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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..
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... 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 Nationwide Medicaid Behavioral Health Quality Lead in Green Bay Wisconsin Description ... Green Bay Wisconsin Description The Behavioral Health Quality Lead will report directly to 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 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..
Job Information Humana Director, Behavioral Health Strategy in Green Bay Wisconsin ... Green Bay Wisconsin Description The Director, Behavioral Health (DBH) will ensure that populations ... to quality care for..
Job Information Humana Director, Behavioral Health Network & Market Strategy (Medicaid) ... Green Bay Wisconsin Description The Director, Behavioral Health (BH) Network and Market Strategy ... clinical models based on..
... 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..