• RN Utilization Management

    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
    Humana (10/04/24)
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  • Supervisor, Behavioral Health…

    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 (10/03/24)
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  • Registered Nurse Specialist-F/C Ops

    MyFlorida (Chattahoochee, FL)
    REGISTERED NURSE SPECIALIST-F/C OPS - 60953529 Date: Sep 7, 2024 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... 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
    MyFlorida (09/24/24)
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  • Utilization Review Clinician- ABA

    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 (09/19/24)
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  • Manager Emergency Services Lake Jackson FSED

    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 (09/15/24)
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  • Director Med Surg Orthopedics

    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
    HCA Healthcare (09/06/24)
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  • Payment Integrity Clinician

    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
    Highmark Health (09/27/24)
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  • Operating Room Nurse - Surgery Center

    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
    HCA Healthcare (09/21/24)
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