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... for members of Medicare Advantage health plans and is committed to ... conditions. The practices also provide health education and value-added, well-being services ... and community members improve their..
... outpatient medicine, continuity of care, health maintenance, and disease prevention. The ... Medical Director serves as a health-care professional and capable of handling ... of handling a variety of..
... lead teams of nurses and behavioral health professionals responsible for utilization management. ... all utilization reviews are in compliance with the terms of the ... procedural and Louisiana Department..
... Care Coach Nurses, Medical Assistants, Behavioral Health, Specialists, Quality Based Coders, Referral ... durable medical equipment and home health care. Acts as an active ... CenterWell as needed. Assures..
Description Humana Health Horizons in Louisiana is seeking ... Quality Audit Professionals - Behavior Health (BH) to ensure contracted Specialized ... (BH) to ensure contracted Specialized Behavioral Health Providers adheres..
Description The Social Determinants of Health (SDOH) Coordinator understands own work ... interpretation. Responsibilities Social Determinants of Health (SDOH) Coordinators (Care Management Support ... Case Managers (CM) and Community Health..
... lead teams of nurses and behavioral health professionals responsible for care management. ... comprehensive case management environment. Assure compliance with mandated and corporate policies ... and well-being of members...
... who will lead our physical health/behavioral health care management operations and staff ... care, services, and supports in compliance with Louisiana Department of Health (LDH) contractual requirements and industry..
... seeking an Associate Director, Care Management(Behavioral Health) who will use clinical knowledge, ... lead teams of nurses and behavioral health professionals responsible for care management. ... The Associate Director,..
... seeking a Manager, Utilization Management (Behavioral Health) who will utilize clinical skills ... coordination, documentation, and communication of behavioral health services and/or benefit administration determinations. ... determinations. The Manager,..
Description The Behavioral Health Strategy Lead (Behavioral Health Coordinator) shall have responsibility for ... the delivery of covered mental health and addiction services to children/youth, ... with substance use disorders..
Description The Community Health Worker/Care Management Support Professional 1 ... moderate complexity. Responsibilities Humana's Community Health Workers (CHW) serve as members ... functions, address social determinants of health (SDOH) needs,..
Description Humana Health Horizons in Louisiana is seeking ... in Louisiana is seeking a Behavioral Health (BH) Children's System Administrator (Care ... Children's System Administrator (Care Management Behavioral Health Lead)..
