- Humana (Tallahassee, FL)
- …part of our caring community and help us put health first** The Utilization Management Behavioral Health Nurse uses behavioral health knowledge and ... licensed in a Compact State** The Utilization Management Behavioral Health Nurse completes...Qualifications** + Minimum of Associate Degree in Nursing + Registered Nurse ( RN ) licensure with… more
- Centene Corporation (Tallahassee, FL)
- …clinicians to ensure appropriate care for members and supervises day-to-day activities of BH utilization management team. + Monitors behavioral health (BH) ... performance, quality, and efficiency standards + Works with BH utilization management team to resolve complex BH...+ Licensed Mental Health Professional (LMHP) required or + RN - Registered Nurse -… more
- Centene Corporation (Tallahassee, FL)
- …Family Therapist (LMFT) required or + Licensed Mental Health Professional (LMHP) required or + RN - Registered Nurse - State Licensure and/or Compact State ... 28 million members as a clinical professional on our Medical Management /Health Services team. Centene is a diversified, national organization offering competitive… more
- Centene Corporation (Tallahassee, FL)
- …and Family Therapist (LMFT) required or Licensed Mental Health Professional (LMHP) required or RN - Registered Nurse - State Licensure and/or Compact State ... review of member clinical records and services related to behavioral health and substance use. + Interpret and present...the continuum of care. Experience with managed care, case management , utilization management , or quality… more
- HCA Healthcare (Tallahassee, FL)
- …Pediatric Adv Life Supt must be obtained within 30 days of employment start date + Registered Nurse , or Advance Practice Registered Nurse (APRN) + ... for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services...Associate Degree, or Registered Nurse Diploma HCA Florida Capital Hospital is your one-stop… more
- HCA Healthcare (Tallahassee, FL)
- …Support must be obtained within 30 days of employment start date + Bachelors Degree + Registered Nurse , or Advance Practice Registered Nurse (APRN) HCA ... 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… more
- Highmark Health (Tallahassee, FL)
- …and education or if necessary involve Special Investigation Unit or the Utilization Management area. **ESSENTIAL RESPONSIBILITIES** + Implement the pre-payment ... data to assure appropriate level of payment and resource utilization . It is also used to identify issues which...experience in Managed Care **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + Certified Medical Coder… more
- HCA Healthcare (Tallahassee, FL)
- …we support our colleagues in their positions. Join our Team as an Operating Room Nurse - Surgery Center and access programs to assist with every stage of your ... for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services...and job skills. Apply today for our Operating Room Nurse - Surgery Center opening and continue to learn!… more