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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..
... focus organizational efforts on improving behavioral health (BH)/Substance Use Disorder (SUD) clinical ... develop sustainable, repeatable, and quantifiable behavioral health process improvements. They will work ... work closely with..
... 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..
... is seeking a Utilization Management Behavioral Health Professional to join our team. ... team. The Utilization Management (UM) Behavioral Health (BH) Professional utilizes behavioral health knowledge and skills to..
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..
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..
Job Information Humana Director, Behavioral Health Network & Market Strategy (Medicaid) ... in Louisville Kentucky Description The Director, Behavioral Health (BH) Network and Market Strategy ... clinical models based on..
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..
Job Information Humana Director, Behavioral Health Strategy in Louisville Kentucky Description ... in Louisville Kentucky Description The Director, Behavioral Health (DBH) will ensure that populations ... to quality care for..
... 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..
Job Information Humana Nationwide Medicaid Behavioral Health Quality Lead in Louisville Kentucky Description The ... in Louisville Kentucky Description The Behavioral Health Quality Lead will report directly to the .....
Job Information Humana Medical Director of Long Term Care, Florida ... Description The Long Term Care Medical Director supports the Long Term Care ... with contractual requirement. Responsibilities The Medical..
nTITLE: Director Med Surg (Nursing) (75K )LOCATION: ... Nursing Required.Med/Surg Experience required.Leadership experience required(Director, Manager, Lead, House).BLS, ACLS Required.RN in state ... and a 25 bed inpatient behavioral health facility..
Description The Medical Director is a leadership position that ... a leadership position that leverages medical expertise, understanding of the TRICARE ... managed care to support and lead on both..