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Description The Utilization Management Behavioral Health Professional 2 utilizes behavioral health knowledge and skills to support ... coordination, documentation, and communication of medical services and/or benefit administration determinations. ... administration..
... brand for a primary care medical group practice with centers open ... for members of Medicare Advantage health plans and is committed to ... conditions. The practices also provide..
Description The Behavioral Health Medical Director makes determinations regarding prior authorization ... Humana coverage policies and determinations, medical necessity criteria, clinical reference materials, ... conferences, and other reference sources. Medical..
Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex ... Responsibilities Humana Government Business's (HGB) Behavioral Health Medical Director..
Description The Lead Behavioral Health Medical Director oversees the work of 2 ... oversees the work of 2 Medical Directors who conduct clinical case ... doing case reviews themselves. The..
Behavioral Health Responder IV - Full-time Department: ... Responder IV - Full-time Department: Behavioral Health Location: Rio Rancho, NM START ... Job Summary and Scope The Behavioral Health Responder (BHR)..
... a company focused on the health and well-being of the people ... role of Associate Vice President, Behavioral Health Strategy. In this role, you ... with responsibility for evolving..
... delivery process. The National Medicaid Director of Clinical Strategy and Practice ... community within the enterprise. The Director of Clinical Strategy has direct ... members. Responsibilities The National Medicaid..
Clinical Supervisor-Behavioral Health - Full-time Department: Behavioral Health Location: Rio Rancho, NM START ... with programmatic leadership team, PSWs, Director of Behavioral Health Programs, other therapists and related ... Independently..
Job Information Humana Director, Behavioral Health Strategy in Albuquerque New Mexico ... Albuquerque New Mexico Description The Director, Behavioral Health (DBH) will ensure that populations ... to quality care for..
Description The Behavioral Health Medical Director responsible for behavioral health care strategy and/or operations. The ... care strategy and/or operations. The Behavioral Health Medical Director work assignments involve moderately complex..
Job Information Humana Director, Behavioral Health Network & Market Strategy (Medicaid) ... Albuquerque New Mexico Description The Director, Behavioral Health (BH) Network and Market Strategy ... clinical models based on..
Job Information Humana Nationwide Medicaid Behavioral Health Quality Lead in Albuquerque New Mexico Description ... Albuquerque New Mexico Description The Behavioral Health Quality Lead will report directly to the .....