• Bilingual - Clinical Case

    CVS Health (Miami, FL)
    …deliver solutions to make health care more personal, convenient and affordable. **Summary** : The Clinical Case Manager , Behavioral Health/SMI is a field ... role with up to 40% travel within the Miami-Dade and Monroe counties. The SMI Clinical Case Manager , is responsible for driving and supporting care… more
    CVS Health (01/19/25)
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  • Clinical Case Manager

    CVS Health (Orlando, FL)
    …make health care more personal, convenient and affordable. **Position Summary** The Clinical Case Manager (CCM), Behavioral Health, is a work from home ... up to ensure members are receiving the appropriate services. + Adapts clinical guidelines, standardized case management procedures, and regulatory standards to… more
    CVS Health (01/19/25)
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  • Clinical Case Manager

    CVS Health (Tallahassee, FL)
    …Quality of Care: -Application and/or interpretation of applicable criteria and clinical guidelines, standardized case management plans, policies, procedures, and ... and manage crisis calls. **Please note that although this position is a dual Behavioral Health Utilization Management and Case Management position, there is a… more
    CVS Health (01/26/25)
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  • RN Case Manager - Behavioral

    Molina Healthcare (Mid Florida, FL)
    …level of the assigned members, particular state-specific regulations, or whether the Case Manager position is located within Molina's Central Programs unit. ... or home health experience. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** Certified Case Manager (CCM), **PHYSICAL DEMANDS:** Working environment is… more
    Molina Healthcare (11/12/24)
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  • Behavioral Health Case

    Elevance Health (FL)
    A proud member of the Elevance Health family of companies, **Carelon Behavioral Health** , offers superior clinical mental health and substance use disorder ... and insightful analytics to improve the delivery of care. ** Behavioral Health Case Mgr I - New...an impact:** + Uses appropriate screening criteria knowledge and clinical judgment to assess member needs. + Conducts assessments… more
    Elevance Health (01/24/25)
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  • Case Manager - Behavioral

    BayCare Health System (New Port Richey, FL)
    …License **Come join our wonderful team!** Equal Opportunity Employer Veterans/Disabled **Position** Case Manager - Behavioral Health **Location** New Port ... clinical excellence. BayCare Health Systems is currently seeking an experienced ** Case Manager ** to join our outstanding and compassionate team in **Pasco… more
    BayCare Health System (12/19/24)
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  • Quality Behavioral Health Manager

    CVS Health (Tallahassee, FL)
    …regulations, standards, and policies which relate to medical management + Certified Case Manager (CCM) **Education** Master's degree **Pay Range** The typical ... to bring accessible healthcare to our members. The Quality Behavioral Health Manager is a key member...serious events. + Accurately apply review requirements to assure case is reviewed by a practitioner with clinical more
    CVS Health (01/16/25)
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  • Behavioral Health Program Manager

    Centene Corporation (Tallahassee, FL)
    …functional associates within the organization to develop and implement long range behavioral health program strategies. Serves as project manager for projects ... providers. Assists with BH program and services development of policy and procedure, clinical criteria, work flows and other behavioral health documentation and… more
    Centene Corporation (01/16/25)
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  • Case Manager (bilingual Chinese)

    Molina Healthcare (Tampa, FL)
    …level of the assigned members, particular state-specific regulations, or whether the Case Manager position is located within Molina's Central Programs unit. ... per regulated timelines and determines who may qualify for case management based on clinical judgment, changes...Social Worker (LCSW), Advanced Practice Social Worker (APSW), Certified Case Manager (CCM), Certified in Health Education… more
    Molina Healthcare (01/25/25)
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  • Behavioral Health Provider, Krome…

    Immigration and Customs Enforcement (Miami, FL)
    …ICE Health Service Corps (IHSC), Office of the Deputy Assistant Director of Clinical Services, Behavioral Health Unit (BHU). This position is supervisory. ... candidates are not eligible for this position. Responsibilities DUTIES AND RESPONSIBILITIES: Behavioral Health Clinical Practice The incumbent plans and performs… more
    Immigration and Customs Enforcement (01/01/25)
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  • Behavioral Health Provider, Krome…

