- Humana (Tallahassee, FL)
- …on NCQA accreditation standards, especially related to Utilization Management and/or Behavioral Health. + Registered Nurse or Behavioral Health ... + Minimum 3 years of experience in NCQA Health Plan Accreditation and/or Utilization Management + Exceptional attention to detail. + Demonstrated excellent time… more
- Elevance Health (Tallahassee, FL)
- …Management (BH CM) The **Manager Behavioral Health Services** is responsible for Behavioral Health Utilization Management (BH UM), or Behavioral ... facility-based and/or outpatient psychiatric and chemical dependency treatment and prior utilization management experience; or any combination of education and… more
- Centene Corporation (Tallahassee, FL)
- …Master's degree in Behavioral Health. 3+ years of case and/or utilization management experience. Experience in psychiatric health care settings, child ... of a specialized or technical field such as clinical nursing, case and/or utilization management involving knowledge plus the application of basic theory.… more
- Elevance Health (Tallahassee, FL)
- …8:00am - 7:00pm; some weekends; Schedule will flex The **Managed Care Coordinator - RN Clinician** is responsible for overall management of member's case within ... or face-to-face clinical assessments for the identification, evaluation, coordination and management of member's needs, including physical health, behavioral … more
- HCA Healthcare (Tallahassee, FL)
- …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 medical ... to prepare you to become a Clinical Resource Director or another key management position within HealthTrust Supply Chain organization. **What you will do in this… more