- CVS Health (Miami, FL)
- …20% travel throughout Miami-Dade and Monroe counties. Standard business hours Monday-Friday. This Clinical Case Manager Behavioral Health position will ... network management and clinical coverage policies. The Clinical Case Manager BH will...treatment planning **Required Qualifications** + Active and unrestricted independent clinical Behavioral Health licensure in Florida: LCSW,… more
- CVS Health (Miami, FL)
- …candidates 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 within the Miami-Dade and Monroe counties. The SMI Clinical Case Manager , is responsible for driving and supporting care management and… more
- Molina Healthcare (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 (South 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. ... per regulated timelines and determines who may qualify for case management based on clinical judgment, changes...**O** **C** **I** **A** **TI** **O** **N** **:** Certified Case Manager (CCM), **PHY** **S** **I** **C**… more
- Elevance Health (Gainesville, FL)
- …for autism and depression, and insightful analytics to improve the delivery of care. **Field Behavioral Health Case Manager II - Florida** $2,000 Sign On ... member of the Elevance Health family of companies, **Carelon Behavioral Health** , offers superior clinical mental...Saturday (8 hours work shift) per month.** The **Field Behavioral Health Case Manager II**… more
- The Hartford (Lake Mary, FL)
- Behavioral Health Case Mgr - CT08IE We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. ... This position is part of a vast team of Behavioral Health Case Managers who are responsible...and provides a recommendation of support or non-support of clinical findings. + Collaborates with Ability Benefits Manager… more
- Elevance Health (FL)
- …75% of the time). Seeking candidates that reside in the state of **Florida.** The ** Behavioral Health Case Manager II** is responsible for performing case ... visits within the scope of licensure for members with behavioral health and substance abuse or substance abuse disorder...substance abuse disorder needs. Subject matter expert in targeted clinical areas of expertise such as Eating Disorders (ED)… more
- 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
- University of Florida (Gainesville, FL)
- Clinical Case Manager II Apply now ... FL) Categories: Health Care Administration/Support Department: 29120000 - MD-PSYCHIATRY Classification Title: Clinical Case Manager II Job Description: As… 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, ... including, but not limited to the development and implementation of behavioral health outcomes improvement interventions such as newsletter article, member education… more
- Elevance Health (Jacksonville, FL)
- The ** Behavioral Health Provider Quality Manager ** is responsible for leading Behavioral Health (BH) provider engagement, with a focus on leveraging the data ... relationships and engages with BH providers and ensures measurable improvements in clinical and quality outcomes for members. + Builds relationships with internal … more
- Elevance Health (FL)
- …you will make an impact:** + Uses appropriate screening criteria knowledge and clinical judgment to assess member needs to ensure access to medically necessary ... quality behavioral healthcare in a cost effective setting in accordance with UM Clinical Guidelines and contract. + Refers cases to Peer Reviewers as… more
- Highmark Health (Tallahassee, FL)
- …+ 3 - 5 years of post licensure experience in a combination of Behavioral Health Clinical , Case Management and/or Condition Management + Experience ... resource utilization, identification of opportunities for referral to a Health Coach/ case management, and identification and resolution of quality issues. Monitors… more
- Molina Healthcare (St. Petersburg, FL)
- …Suite, organized and analytical thinking . Medicare knowledge/experience is highly preferred. The Case Manager must be able to work in a high-volume environment. ... per regulated timelines and determines who may qualify for case management based on clinical judgment, changes...the assigned members, particular state-specific regulations, or whether the Case Manager position is located within Molina's… more
- 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
- The Hartford (Lake Mary, FL)
- Medical Case Manager - CT08GE We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. ... shape the future. The Hartford is seeking a Medical Case Manager to work in our Group...will have the opportunity to collaborate with claims staff, clinical partners, the claimant, medical providers and more. Responsibilities:… more
- 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
- Molina Healthcare (Mid Florida, 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
- 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
- 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