- 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 (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
- 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
- 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 (Tallahassee, FL)
- **Description** **Introduction** Do you have the career opportunities as a(an) Manager Case Management you want in your current role? We invest in what matters ... for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services...career path, we encourage you to apply for our Manager Case Management opening. We review all… more
- Highmark Health (Tallahassee, FL)
- …resource utilization, identification of opportunities for referral to a Health Coach/ case management, and identification and resolution of quality issues. Monitors ... with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable state, federal… more
- CenterWell (Tallahassee, FL)
- …Establish collaborative relationships and work with strategic key stakeholders, including clinical teams, technology and data analytics leaders, and care integration ... experience of management experience preferred in VBC/experience working within case management programs. **Preferred Qualifications** + Master's degree in health… more
- MyFlorida (Chattahoochee, FL)
- …competent to stand trial. Position Summary This is a highly responsible clinical /administrative position that serves as a Support Coordinator and involves the ... for residents with family, friends, the legal system, and others. Provides case management guidance and counseling to residents and their families. * Coordinates… more