- CVS Health (Tallahassee, FL)
- …manage dispute resolution and settlement negotiations of contracts with single and group Behavioral Health providers within a defined market. You will manage ... and/or handles dispute resolution and settlement negotiations with solo and group Behavioral Health providers for all lines of business (Medicare, commercial… more
- Centene Corporation (Tallahassee, FL)
- …complex care management activities for primarily mental and behavioral health needs members to provide high quality , cost-effective healthcare outcomes ... plan/service plan for the best outcome, which may include behavioral health and social determinant needs +...leadership on opportunities to improve and enhance care and quality delivery for members in a cost-effective manner +… more
- Humana (Tallahassee, FL)
- …part of our caring community and help us put health first** The Care Manager , Telephonic Behavioral Health 2, in a telephonic environment, assesses and ... for the care and wellbeing of members. The Care Manager , Telephonic Behavioral Health 2...need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families,… more
- CAI (Tallahassee, FL)
- …facilitating referrals to special programs such as Disease/Chronic Condition Management, Behavioral Health , and Complex Case Management + Collaborate with ... **Job Summary** We are looking for a motivated Case Manager , RN ready to take us to the next...Care Plans + Experience collaborating with PCP's, Occupational Therapists, Behavioral Health , and Providers + Experience with… more
- Highmark Health (Tallahassee, FL)
- …personal health goals. The incumbent monitors, improves and maintains quality outcomes (clinical, financial and functional) for the specified panel of members. ... ownership and oversight over a specified panel of members that range in health status/severity and clinical needs. The incumbent assesses health management needs… more
- Highmark Health (Tallahassee, FL)
- …between a group of projects and/or related activities within the constraint of scope, quality , time and budget. Includes the management of a group of internal exempt ... Stars program. We are looking for someone who has health plan and stars experience.** **ESSENTIAL RESPONSIBILITIES** + Work...**Required** + 4 years of experience in a project manager role **Preferred** + PMP certification or equivalent training… more
- 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 ... to make a real impact. As a(an) RN Case Manager you can be a part of change. **Benefits**...Leon and Gadsden Counties. Our facilities include a state-of-the-art Behavioral Health Center, Cancer Center, Chest Pain… more
- 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 ... Services in Leon and Gadsden Counties. Our facilities include a state-of-the-art Behavioral Health Center, Cancer Center, Chest Pain Center w/PCI-Resuscitation,… more
- 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 ... the opportunity to make a real impact. As a(an) Manager Med Surg Oncology you can be a part...Leon and Gadsden Counties. Our facilities include a state-of-the-art Behavioral Health Center, Cancer Center, Chest Pain… more
- Highmark Health (Tallahassee, FL)
- …closely with sales team and production to reduce lead times, ensure quality , and provide on time delivery of projects.Maintain proactive communication and management ... job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of...with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as… more
- 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 ... Services in Leon and Gadsden Counties. Our facilities include a state-of-the-art Behavioral Health Center, Cancer Center, Chest Pain Center w/PCI-Resuscitation,… more
- 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 ... of our team. **Job Summary and Qualifications** The Case Manager (CM) ensures high- quality , patient-centered care by...Leon and Gadsden Counties. Our facilities include a state-of-the-art Behavioral Health Center, Cancer Center, Chest Pain… more
- 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 ... Services in Leon and Gadsden Counties. Our facilities include a state-of-the-art Behavioral Health Center, Cancer Center, Chest Pain Center w/PCI-Resuscitation,… more
- Humana (Tallahassee, FL)
- …**Preferred Qualifications** + Experience in managing a team. + Registered Nurse or Behavioral Health professional. + Managed care, Medicaid health plan ... part of our caring community and help us put health first** Humana Healthy Horizons is seeking an Accreditation... first** Humana Healthy Horizons is seeking an Accreditation Manager who will oversee and support a team of… more
- Pearson (Tallahassee, FL)
- …education policies and implementing best practices to support students social-emotional, behavioral , and academic development. The Counseling Manager oversees ... As a key member of the Service Delivery team, the Counseling Services Manager is responsible for the overall strategy, planning, and execution of the counseling… more
- Highmark Health (Tallahassee, FL)
- **Company :** Allegheny Health Network **Job Description :** **GENERAL OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding ... audit activities. Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs, CPTs and HCPCS Level II… more
- Highmark Health (Tallahassee, FL)
- **Company :** Highmark Health **Job Description :** **JOB SUMMARY** We are on a mission to deliver remarkable health experiences, freeing people to be their ... to understand business requirements that drive the analysis and design of quality technical solutions. Concentrates on providing innovative solutions to more complex… more
- Highmark Health (Tallahassee, FL)
- …and corrective action plans; Verify delivery of customer needs, and Ensure quality delivery. The incumbent identifies, documents, and resolves risks, defects and ... Managers, and other team members to capture capability needs and drive quality business solutions. Create and maintain deliverables such as business vision,… more
- Highmark Health (Tallahassee, FL)
- …complex applications that meet the service levels, system availability, performance and quality levels required by their customers. May mentor less experienced team ... to understand business requirements that drive the analysis and design of quality technical solutions. Concentrates on providing innovative solutions to more complex… more
- Highmark Health (Tallahassee, FL)
- …derive and validate business process models and drive operational efficiencies controls and quality . Act as liaison conveying information needs of the business to IT ... or more product lines. Work closely with the project manager , technical architect, and the rest of the implementation...job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more