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Job Information Humana Manager, Behavioral Provider Contracting - Remote ... in Bethesda Maryland Description The Manager, of Behavioral Health Provider Contracting ... of those associates. Responsibilities The Manager, of Behavioral..
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Description The Care Manager, Telephonic Behavioral Health 2 , ... wellbeing of members. The Care Manager, Telephonic Behavioral Health 2 work ... of action. Responsibilities The Care Manager, Telephonic Behavioral..
What You Will Do: New Grad Registered Nurse (RN) - Med Surg Full Time - Day Shift Capital Regional Medical Center Cheverly, MD General Summary: This role is reserved for the ..
What You Will Do: General Summary The Manager, Population Health is responsible for leading the development, implementation and evaluation of population health initiatives focused on reducing potentially avoidable utilization (PAU), including ..
Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately ... factors. Responsibilities Job Profile The..
Description The Medical Director actively uses their medical background, experience, and judgement to ... conferences, and other reference sources. Medical Directors will learn Medicare and ... their daily work. Responsibilities..
... team. The Behavioral Health Case Manager is responsible for case management ... outpatient behavioral health treatments for medical necessity, emergency status, and quality ... with members who have complex..
Description The Medical Director relies on fundamentals of ... C Line of Business. The Medical Director provides medical interpretation and determinations whether services ... Saturday and Sunday. Responsibilities The Medical..
Description Humana is a $90 billion (Fortune 40) market leader in integrated healthcare with a clearly defined purpose to help people achieve lifelong well-being. As a company focused on the health ..
Description The Care Manager, Telephonic Nurse Assistant 2 receives ... from members. The NAL Care Manager, Telephonic Nurse Assistant 2 is ... call center type experience Prior medical knowledge Ability..
Description The Medical Director's primary responsibility is the ... responsibility is the review of medical authorizations or claims to determine ... or claims to determine the medical necessity of a..
... Will Do: General Summary The Medical Director of the UM St. ... of the UM St. Joseph Medical Group (UMSJMG) will serve as ... by UMSJMG employed providers. The..
Description Job Description Summary The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately ... factors. Responsibilities..
What You Will Do: Care Manager (RN) - Case Management Full ... Days Towson, MD The Care manager coordinates the care and service ... of available resources. The Care manager..
Description The Behavioral Health Medical Director makes determinations regarding prior ... Humana coverage policies and determinations, medical necessity criteria, clinical reference materials, ... conferences, and other reference sources. Medical Directors..
Description The Medical Director relies on fundamentals of ... C Line of Business. The Medical Director provides medical interpretation and determinations whether services ... a rotating basis Responsibilities The Medical..
... Stars and Risk Adjustment National Medical Director in Bethesda Maryland Description ... nationally. This role relies on medical background, business acumen, and industry-standard ... corporate strategic initiatives. Responsibilities The..
Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately ... of variable factors Responsibilities The..
What You Will Do: Manager - Kidney and Pancreas Transplant ... - UMMC University of Maryland Medical Center (UMMC) has achieved Magnet ... Under general administrative direction, the Manager of..
... experience and vitality of the associate community. Through offerings anchored in ... for the newly-created role of Associate Vice President, Behavioral Health Strategy. ... our most vulnerable members. The..
What You Will Do: Care Manager Full-Time Towson, MD We are ... University of Maryland St. Joseph Medical Center. When you come to ... University of Maryland St. Joseph Medical..