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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..
Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex ... of variable factors. Responsibilities The Medical Director provides medical..
Job Information Humana Behavioral Health Medical Director - Louisiana Medicaid in Metairie ... Description Humana's Louisiana Medicaid BH Medical Director will oversee our behavioral health (BH) clinical program for Louisiana..
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..
Job Information Humana Director, Behavioral Health Strategy in Metairie Louisiana Description ... in Metairie Louisiana Description The Director, Behavioral Health (DBH) will ensure that populations ... to quality care for..
Job Information Humana Director, Behavioral Health Network & Market Strategy (Medicaid) ... in Metairie Louisiana Description The Director, Behavioral Health (BH) Network and Market Strategy ... clinical models based on..
... Louisiana is seeking an Associate Director, Care Management(Behavioral Health) who will use clinical knowledge, ... services for members. He/she will lead teams of nurses and behavioral health professionals responsible..
Job Information Humana Director, Quality Improvement in Metairie Louisiana ... in Metairie Louisiana Description The Director, Quality Improvement implements quality improvement ... plan, and annual evaluation. The Director, Quality Improvement..
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, ... in coordination with the..
... 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..
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 Nationwide Medicaid Behavioral Health Quality Lead in Metairie Louisiana Description The ... in Metairie Louisiana 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..
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..
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..