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Description This Senior Fraud and Waste Investigator will serve as Humana's Program Integrity Officer, who will oversee the monitoring and enforcement of the fraud, waste, and abuse (FWA) compliance program..
Description Humana Health Horizons in Louisiana is seeking Medicaid Quality Audit Professionals - Behavior Health (BH) to ensure contracted Specialized Behavioral Health Providers adheres to NCQA documentation standards, BH Clinical..
PURPOSE AND SCOPE:Supports the Organization mission, vision, core values and customer service philosophy. Adheres to the Organization Compliance Program, including following all regulatory and Organization policy requirements. Provides direct nursing..
POSITION FEATURES:Location: Baton Rouge Vascular Access505 East Airport Road, #BBaton Rouge, LA 70805Schedule: Full Time Clinic Hours: Monday - Friday, 7:30am - 4:00pm (no weekends, holidays, or call) Excellent work/life..
POSITION FEATURES:Location: Baton Rouge Vascular Access505 East Airport Road, #BBaton Rouge, LA 70805Schedule: Per Diem Overview: This outpatient surgery RN will be working in an Ambulatory Surgery Center performing Perioperative..
PURPOSE AND SCOPE:Supports FMCNA’s mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. Functions as part of..
Description Humana Healthy Horizons in Louisiana is seeking a Community Engagement/Management Professional 2 that cultivates the organization's social community through community advocacy programs and active engagement with community members. The..
Description Humana Healthy Horizons in Louisiana is seeking Behavioral Health Liaisons to join our growing team. The Behavioral Health (BH) Liaisons will be responsible for ensuring connection, coordination, outreach, education,..
Description The Field Care Manager, Behavioral Health 2 assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with..
Description Humana Health Horizons in Louisiana is seeking a Behavioral Health (BH) Children's System Administrator (Care Management Behavioral Health Lead) who will advise on program features to reach members and..
Description Humana Healthy Horizons in Louisiana is seeking a Crisis Service Liaison to join our growing team. The Crisis Service Liaison will have the primary responsibility of educating providers and..
Description The Field Care Manager Nurse 2 assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources..