• Behavioral Health Clinical

    CVS Health (Tallahassee, FL)
    …more personal, convenient and affordable. **Mission of the position:** The BH Clinical Liaison is a Behavioral Health leader for the Aetna state Medicaid ... new business and re-bids as it relates to Behavioral Health . Finally, the BH Clinical Liaison supports the design and implementation of Behavioral more
    CVS Health (11/16/24)
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  • Behavioral Health Clinical

    Centene Corporation (Tallahassee, FL)
    …and performs review of member clinical records and services related to behavioral health and substance use. + Interpret and present program results and ... bilingual (Spanish speaking) with Florida license and experience in an outpatient behavioral health setting, experience working in provider facing positions with… more
    Centene Corporation (11/15/24)
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  • Clinical Quality Program Manager

    Elevance Health (Tallahassee, FL)
    …an impact:** + Leads plan level HEDIS strategy to drive improvement in behavioral health HEDIS measures, ensuring achievement in performance guarantees and/or ... the largest, most complex plan programs. **Minimum requirements:** + Requires a BS in health administration, nursing, or a related clinical field; 4 years of … more
    Elevance Health (11/16/24)
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  • Community Health Nursing Consultant

    MyFlorida (Tallahassee, FL)
    …vendor. + Performing programmatic clinical monitoring for the CMS Plan behavioral health populations including but not limited to enrollee record reviews, ... Serving as the subject matter expert and the Plan's liaison with the Agency for Health Care...to the CMS Managed Care Plan Central Office for clinical reasons related to behavioral health more
    MyFlorida (11/14/24)
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  • Behavior Clinician Level 2

    BrightSpring Health Services (Valdosta, GA)
    Our Company SpringHealth Behavioral Health and Integrated Care Overview This is a contract position working with adults with IDD. T he position starts with a ... is readily available to interested parties. + Acts as liaison with the public and mental health ...Counselor, or BCBA About our Line of Business SpringHealth Behavioral Health and Integrated Care offers a… more
    BrightSpring Health Services (11/05/24)
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  • CDI Trainer

    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 ... over 156,000 hours volunteering in our communities. As a(an) Clinical Documentation Integrity Liaison with HCA Healthcare...Healthcare, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The… more
    HCA Healthcare (09/10/24)
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  • Senior Revenue Integrity Analyst

    Highmark Health (Tallahassee, FL)
    …all practices and the RCC. ESSENTIAL RESPONSIBILITIES: + Acts as primary revenue cycle liaison for the most complex clinical departments and practices and acting ... **Company :** Allegheny Health Network **Job Description :** GENERAL OVERVIEW: The...documentation & billing processes. Collaborates and helps to optimize clinical documentation through analysis and prioritized evaluation. Works collaboratively… more
    Highmark Health (11/08/24)
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  • Part-time/Remote Medical Director…

    Highmark Health (Tallahassee, FL)
    …our community-based palliative care program. In addition, this role will provide clinical leadership and guidance to the regional interdisciplinary team. The medical ... improvement projects and engagement with process improvement. The role includes recognizing clinical gaps and opportunities among the team and to work with the… more
    Highmark Health (09/24/24)
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  • Value-Based Reimbursement Strategic Partners…

    Highmark Health (Tallahassee, FL)
    …accounts and/or initiatives.Support strategic provider relationships to understand the current health care delivery state, readiness for change, test value based ... with PNR stakeholders to incorporate VBR into product, network, and provider integration. Liaison with Enterprise & P&L leaders on their overarching strategies to… more
    Highmark Health (10/10/24)
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  • Master Social Worker

    Fresenius Medical Center (Live Oak, FL)
    …Human Behavior and accepted methods of social work practice. Works with the health care team to promote positive adjustment, rehabilitation and improved quality of ... and supports staff in understanding the emotional, psychological and behavioral impact of Chronic Kidney Disease on the patient...to patients as permitted within the scope of their clinical training and state license + Provides educational and… more
    Fresenius Medical Center (10/13/24)
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