- CVS Health (Tallahassee, FL)
- …**_Must reside in state of Florida, position is 100% remote._** Behavior Analysis Utilization Management Clinical Consultant applies critical thinking ... clinically appropriate treatment, evidence-based care and clinical practice guidelines for Behavioral Health, specific to Behavior Analysis . Utilizes clinical… more
- Elevance Health (FL)
- …PulsePoint office. This utilization management role is responsible for utilization management review for Behavior Analysis services. **How you will ... met: performs UM approvals only, reviews requests for Applied Behavioral Analysis (ABA) services only, and there...is licensed staff supervision. + Previous experience in case management / utilization management with a broad… more
- CVS Health (Tallahassee, FL)
- …Aetna state Medicaid plan. This may include substance use disorder (SUDS), Applied Behavioral Analysis (ABA), Trauma Informed Care, Person Centered Services, and ... the plan and works across various departments including Care Management , Utilization Management , Quality ... Management , Quality Management , and Medical Management on issues related to Behavioral Health.… more
- Centene Corporation (Tallahassee, FL)
- …abuse across the continuum of care. Experience with managed care, case management , utilization management , or quality improvement. **License/Certification:** ... review of member clinical records and services related to behavioral health and substance use. + Interpret and present...member satisfaction + Serve as resource and liaison on utilization , quality improvement and case management activities… more
- University of Miami (Miami, FL)
- … Sciences generates, manages, and interprets strategic information; provides financial management and accountability for all Psychiatry & Behavioral Sciences ... opportunity for a Full-time Sr. Administrative Officer, Psychiatry & Behavioral Health Sciences to work in Miami. The Sr....the business of the Department. + Oversees the administrative management of clinical programs to include analysis … more
- MyFlorida (Chattahoochee, FL)
- …for the position: * Knowledge of the theories and principles of behavior analysis . * Knowledge of behavioral functional assessment. * Knowledgeable in the ... subtleties of group dynamics. This position with APD will serve staff and management across the Agency. Your work will impact the workplace culture, our community,… more
- HCA Healthcare (Sarasota, FL)
- …review/ management + You will consult with facility-level staff regarding delegated utilization management and disease management operations under managed ... ongoing in-service programs to facility medical staff regarding clinical resource management , appropriate documents standards, utilization and quality issues,… more
- Humana (Tampa, FL)
- … of Pedatric member's (Under 21) who utilize Applied Behavioral Analysis (ABA Services). Monitor/have awareness of utilization , conduct outreaches based on ... help us put health first** The Care Manager, Telephonic Behavioral Health 2 , in a telephonic environment, assesses...care and wellbeing of members. The Care Manager, Telephonic Behavioral Health 2 work assignments are varied and frequently… more
- University of Florida (Sumter County, FL)
- …no: 533426 Work type: Staff Full-Time Location: Sumter Categories: Social/ Behavioral Science, Grant or Research Administration, Artificial Intelligence Department: ... and ensuring the collection of high-quality data. + Data Management :Support the development and maintenance of databases for research...Ensure data is stored securely and is accessible for analysis . + Data Collection and Analysis :Oversee the… more
- Humana (Tallahassee, FL)
- …**Value Based Program** models for range of provider types, such as behavioral health, maternity, specialists, and social determinants of health, creating glide ... with Medicaid contractual requirements and RFP commitments. + Analyze financial, utilization , and performance data to identify opportunities to drive improvements in… more