- Actalent (Sunrise, FL)
- Job Title: Behavioral Health Utilization Review SpecialistJob Description The Behavioral Health Utilization Review Specialist conducts ... comprehensive utilization management activities for behavioral health plan members. This role includes...LMHC). + Minimum of two years of experience in utilization review /case management. + At least one… more
- Actalent (Sunrise, FL)
- …+ Prepare and present reports on department activities as assigned. Essential Skills + Clinical review + Utilization review + Utilization management + ... or LPN License. + Minimum of one year of utilization review experience and discharge planning in...employee and dependents) * Short and long-term disability * Health Spending Account (HSA) * Transportation benefits * Employee… more
- Actalent (Sunrise, FL)
- Utilization Management Behavioral Health ClinicianUtilization Management Behavioral Health Clinician We're seeking a dedicated Behavioral ... this role, you'll collaborate with an interdisciplinary team to review and authorize behavioral health ...Conduct utilization reviews and service authorizations for behavioral health and substance use treatments. +… more
- Monte Nido (Miami, FL)
- …lives while providing the opportunity for people to realize their healthy selves. ** Utilization Review Clinician** **Monte Nido** **Remote - EST or CST hours** ... strategies to provide comprehensive care within an intimate home setting. The Utilization Review **Clinician** is responsible for conducting daily administrative… more
- Elevance Health (Miami, FL)
- **JR153784 Behavioral Health Care Manager II** The Behavioral Health Care Manager II is a utilization management role and is responsible for ... utilization management review for Behavior Analysis services. **Location** : Virtual: This...resources. + Will serve as a resource to other Behavioral Health Care Managers. + Assists with… more
- Elevance Health (Miami, FL)
- ** Behavioral Health Care Manager II** This role enables associates to work virtually full-time, with the exception of required in-person training sessions, ... work-life integration, and ensures essential face-to-face onboarding and skill development. The ** Behavioral Health Care Manager II** is responsible for managing… more
- Molina Healthcare (Miami, FL)
- …facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care, for members with high need ... Experience** Previous experience in Hospital Acute Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual / MCG… more
- Molina Healthcare (Miami, FL)
- **JOB DESCRIPTION** Opportunity for experienced Utilization Review RN in United States who has a compact, multi-state license. This team reviews the prior ... transplants; the ideal candidate will have experience either in utilization review or case management for transplants....an integrated delivery of care across the continuum, including behavioral health and long-term care, for members… more
- CVS Health (Miami, FL)
- …and coordinating care management activities with members to ensure that their medical and behavioral health needs are met and to enhance the member's overall ... + Using advanced clinical skills, performs crisis intervention with members experiencing a behavioral health or medical crisis and refers them to the appropriate… more
- HCA Healthcare (Tamarac, 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 ... in developing department goals and clinical programming. + Performs utilization review as assigned. + Helps with...in our Orthopedic and Spine Institute. Our Center for Behavioral Health offers inpatient child, adolescent, adult,… more
- HCA Healthcare (Sunrise, 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 ... Chain, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The...improvement activities, which includes inventory management and patient billing review . The VPDCO will review and optimize… more
- HCA Healthcare (Aventura, 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 ... etc.) hospital nursing experience required + Certification in case management or utilization review preferred + InterQual experience preferred HCA Florida… more
- HCA Healthcare (Miami, 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 ... or 2 years of critical care experience + Certification in case management or utilization review preferred + InterQual experience preferred + This position may be… more
- HCA Healthcare (Aventura, 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 ... HCA Florida Aventura Hospital, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The available plans and… more
- HCA Healthcare (Aventura, 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 ... HCA Florida Aventura Hospital, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The available plans and… more
- HCA Healthcare (Aventura, 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 ... etc.) hospital nursing experience required + Certification in case management or utilization review preferred + InterQual experience preferred HCA Florida… more
- HCA Healthcare (Plantation, 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 ... or 2 years of critical care experience + Certification in case management or utilization review preferred + InterQual experience preferred + This position may be… more
- HCA Healthcare (Aventura, 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 ... HCA Florida Aventura Hospital, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The available plans and… more
- HCA Healthcare (Miami, 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 ... HCA Florida Kendall Hospital, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The available plans and… more
- HCA Healthcare (Miami, 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 ... HCA Florida Mercy Hospital, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The available plans and programs… more