- 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
- CVS Health (Tallahassee, FL)
- …service like Targeted Care Management , Psychosocial Rehabilitation, or related utilization management experience with these services . Must have active ... residence (LMSW, LCSW, LISW, LPC, or comparable) OR active and unrestricted Registered Nurse licensure with psychiatric specialty/certification in state of… more
- MyFlorida (Chattahoochee, FL)
- REGISTERED NURSE SPECIALIST-F/C OPS - 60953529 Date: Aug 9, 2024 Location: CHATTAHOOCHEE, FL, US, 32324 The State Personnel System is an E-Verify employer. For ... Requisition No: 817418 Agency: Children and Families Working Title: REGISTERED NURSE SPECIALIST-F/C OPS - 60953529 Pay...knowledgeable of and utilize the principles of Total Quality Management . The employee in this position spends a minimum… 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
- CVS Health (Tallahassee, FL)
- …Tuesday, Wednesday, or Thursday as the flex day. The Pediatric Care Manager RN will support a population of primarily medically complex pediatric members across the ... to members as needed and per contractual requirements. The Care manager RN utilizes advanced clinical judgment and critical thinking skills to facilitate appropriate… 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