- CVS Health (Tallahassee, FL)
- …regulations. The ideal candidate should possess the following skills: + Knowledge of Behavioral Health products, benefits and offerings + Understanding of Group ... a fast-paced environment + A passion for mental and behavioral health **What You Will Do** +...MHWB's Single Point of Contact for Market conduct exams, regulatory inquiries, and objections + Support the development and… more
- CVS Health (Tallahassee, FL)
- …settlement negotiations of contracts, with large and complex, national, and market-based, behavioral health groups and facility providers. You will manage ... strategic, traditional contracts and value-based relationships. Role is for national behavioral health contracting and strategic partnerships** Key deliverables… 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 ... 156,000 hours impacting our communities. As a(an) Division Director Regulatory Compliance with HCA Healthcare, you can be a... Compliance with HCA Healthcare, you can be a manager in an organization that is devoted to giving!… more
- Highmark Health (Tallahassee, FL)
- **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This job has primary ownership and oversight over a specified panel of members that range in ... health status/severity and clinical needs. The incumbent assesses ...and conducted in compliance with applicable business process requirements, regulatory requirements and accreditation standards. + Maintain current knowledge… more
- Highmark Health (Tallahassee, FL)
- **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This job implements effective utilization management strategies including: review of ... appropriateness of health care services, application of criteria to ensure appropriate...industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable… more
- Centene Corporation (Tallahassee, FL)
- …**Position Purpose:** Manages the care management team and the care coordination of behavioral health members to develop and assess high quality, cost-effective ... healthcare outcomes related to mental and behavioral health needs. Manages escalations and care...and procedures within the care management team based on regulatory requirements and industry standards + Directs the daily… 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 ... integrity. We care like family! Jump-start your career as a Healthcare Billing Manager today with HCA Healthcare. **Benefits** HCA Healthcare, offers a total rewards… more
- CVS Health (Tallahassee, FL)
- …excellent customer service and engagement skills. **Required Qualifications** + 2+ years in behavioral health , social services, or a related field relevant to ... of Care. + **Risk Escalation:** Inform the assigned care manager of newly identified health /safety risks or...or Bachelor's Degree or non-licensed master's level clinician in behavioral health or human services (psychology, social… more
- Highmark Health (Tallahassee, FL)
- …panel. Provides oversight over a specified panel of members that range in health status/severity and clinical needs; and assesses health management needs of ... various resources to assist members in achieving their personal health goals. Will work with providers to insure quality...and federal law standards and are within the care manager 's professional discipline. + For assigned case load, create… more
- Highmark Health (Tallahassee, FL)
- **Company :** Allegheny Health Network **Job Description :** **GENERAL OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding ... assignments, ICD diagnosis and procedure coding, DRG/APC structure according to regulatory requirements. Reports findings both verbally and in writing and… 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 ... care activities and be a liaison with the Nurse Manager , Charge Nurse and attending to ensure that care...Leon and Gadsden Counties. Our facilities include a state-of-the-art Behavioral Health Center, Cancer Center, Chest Pain… more
- CenterWell (Tallahassee, FL)
- …that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more ... provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused… more
- NASCO (Tallahassee, FL)
- …The Lead Network Engineer plays a critical role in ensuring regulatory compliance (SOC, HITRUST). Collaborates with vendors and stakeholders, evaluates emerging ... CISSP (Certified Information Systems Security Professional), CISM (Certified Information Security Manager ), Palo Alto PCNSE + ITIL or PMP certification for expertise… more