- Centene Corporation (Tallahassee, FL)
- …acute behavioral health care setting focusing on outpatient/inpatient utilization, case management and discharge planning Required 1+ year of experience in ... the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified,… more
- Centene Corporation (Tallahassee, FL)
- …improvement opportunities. + Maintain HIPAA compliance. **Education/Experience:** Master's degree in Behavioral Health. 3+ years of case and/or utilization ... resources. Thorough knowledge of a specialized or technical field such as clinical nursing, case and/or utilization management involving knowledge plus the… more
- Highmark Health (Tallahassee, FL)
- …**Required** + 5 years of Post licensure experience in any combination of behavioral health clinical , case management and/or condition management ... clinical and motivational interviewing skills to assess both behavioral and physical health needs, and social determinants of...Licensed Marriage and Family Therapist (LMFT) **Preferred** + Certified Case Manager + CAC - Certified Addiction… 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 ... of oncology 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
- Kepro (Tallahassee, FL)
- …workflow timelines, including conducting re-reviews of records as required by the Clinical Director, Quality Manager , or Medical Director. + Engage actively ... Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver… more
- Merck (Tallahassee, FL)
- **Job Description** With support of Sr CRA ( Clinical Research Associate) and/or CRA Manager , acts as primary site contact and site manager throughout all ... and escalates per defined CRA Escalation Pathway as appropriate in collaboration with CRA Manager , CRM ( Clinical Research Manager ), TA Head and CRD (… more
- HealthEdge Software Inc (Tallahassee, FL)
- …designed to fuel a digital transformation, reduce costs, and improve both clinical outcomes and the member experience. **Your impact** **:** + Maintain deep ... for effective delivery to the client **What you bring:** + ** Behavioral :** + Leadership skills + Mentorcross-functional teamson various technical and non-technical… more
- CenterWell (Tallahassee, FL)
- …program support through active communication, education, and consultation with clinical staff and leaders. Responsible for communicating with key stakeholders ... reducing acute care utilization, safe transitions, readmission reduction, and other clinical programs as determined. **Major Duties and Responsibilities** * Build… more