• Social Services Care Manager

    Humana (Tallahassee, FL)
    **Become a part of our caring community and help us put health first** The Care Manager , Telephonic Behavioral Health 2, in a telephonic environment, ... for the care and wellbeing of members. The Care Manager , Telephonic Behavioral Health 2 is a **Licensed,** **Masters level, social worker** who… more
    Humana (03/20/25)
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  • Behavioral Health Care

    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
    Centene Corporation (03/15/25)
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  • Behavioral Health Provider Contract…

    CVS Health (Tallahassee, FL)
    …consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions ... manage dispute resolution and settlement negotiations of contracts with single and group Behavioral Health providers within a defined market. You will manage… more
    CVS Health (03/15/25)
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  • Manager , Utilization Management…

    Humana (Tallahassee, FL)
    …a part of our caring community and help us put health first** The Manager , Utilization Management Behavioral Health utilizes behavioral health ... communication of medical services and/or benefit administration determinations. The Manager , Utilization Management Behavioral Health ...millions of people we serve to achieve their best health - delivering the care and service… more
    Humana (03/12/25)
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  • LCSW Behavioral Health Educator

    CenterWell (Tallahassee, FL)
    …as train our staff in normalizing having conversations with patients on end-of-life goals of care . The LCSW Behavioral Health educator will also be a subject ... and MSW job profile content areas: behavioral health assessments and plans, collaborative care model...care , one of the largest providers of home health services, and fourth largest pharmacy benefit manager more
    CenterWell (03/04/25)
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  • Social Work Care Manager

    Intermountain Health (Tallahassee, FL)
    …and provides short term treatment planning for mental, emotional and behavioral disorders, conditions and addictions. **Essentials:** + Participates in case reviews ... to evaluate care management and progress toward goals. Consults with healthcare team members to promote, monitor, and evaluate compliance with patient's treatment… more
    Intermountain Health (03/15/25)
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  • Case Manager , RN

    CAI (Tallahassee, FL)
    …implement and evaluate care for eligible members with chronic and complex health care , social service and custodial needs in a nursing facility or ... address the member's specific needs + Educate members or caregivers regarding health care needs, available benefits, resources and services including available… more
    CAI (02/01/25)
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  • Complex Case Manager RN (Remote)

    Highmark Health (Tallahassee, FL)
    …, identify resources, and conduct a number of other activities to help improve the health outcomes of members; care plans include both long and short term goals ... ownership and oversight over a specified panel of members that range in health status/severity and clinical needs. The incumbent assesses health management needs… more
    Highmark Health (03/13/25)
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  • LTSS Service Coordinator-LPN Case Manager

    Elevance Health (Tallahassee, FL)
    …the identification, evaluation, coordination and management of member's needs, including physical health , behavioral health , social services and long term ... and in conjunction with the RN, member and the health care team, to ensure cost effective...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
    Elevance Health (03/04/25)
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  • Program Manager

    Highmark Health (Tallahassee, FL)
    …nationally recognized commitment to promote living health , inclusive of individuals' social health . The Program Manager will be an integral part of Highmark ... **Company :** Highmark Health **Job Description :** **GENERAL OVERVIEW** Highmark ...develop and implement SDOH programs that remove barriers to care and help people thrive, support evaluation frameworks to… more
    Highmark Health (03/15/25)
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  • Category Manager

    Highmark Health (Tallahassee, FL)
    …management and performance **Preferred** + Experience in Indirect Category Sourcing and/or Health Care Sourcing with demonstrated expertise in influencing the ... **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This job...Certified Professional in Supply Management (CPSM) + Certified Purchasing Manager (CPM) **SKILLS** + Experience in strategic management and… more
    Highmark Health (02/18/25)
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  • Clinical Nurse Manager IMCU

    HCA Healthcare (Tallahassee, FL)
    …services 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 ... Services in Leon and Gadsden Counties. Our facilities include a state-of-the-art Behavioral Health Center, Cancer Center, Chest Pain Center w/PCI-Resuscitation,… more
    HCA Healthcare (03/20/25)
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  • RN Case Manager PRN

    HCA Healthcare (Tallahassee, FL)
    …services 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 ... of our team. **Job Summary and Qualifications** The Case Manager (CM) ensures high-quality, patient-centered care by...Leon and Gadsden Counties. Our facilities include a state-of-the-art Behavioral Health Center, Cancer Center, Chest Pain… more
    HCA Healthcare (03/14/25)
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  • Manager Emergency Services Southwood FSED

    HCA Healthcare (Tallahassee, FL)
    …services 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 ... Services in Leon and Gadsden Counties. Our facilities include a state-of-the-art Behavioral Health Center, Cancer Center, Chest Pain Center w/PCI-Resuscitation,… more
    HCA Healthcare (02/20/25)
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  • RN Case Manager

    HCA Healthcare (Tallahassee, FL)
    …services 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 ... Services in Leon and Gadsden Counties. Our facilities include a state-of-the-art Behavioral Health Center, Cancer Center, Chest Pain Center w/PCI-Resuscitation,… more
    HCA Healthcare (02/15/25)
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  • RN Case Manager

    HCA Healthcare (Tallahassee, FL)
    …services 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 ... activities to effectively communicate to all members of the health care team + Facilitates patient throughput...Leon and Gadsden Counties. Our facilities include a state-of-the-art Behavioral Health Center, Cancer Center, Chest Pain… more
    HCA Healthcare (03/12/25)
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  • Manager Med Surg Oncology

    HCA Healthcare (Tallahassee, FL)
    …services 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 ... impact with your work? With over 2,000 sites of care and serving over 31.2 million patient interactions every...Leon and Gadsden Counties. Our facilities include a state-of-the-art Behavioral Health Center, Cancer Center, Chest Pain… more
    HCA Healthcare (02/21/25)
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  • Manager Case Management

    HCA Healthcare (Tallahassee, FL)
    …services 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 ... **Introduction** Do you have the career opportunities as a(an) Manager Case Management you want in your current role?...Leon and Gadsden Counties. Our facilities include a state-of-the-art Behavioral Health Center, Cancer Center, Chest Pain… more
    HCA Healthcare (02/18/25)
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  • Manager Strategic Risk Adjustment Programs

    Highmark Health (Tallahassee, FL)
    …and existing Risk Adjustment Programs. The incumbent will deliver value to the Health Plan, and its beneficiaries enrolled in Risk Adjusted government programs (MA ... Programs. Supports other key objectives designed to build/strengthen patient care delivery and capture of Risk Adjustment documentation/ reporting capabilities,… more
    Highmark Health (03/06/25)
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  • Accreditation Manager

    Humana (Tallahassee, FL)
    …areas. **Preferred Qualifications** + Experience in managing a team. + Registered Nurse or Behavioral Health professional. + Managed care , Medicaid health ... first** Humana Healthy Horizons is seeking an Accreditation Manager who will oversee and support a team of...millions of people we serve to achieve their best health - delivering the care and service… more
    Humana (03/21/25)
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