + Reports to: Manager , Clinical Health Services **Required Qualifications** +… more
- Elevance Health (Jacksonville, FL)
- ** Behavioral Health Case Manager II** **$1,000 sign-on bonus if candidate joins the company in January 2025.** **Location** : This is a **field-based** ... and Lee/Collier/Duval counties in the state of **Florida.** The ** Behavioral Health Case Manager II**...Conducts assessments to identify individual needs and develops specific care plan to address objectives and goals as identified… more
- Elevance Health (FL)
- The ** Behavioral Health Provider Quality Manager ** is responsible for leading Behavioral Health (BH) provider engagement, with a focus on leveraging ... applicable. **Minimum Requirements:** + Requires MA/MS or above in Behavioral Health field and minimum of 10...care experience preferred. Please be advised that Elevance Health only accepts resumes for compensation from agencies that… more
- Molina Healthcare (FL)
- …under productivity and outcome standards * Promotes integration of services for members including behavioral health care and long term services and supports ... delivery of care across the continuum, including behavioral health and long term care...assigned members, particular state-specific regulations, or whether the Case Manager position is located within Molina's Central Programs unit.… more
- Centene Corporation (Tallahassee, FL)
- …within the organization to develop and implement long range behavioral health program strategies. Serves as project manager for projects and initiatives ... a fresh perspective on workplace flexibility. **Position Purpose:** Interacts extensively with the behavioral health leadership and cross functional associates… more
- HCA Healthcare (Fort Pierce, FL)
- **Description** Introduction Are you ready to manage in a new era as a Manager of Behavioral Health Services where building a healthier tomorrow is more than ... an HCA Healthcare facility. Be an impact as a(an) Manager of Behavioral Health Services...and regulatory guidelines in order to provide effective therapeutic care to behavioral health patients.… more
- BayCare Health System (New Port Richey, FL)
- …**Come join our wonderful team!** Equal Opportunity Employer Veterans/Disabled **Position** Case Manager - Behavioral Health **Location** New Port Richey: ... Bay area. Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of… more
- HCA Healthcare (West Palm Beach, FL)
- …for a work environment where diversity and inclusion thrive? Submit your application for our Manager of Behavioral Health opening with HCA Florida JFK North ... benefits may vary by location._** We are seeking a(an) Manager of Behavioral Health for...acute care facility. We have a 124-bed behavioral health unit. We are located in… more
- Alight (FL)
- …the meaning of Be Alight. Learn more at careers.alight.com. **About the Role** The Behavioral Health Case Manager provides clinical oversight to ... Amazing Opportunity and Great Place to Work! Do you have advanced experience in Behavioral Health absence management? **Our Story** At Alight, we believe a… more
- Elevance Health (FL)
- **JR137910 Behavioral Health Clinical Quality Audit Analyst Sr** Responsible for participating in on-site quality external audits such as NCQA, AAHC and EQRO, ... but not limited to the development and implementation of behavioral health outcomes improvement interventions such as...as HEDIS and CPG compliance. + Conducts quality of care investigations and using criteria closes case appropriately or… more
- University of Miami (Miami, FL)
- …has an exciting opportunity for a Full-time Sr. Administrative Officer, Psychiatry & Behavioral Health Sciences to work in Miami. The Sr. Administrative Officer, ... Psychiatry & Behavioral Sciences (H) serves as the administrative leader and...degree in relevant field, Master's degree in business administration, Health Care Administration, Public Health ,… more
- Elevance Health (Arcadia, FL)
- …Experience with complex psychiatric issues and medical disorders is highly preferred. + Behavioral health experience preferred. + Experience with working in the ... preferred. + Understanding of the basic principles of managed care and the concepts of publicly financed health...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- University of Florida (Gainesville, FL)
- …psychiatrists, six nurse practitioners trained in medical management of neurodevelopmental and behavioral health problems, two faculty psychologists, one of whom ... developmental disorder, anxiety disorders, mood disorders, and other broad developmental and behavioral health problems often associated with complex medical and… more
- AdventHealth (Deland, FL)
- …- 701 W Plymouth Ave. Deland, FL 32720 **The role you'll contribute:** The Behavioral Health Registered Nurse is responsible for the delivery of coordinated ... nursing care for a patient or an assigned group of patients within the Behavioral Health Unit and for the day-to-day management and supervision of the… more