- CVS Health (Tallahassee, FL)
- …Using advanced clinical skills, performs crisis intervention with members experiencing behavioral health or medical crisis and refers them to the appropriate ... of Care: * Application and/or interpretation of applicable criteria and clinical guidelines, standardized case management plans, policies, procedures, and… more
- CVS Health (Tallahassee, FL)
- …Interviewing and good technological skills + Valid unrestricted independent professional behavioral health clinical license to practice per state regulations ... standard business hours. No weekends and no holidays.** Utilizes advanced clinical judgment and critical thinking skills to facilitate appropriate member physical… more
- MyFlorida (Tallahassee, FL)
- …TELEWORK POSITION. CANDIDATE WILL BE REQUIRED TO WORK IN THE OFFICE. The Behavioral Health Consultant (BHC) provides clinical expertise within the child welfare ... The BHC works directly with Child Protective Investigators (CPIs) and dependency case managers to enhance recognition of behavioral health concerns, improve… more
- Humana (Tallahassee, FL)
- …a part of our caring community and help us put health first** The **Telephonic Nurse Case Manager ** will be a member of the Case Management Team, providing ... case management throughout the continuum of care. The case manager will offer guidance. support, and...each beneficiary's capacity for self-care, to cost-effectively achieve desired clinical outcomes and to enhance quality of medical care.… more
- HCA Healthcare (Tallahassee, FL)
- …HCA Florida Capital Hospital have the opportunity to make a real impact. As a(an) RN Case Manager you can be a part of change. **Benefits** HCA Florida Capital ... positive outcomes for your patients as a (an) RN Case Manager . We want your knowledge and...case management plan of care to include identified clinical , psychosocial and discharge needs; coordinates plan of care;… more
- HCA Healthcare (Tallahassee, FL)
- **Description** **Introduction** Do you have the career opportunities as a RN Case Manager you want in your current role? We invest in what matters most to ... case management plan of care to include identified clinical , psychosocial and discharge needs; coordinates plan of care;...path, we encourage you to apply for our RN Case Manager opening. We review all applications.… more
- Highmark Health (Tallahassee, FL)
- …Nursing **EXPERIENCE** **Required** + 7 years of any combination of clinical , case management and/or disease/condition management experience, provider operations ... panel of members that range in health status/severity and clinical needs. The incumbent assesses health management needs of...interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are… more
- HCA Healthcare (Tallahassee, FL)
- **Description** **Introduction** Do you have the career opportunities as a(an) Manager Case Management you want in your current role? We invest in what matters ... for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services...career path, we encourage you to apply for our Manager Case Management opening. We review all… more
- Elevance Health (Tallahassee, FL)
- …under the direction/supervision of an RN, with overall responsibility for the member's case , as required by applicable state law and contract, contributes to the ... evaluation, coordination and management of member's needs, including physical health, behavioral health, social services and long term services and supports. +… more
- Elevance Health (Tallahassee, FL)
- …circle of support and overall management of the individuals physical health (PH)/ behavioral health (BH)/LTSS needs, as required by applicable state law and contract, ... + Uses tools and pre-defined identification process, identifies members with potential clinical health care needs (including, but not limited to, potential for… more
- CenterWell (Tallahassee, FL)
- **Become a part of our caring community and help us put health first** The Manager Care/ Case Management in **Palm Beach/TC area** is responsible for managing a ... team of nurses, community health workers, and behavioral health resources who engage high risk/high needs patients...and services they need to reach optimal health. The Manager is also responsible for building strong partnerships with… more
- HCA Healthcare (Tallahassee, FL)
- …to deliver clinical excellence behind the scenes in data science, case management or transfer centers. Unlock your potential at HCA Florida Capital Hospital! ... **Are you passionate about delivering patient-centered care?** Submit your application for Manager Emergency Services Southwood FSED position and spend more time at… more
- CVS Health (Tallahassee, FL)
- …we do it all with heart, each and every day. **Job Summary** The Care Manager -Registered Nurse is a key member of our Special Needs Plan (SNP) care team, responsible ... for coordinating care for members who often face multiple chronic medical and behavioral health conditions, as well as various social determinants of health (SDoH)… more
- CVS Health (Tallahassee, FL)
- …that may impact member outcomes and care planning with appropriate referral to clinical case management or crisis intervention as appropriate. + Utilizes ... with clinical care managers, leadership, medical directors and other physical/ behavioral health support staff and providers to overcome barriers to meeting… more
- CenterWell (Tallahassee, FL)
- …Medicare/Medicaid experience a plus + Previous experience in utilization management, case management, discharge planning and/or home health or rehab + Certification ... in Case Management a plus (CCM) + Experience working with...go beyond physical health - addressing the social, emotional, behavioral and financial needs that can impact our patients'… more
- CenterWell (Tallahassee, FL)
- …Intelligence Lead and support ad hoc reporting. * Develop basic modeling and business case analysis; work closely with Finance and Data teams * Coordinate with ACO ... that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more time… more
- Highmark Health (Tallahassee, FL)
- …Is responsible for or works with external resources to create and monitor inpatient case mix reports and the top 25 assigned DRGs/APCs in the facilities to identify ... related to special projects and providing coverage for coding manager (s). (10%) + Depending on location provides or arranges...processes as it relates to the DRG/APC and other clinical data quality management factors. With technical direction and… more