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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..
Job Information Humana Director, Behavioral Health Strategy in Brentwood Tennessee Description ... in Brentwood Tennessee Description The Director, Behavioral Health (DBH) will ensure that populations ... to quality care for..
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..
... or program responsible for delivering health care services to clients/individuals. Manages ... supervisors and office staff regarding medical policies and procedures. Acts as ... services of physicians and other..
... care model where our physicians lead a multi-disciplinary care team supporting ... we serve, including our associates, lead their best lives. We support ... Physician (PCP) works as a..
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..
... 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 Director, Behavioral Health Network & Market Strategy (Medicaid) ... in Brentwood Tennessee Description The Director, Behavioral Health (BH) Network and Market Strategy ... clinical models based on..
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 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..
... 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..
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 Nationwide Medicaid Behavioral Health Quality Lead in Brentwood Tennessee Description The ... in Brentwood Tennessee Description The Behavioral Health Quality Lead will report directly to the .....