    Immigration and Customs Enforcement (Miami, FL)
    …ICE Health Service Corps (IHSC), Office of the Deputy Assistant Director of Clinical Services, Behavioral Health Unit (BHU). This is a non-supervisory position. ... and competency training. Works in conjunction with KBHU Program Manager , HSA, Regional Behavior Health Unit (RBHU) Chief and...Administrator and receives clinical supervision from the Clinical Director or Behavioral Health Consultant at… more
    Immigration and Customs Enforcement (01/13/25)
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  • Case Manager - Long Term Care…

    Molina Healthcare (Bal Harbour, FL)
    **JOB DESCRIPTION** Case Manager will work in remote and field setting supporting our Medicaid Population. Case Manager will be required to physically go ... services. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** Active and unrestricted Certified Case Manager (CCM) Active, unrestricted State Nursing license… more
    Molina Healthcare (01/24/25)
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  • Manager of Case Management

    HCA Healthcare (Fort Pierce, FL)
    **Description** Introduction Are you ready to manage in a new era as a Manager of Case Management where building a healthier tomorrow is more than a job? Our HCA ... an HCA Healthcare facility. Be an impact as a(an) Manager of Case Management where your passion...management team. This role will function as an expert clinical practitioner, case management subject-matter expert, resource,… more
    HCA Healthcare (11/21/24)
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  • Case Manager (RN)

    Molina Healthcare (Tampa, FL)
    … health settings. Preferred License, Certification, Association Active, unrestricted Certified Case Manager (CCM) To all current Molina employees: If ... an integrated delivery of care across the continuum, including behavioral health and long term care, for members with...per regulated timelines and determines who may qualify for case management based on clinical judgment, changes… more
    Molina Healthcare (01/21/25)
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  • Complex Case Manager RN - Pediatric…

    Highmark Health (Tallahassee, FL)
    …Nursing **EXPERIENCE** **Required** + 7 years of any combination of clinical , case management and/or disease/condition management experience, provider operations ... panel of members that range in health status/severity and clinical needs. The incumbent assesses health management needs of...interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are… more
    Highmark Health (01/25/25)
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  • Case Manager RN

    HCA Healthcare (Tamarac, FL)
    **Description** **Introduction** Do you have the career opportunities as a(an) Case Manager RN you want with your current employer? We have an exciting ... for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services...of colleagues. Do you want to work as a(an) Case Manager RN where your passion for… more
    HCA Healthcare (12/26/24)
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  • Case Manager , Ltss (RN)

    Molina Healthcare (Orlando, FL)
    …waiver services. **Preferred License, Certification, Association** Active and unrestricted Certified Case Manager (CCM) To all current Molina employees: If ... members on Waiver program. This position will have a case load and manage members enrolled in this program....an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high… more
    Molina Healthcare (01/21/25)
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  • RN Case Manager

    HCA Healthcare (Margate, FL)
    …Do you want to join an organization that invests in you as a(an) RN Case Manager ? At HCA Florida Northwest Hospital, you come first. HCA Healthcare has ... for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services...a difference. We are looking for a dedicated RN Case Manager like you to be a… more
    HCA Healthcare (01/25/25)
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  • RN Case Manager

    HCA Healthcare (Plantation, FL)
    …Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a(an) RN Case Manager with HCA Florida Westside Hospital you can be a part ... for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services...our organization. We are looking for an enthusiastic RN Case Manager to help us reach our… more
    HCA Healthcare (01/25/25)
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  • RN Case Manager

    HCA Healthcare (Miami, FL)
    …work environment where diversity and inclusion thrive? Submit your application for our RN Case Manager opening with HCA Florida Mercy Hospital today and find out ... may vary by location._** We are seeking a(an) RN Case Manager for our team to ensure...degree required, BSN preferred + 2+ years experience in case management OR 3+ years experience in clinical more
    HCA Healthcare (01/09/25)
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